NRP 8th Edition Neonatal Resuscitation
Program Study Guide with Key Concepts and
Answers
Your team has provided face-mask PPV with chest movement for 30 seconds. When is placement of
an endotracheal tube strongly recommended? -
✅ 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? -
✅ In the hospital and immediately available
What are the primary methods of confirming endotracheal tube placement within the trachea? -
✅ 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? -
✅ 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? -
✅ 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)? -
✅0
What size laryngoscope blade is recommended to intubate a preterm newborn with an estimated
gestational age of 28 weeks? -
✅ 00
,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? -
✅ 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? -
✅ Cardiac monitor
When are chest compressions indicated? -
✅ 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? -
✅ Stop chest compressions and continue PPV.
What is the recommended depth of chest compressions? -
✅ One-third of the anterior-posterior diameter of the chest
During chest compressions, which of the following is correct? -
✅ To coordinate compressions and ventilations, the compressor calls out one-and-two-and-three-
and-breathe-and....
During chest compression with of the following is correct? -
✅ 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? -
✅ 3 mL
, According to the Textbook of Neonatal Resuscitation, 8th edition, what is the suggested initial dose for IV
@i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i
epinephrine (0.1 mg/1 mL=1 mg/10 mL)? - @i @i @i @i @i @i @i
@i ✅ 0.02 mg/kg (equal to 0.2 mL/kg)
@i @i @i @i @i @i
When is the administration of a volume expander indicated during newborn resuscitation? -
@i @i @i @i @i @i @i @i @i @i @i @i @i
@i ✅ The baby's heart rate is not increasing and there are signs of shock or a history of acute blood loss.
@i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i
Your team is caring for a term newborn whose heart rate is 50 bpm after receiving effective ventilation, ch
@i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i
est compressions, and intravenous epinephrine administration. There is a history of acute blood loss aro
@i @i @i @i @i @i @i @i @i @i @i @i @i @i
und the time of delivery. You administer 10 mL/
@i @i @i @i @i @i @i @i
kg of normal saline (based on the newborn's estimated weight). At what rate should this be administered
@i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i
?- @i @i
@i ✅ Over 5 to 10 minutes
@i @i @i @i @i
How soon after administration of intravenous epinephrine should you pause compressions and
reassess the baby's heart rate? -
✅ 60 seconds
You are called to the birth of a newborn at 30 weeks gestation. As you prepare your equipment,
what concentration of oxygen will you use initially if PPV is required? -
✅ 21-30% oxygen
A baby is born at 26 weeks gestation. The initial steps of care, including gentle stimulation, have
been completed and the baby is nearly 1-minute old. The baby is not breathing. What is the most
appropriate next step? -
✅ being PPV by mask
Choose the appropriate step(s) to prepare for the birth of a newborn <32 weeks gestation. -
✅ Prepare the preheated radiant warmer with a thermal mattress, plastic wrap or bag, a hat, and a
skin temperature sensor
A term newborn was born via emergency cesarean section in the setting of fetal bradycardia. The
baby was limp and bradycardic at birth and was intubated at 6 minutes after birth for persistent
apnea. The cord blood gas demonstrates a severe metabolic acidosis, and the physical examination
is consistent with hypoxic-ischemic encephalopathy (HIE). Which of the following is the most
appropriate intervention for this newborn? -
Program Study Guide with Key Concepts and
Answers
Your team has provided face-mask PPV with chest movement for 30 seconds. When is placement of
an endotracheal tube strongly recommended? -
✅ 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? -
✅ In the hospital and immediately available
What are the primary methods of confirming endotracheal tube placement within the trachea? -
✅ 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? -
✅ 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? -
✅ 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)? -
✅0
What size laryngoscope blade is recommended to intubate a preterm newborn with an estimated
gestational age of 28 weeks? -
✅ 00
,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? -
✅ 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? -
✅ Cardiac monitor
When are chest compressions indicated? -
✅ 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? -
✅ Stop chest compressions and continue PPV.
What is the recommended depth of chest compressions? -
✅ One-third of the anterior-posterior diameter of the chest
During chest compressions, which of the following is correct? -
✅ To coordinate compressions and ventilations, the compressor calls out one-and-two-and-three-
and-breathe-and....
During chest compression with of the following is correct? -
✅ 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? -
✅ 3 mL
, According to the Textbook of Neonatal Resuscitation, 8th edition, what is the suggested initial dose for IV
@i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i
epinephrine (0.1 mg/1 mL=1 mg/10 mL)? - @i @i @i @i @i @i @i
@i ✅ 0.02 mg/kg (equal to 0.2 mL/kg)
@i @i @i @i @i @i
When is the administration of a volume expander indicated during newborn resuscitation? -
@i @i @i @i @i @i @i @i @i @i @i @i @i
@i ✅ The baby's heart rate is not increasing and there are signs of shock or a history of acute blood loss.
@i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i
Your team is caring for a term newborn whose heart rate is 50 bpm after receiving effective ventilation, ch
@i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i
est compressions, and intravenous epinephrine administration. There is a history of acute blood loss aro
@i @i @i @i @i @i @i @i @i @i @i @i @i @i
und the time of delivery. You administer 10 mL/
@i @i @i @i @i @i @i @i
kg of normal saline (based on the newborn's estimated weight). At what rate should this be administered
@i @i @i @i @i @i @i @i @i @i @i @i @i @i @i @i
?- @i @i
@i ✅ Over 5 to 10 minutes
@i @i @i @i @i
How soon after administration of intravenous epinephrine should you pause compressions and
reassess the baby's heart rate? -
✅ 60 seconds
You are called to the birth of a newborn at 30 weeks gestation. As you prepare your equipment,
what concentration of oxygen will you use initially if PPV is required? -
✅ 21-30% oxygen
A baby is born at 26 weeks gestation. The initial steps of care, including gentle stimulation, have
been completed and the baby is nearly 1-minute old. The baby is not breathing. What is the most
appropriate next step? -
✅ being PPV by mask
Choose the appropriate step(s) to prepare for the birth of a newborn <32 weeks gestation. -
✅ Prepare the preheated radiant warmer with a thermal mattress, plastic wrap or bag, a hat, and a
skin temperature sensor
A term newborn was born via emergency cesarean section in the setting of fetal bradycardia. The
baby was limp and bradycardic at birth and was intubated at 6 minutes after birth for persistent
apnea. The cord blood gas demonstrates a severe metabolic acidosis, and the physical examination
is consistent with hypoxic-ischemic encephalopathy (HIE). Which of the following is the most
appropriate intervention for this newborn? -
