NRP 8th Edition Test Questions With All Correct
Answers
Your team has provided face-mask PPV with chest movement for 30 seconds.
When is placement of an endotracheal tube strongly recommended? correct
answer -The baby's heart rate remains less than 100 bpm and is not
increasing.
During a delivery, when and where should a person with intubation skills be
available? correct answer -In the hospital and immediately available
What are the primary methods of confirming endotracheal tube placement
within the trachea? correct answer -Demonstration of exhaled carbon
dioxide (CO2) and a rapidly increasing heart rate
You are resuscitating a critically ill newborn whose heart rate is 20 bpm. The
baby has been intubated and the endotracheal tube insertion depth is correct.
You can see chest movement with PPV and hear bilateral breath sounds, but
the colorimetric CO2 detector does not turn yellow. What is the likely reason
for this? correct answer -Low cardiac output.
According to the Textbook of Neonatal Resuscitation, 8th edition algorithm, at
what point during resuscitation is a cardiac monitor recommended to assess
the baby's heart rate? correct answer -When an alternative airway is
inserted
What size laryngoscope blade is recommended to intubate a preterm
newborn with an estimated gestational age of 32 weeks (estimated birth
weight of 1.4 kg)? correct answer -0
Even brief interruptions of chest compressions may significantly reduce their
effectiveness, but it is also important to assess the need to continue chest
compressions. What is the preferred way to assess the heart rate during chest
compressions? correct answer -Briefly interrupt chest compressions every
60 seconds to assess the heart rate using the cardiac monitor.
, Your team is resuscitating a newborn at birth. The heart rate is low and the
baby has poor perfusion. Which is the preferred method to assess the heart
rate? correct answer -Cardiac monitor
When are chest compressions indicated? correct answer -When the heart
rate remains less than 60 bpm after at least 30 seconds of PPV that moves the
chest, preferably through an alternative airway
After 60 seconds of PPV coordinated with chest compressions, the cardiac
monitor indicates a heart rate of 70 beats per minute. What is your next
action? correct answer -Stop chest compressions and continue PPV.
What is the recommended depth of chest compressions? correct answer -
One-third of the anterior-posterior diameter of the chest
During chest compressions, which of the following is correct? correct
answer -To coordinate compressions and ventilations, the compressor calls
out one-and-two-and-three-and-breathe-and....
Your team is resuscitating a newborn whose heart rate remains less than 60
bpm despite effective PPV and 60 seconds of chest compressions. You have
administered epinephrine intravenously. According to the Textbook of
Neonatal Resuscitation, 8th edition, what volume of normal saline flush
should you administer? correct answer -3 mL
According to the Textbook of Neonatal Resuscitation, 8th edition, what is the
suggested initial dose for IV epinephrine (0.1 mg/1 mL=1 mg/10 mL)?
correct answer -0.02 mg/kg (equal to 0.2 mL/kg)
When is the administration of a volume expander indicated during newborn
resuscitation? correct answer -The baby's heart rate is not increasing and
there are signs of shock or a history of acute blood loss.
Your team is caring for a term newborn whose heart rate is 50 bpm after
receiving effective ventilation, chest compressions, and intravenous
epinephrine administration. There is a history of acute blood loss around the
time of delivery. You administer 10 mL/kg of normal saline (based on the
newborn's estimated weight). At what rate should this be administered?
correct answer -Over 5 to 10 minutes
Answers
Your team has provided face-mask PPV with chest movement for 30 seconds.
When is placement of an endotracheal tube strongly recommended? correct
answer -The baby's heart rate remains less than 100 bpm and is not
increasing.
During a delivery, when and where should a person with intubation skills be
available? correct answer -In the hospital and immediately available
What are the primary methods of confirming endotracheal tube placement
within the trachea? correct answer -Demonstration of exhaled carbon
dioxide (CO2) and a rapidly increasing heart rate
You are resuscitating a critically ill newborn whose heart rate is 20 bpm. The
baby has been intubated and the endotracheal tube insertion depth is correct.
You can see chest movement with PPV and hear bilateral breath sounds, but
the colorimetric CO2 detector does not turn yellow. What is the likely reason
for this? correct answer -Low cardiac output.
According to the Textbook of Neonatal Resuscitation, 8th edition algorithm, at
what point during resuscitation is a cardiac monitor recommended to assess
the baby's heart rate? correct answer -When an alternative airway is
inserted
What size laryngoscope blade is recommended to intubate a preterm
newborn with an estimated gestational age of 32 weeks (estimated birth
weight of 1.4 kg)? correct answer -0
Even brief interruptions of chest compressions may significantly reduce their
effectiveness, but it is also important to assess the need to continue chest
compressions. What is the preferred way to assess the heart rate during chest
compressions? correct answer -Briefly interrupt chest compressions every
60 seconds to assess the heart rate using the cardiac monitor.
, Your team is resuscitating a newborn at birth. The heart rate is low and the
baby has poor perfusion. Which is the preferred method to assess the heart
rate? correct answer -Cardiac monitor
When are chest compressions indicated? correct answer -When the heart
rate remains less than 60 bpm after at least 30 seconds of PPV that moves the
chest, preferably through an alternative airway
After 60 seconds of PPV coordinated with chest compressions, the cardiac
monitor indicates a heart rate of 70 beats per minute. What is your next
action? correct answer -Stop chest compressions and continue PPV.
What is the recommended depth of chest compressions? correct answer -
One-third of the anterior-posterior diameter of the chest
During chest compressions, which of the following is correct? correct
answer -To coordinate compressions and ventilations, the compressor calls
out one-and-two-and-three-and-breathe-and....
Your team is resuscitating a newborn whose heart rate remains less than 60
bpm despite effective PPV and 60 seconds of chest compressions. You have
administered epinephrine intravenously. According to the Textbook of
Neonatal Resuscitation, 8th edition, what volume of normal saline flush
should you administer? correct answer -3 mL
According to the Textbook of Neonatal Resuscitation, 8th edition, what is the
suggested initial dose for IV epinephrine (0.1 mg/1 mL=1 mg/10 mL)?
correct answer -0.02 mg/kg (equal to 0.2 mL/kg)
When is the administration of a volume expander indicated during newborn
resuscitation? correct answer -The baby's heart rate is not increasing and
there are signs of shock or a history of acute blood loss.
Your team is caring for a term newborn whose heart rate is 50 bpm after
receiving effective ventilation, chest compressions, and intravenous
epinephrine administration. There is a history of acute blood loss around the
time of delivery. You administer 10 mL/kg of normal saline (based on the
newborn's estimated weight). At what rate should this be administered?
correct answer -Over 5 to 10 minutes
