NRP – advanced Questions With All Correct Answers
What are the 2 primary methods of confirming ETT placement within the
trachea? correct answer -demonstration of exhaled CO2 and a rapidly
rising heart rate
What steps are done by the person assisting the intubation? correct answer
-check tip-to-lip insertion depth
check that stylet does not protrude beyond end of ETT
listen for increasing heart rate and observe CO2 color change
attach leads and begin cardiac monitoring if not already done
What is the DOPE mnemonic? correct answer -D-displaced tube
O- obstructed tube
P-pneumothorax
E-equipment failure
When are chest compressions indicated? correct answer -When the heart
rate remains less than 60 beats per minute after 30 seconds of positive-
pressure ventilation that moves the chest, preferably through an alternative
airway (ETT or LMA)
What is the depth of chest compressions? correct answer -1/3 of the
anterior-posterior diameter of chest
What is the preferred way to assess the heart rate when chest compressions
are required? correct answer -cardiac monitor
reassess every 60 seconds
for delivery room resuscitation, how do you give epinephrine? correct
answer -umbilical vein
dosage: 0.1 mg/mL or 1 mg/10mL
Volume of saline flush after epinephrine? correct answer -3 mL
when is administration of volume expander indicated? correct answer -
baby is not responding to steps of resuscitation and there are signs of shock or
a history of acute blood loss
, what is the dose for the volume expander? correct answer -10 mL/kg
how far should the catheter be inserted into the umbilical vein? correct
answer -2-4 cm, until you get free flow of blood when the syringe is gently
aspirated
what is a reasonable time frame after birth for considering cessation of
resuscitation efforts when absence of heart rate is confirmed after all
appropriate interventions? correct answer -20 minutes
why do preterm babies have a higher risk of complication than term babies?
correct answer -limited metabolic reserves contribute to the risk of
hypoglycemia after birth
what steps are important for maintaining thermoregulation for all pre term
babies? correct answer -preheat warmer well before birth
place a hat on baby's head
maintain axillary temp between 36.5 and 37.5 C
set temp in room from 23-25 C
ETT sizes for pre term babies correct answer -> 28 weeks: 2.5 mm
28-34 weeks: 3 mm
34 weeks gestation PPV settings correct answer -PIP: 20-25cm
PEEP: 5cm
Transillumination for pneumo correct answer -light on the side of the
pneumo will glow brighter than the opposite side
what interventions may alleviate respiratory distress of a baby with robin
sequence? correct answer -position baby prone
insert small ETT into nose, advance into pharynx
what is a congenital diaphragmatic hernia? correct answer -most common
on left side, identified by antenatal ultrasound
What are the 2 primary methods of confirming ETT placement within the
trachea? correct answer -demonstration of exhaled CO2 and a rapidly
rising heart rate
What steps are done by the person assisting the intubation? correct answer
-check tip-to-lip insertion depth
check that stylet does not protrude beyond end of ETT
listen for increasing heart rate and observe CO2 color change
attach leads and begin cardiac monitoring if not already done
What is the DOPE mnemonic? correct answer -D-displaced tube
O- obstructed tube
P-pneumothorax
E-equipment failure
When are chest compressions indicated? correct answer -When the heart
rate remains less than 60 beats per minute after 30 seconds of positive-
pressure ventilation that moves the chest, preferably through an alternative
airway (ETT or LMA)
What is the depth of chest compressions? correct answer -1/3 of the
anterior-posterior diameter of chest
What is the preferred way to assess the heart rate when chest compressions
are required? correct answer -cardiac monitor
reassess every 60 seconds
for delivery room resuscitation, how do you give epinephrine? correct
answer -umbilical vein
dosage: 0.1 mg/mL or 1 mg/10mL
Volume of saline flush after epinephrine? correct answer -3 mL
when is administration of volume expander indicated? correct answer -
baby is not responding to steps of resuscitation and there are signs of shock or
a history of acute blood loss
, what is the dose for the volume expander? correct answer -10 mL/kg
how far should the catheter be inserted into the umbilical vein? correct
answer -2-4 cm, until you get free flow of blood when the syringe is gently
aspirated
what is a reasonable time frame after birth for considering cessation of
resuscitation efforts when absence of heart rate is confirmed after all
appropriate interventions? correct answer -20 minutes
why do preterm babies have a higher risk of complication than term babies?
correct answer -limited metabolic reserves contribute to the risk of
hypoglycemia after birth
what steps are important for maintaining thermoregulation for all pre term
babies? correct answer -preheat warmer well before birth
place a hat on baby's head
maintain axillary temp between 36.5 and 37.5 C
set temp in room from 23-25 C
ETT sizes for pre term babies correct answer -> 28 weeks: 2.5 mm
28-34 weeks: 3 mm
34 weeks gestation PPV settings correct answer -PIP: 20-25cm
PEEP: 5cm
Transillumination for pneumo correct answer -light on the side of the
pneumo will glow brighter than the opposite side
what interventions may alleviate respiratory distress of a baby with robin
sequence? correct answer -position baby prone
insert small ETT into nose, advance into pharynx
what is a congenital diaphragmatic hernia? correct answer -most common
on left side, identified by antenatal ultrasound
