NRP 2021 Practice Exam (50 Questions) – Neonatal
Resuscitation Program Study Guide & Review
Questions
After the initial steps of newborn care, a baby is apneic. What is the most important and
effective action to take in the resuscitation of this baby?
Provide positive-pressure ventilation.
Perform chest compressions.
Provide additional vigorous stimulation
Provide supplemental oxygen. - CORRECT ANSWER Provide positive-pressure ventilation.
During the resuscitation of a newborn, you auscultate the apical pulse and count 10 beats over
a 6 second period. What heart rate do you report to your team?
60 beats per minute
120 beats per minute
100 beats per minute
30 beats per minute - CORRECT ANSWER 100 beats per minute
A newborn of 34 weeks' gestation is not breathing (apneic) at birth, does not respond to initial
steps and requires positive-pressure ventilation. What concentration of oxygen should be used
as you begin positive-pressure ventilation?
30 - 50% oxygen
100% oxygen
50 - 70% oxygen
21 - 30% oxygen - CORRECT ANSWER 21 - 30% oxygen
You are at the resuscitation of a newborn who is gasping and has a heart rate of 60 beats per
minute. What is the most important action you can take?
Provide chest compressions
Apply CPAP
Provide positive-pressure ventilation
Provide free-flow oxygen - CORRECT ANSWER Provide positive-pressure ventilation
What is the most effective maneuver to establish spontaneous breathing in a baby that is apneic
after initial steps?
, Continued rubbing of the back
Administration of free-flow oxygen
Administration of positive-pressure ventilation that inflates the lungs
Application of CPAP - CORRECT ANSWER Administration of positive-pressure ventilation that
inflates the lungs
Remembering MR. SOPA helps your team correct problems with ventilation. Which of the
following steps are included in MR. SOPA?
Adjust Mask and Reposition head and neck; Suction mouth then nose and Open the mouth;
increase Pressure; insert Alternative airway.
Mouth opened, Reposition head, Saturation check, Obstruction check, Pulse oximeter sensor,
Apply cardiac monitor leads.
Ensure Mask seal, Repeat stimulation, Suction the airway, Oxygen regulation, Pulse oximeter
sensor, Assess heart rate.
Mouth opened, Repeat stimulation, Saturation check, Occlude pop-off valve, Perfusion check,
Auscultate breath sounds. - CORRECT ANSWER Adjust Mask and Reposition head and neck;
Suction mouth then nose and Open the mouth; increase Pressure; insert Alternative airway
A baby is born at 34 weeks' gestation. After the initial steps of resuscitation, the baby is not
breathing (apneic). What are the next steps?
Provide additional tactile stimulation, evaluate color and tone, evaluate heart rate.
Administer free-flow oxygen, place a pulse oximeter sensor on the right hand or wrist, evaluate
heart rate.
Administer CPAP, place a pulse oximeter sensor on the right hand or wrist, evaluate color and
tone.
Initiative positive-pressure ventilation, place a pulse oximeter sensor on the right hand or wrist,
evaluate heart rate. - CORRECT ANSWER Initiative positive-pressure ventilation, place a pulse
oximeter sensor on the right hand or wrist, evaluate heart rate.
You are called to attend to a newborn at birth. At the time the baby is delivered, which 3
questions should you ask to evaluate whether the baby can stay with his mother or be moved to
the radiant warmer for further assessment?
Is the baby warm? Does the baby have good tone? Is the baby full-term?
Is the amniotic fluid clear? Is the baby breathing or crying? Is the baby of low birth weight?
Is the baby pink? Is the baby breathing or crying? Is the amniotic fluid clear?
Resuscitation Program Study Guide & Review
Questions
After the initial steps of newborn care, a baby is apneic. What is the most important and
effective action to take in the resuscitation of this baby?
Provide positive-pressure ventilation.
Perform chest compressions.
Provide additional vigorous stimulation
Provide supplemental oxygen. - CORRECT ANSWER Provide positive-pressure ventilation.
During the resuscitation of a newborn, you auscultate the apical pulse and count 10 beats over
a 6 second period. What heart rate do you report to your team?
60 beats per minute
120 beats per minute
100 beats per minute
30 beats per minute - CORRECT ANSWER 100 beats per minute
A newborn of 34 weeks' gestation is not breathing (apneic) at birth, does not respond to initial
steps and requires positive-pressure ventilation. What concentration of oxygen should be used
as you begin positive-pressure ventilation?
30 - 50% oxygen
100% oxygen
50 - 70% oxygen
21 - 30% oxygen - CORRECT ANSWER 21 - 30% oxygen
You are at the resuscitation of a newborn who is gasping and has a heart rate of 60 beats per
minute. What is the most important action you can take?
Provide chest compressions
Apply CPAP
Provide positive-pressure ventilation
Provide free-flow oxygen - CORRECT ANSWER Provide positive-pressure ventilation
What is the most effective maneuver to establish spontaneous breathing in a baby that is apneic
after initial steps?
, Continued rubbing of the back
Administration of free-flow oxygen
Administration of positive-pressure ventilation that inflates the lungs
Application of CPAP - CORRECT ANSWER Administration of positive-pressure ventilation that
inflates the lungs
Remembering MR. SOPA helps your team correct problems with ventilation. Which of the
following steps are included in MR. SOPA?
Adjust Mask and Reposition head and neck; Suction mouth then nose and Open the mouth;
increase Pressure; insert Alternative airway.
Mouth opened, Reposition head, Saturation check, Obstruction check, Pulse oximeter sensor,
Apply cardiac monitor leads.
Ensure Mask seal, Repeat stimulation, Suction the airway, Oxygen regulation, Pulse oximeter
sensor, Assess heart rate.
Mouth opened, Repeat stimulation, Saturation check, Occlude pop-off valve, Perfusion check,
Auscultate breath sounds. - CORRECT ANSWER Adjust Mask and Reposition head and neck;
Suction mouth then nose and Open the mouth; increase Pressure; insert Alternative airway
A baby is born at 34 weeks' gestation. After the initial steps of resuscitation, the baby is not
breathing (apneic). What are the next steps?
Provide additional tactile stimulation, evaluate color and tone, evaluate heart rate.
Administer free-flow oxygen, place a pulse oximeter sensor on the right hand or wrist, evaluate
heart rate.
Administer CPAP, place a pulse oximeter sensor on the right hand or wrist, evaluate color and
tone.
Initiative positive-pressure ventilation, place a pulse oximeter sensor on the right hand or wrist,
evaluate heart rate. - CORRECT ANSWER Initiative positive-pressure ventilation, place a pulse
oximeter sensor on the right hand or wrist, evaluate heart rate.
You are called to attend to a newborn at birth. At the time the baby is delivered, which 3
questions should you ask to evaluate whether the baby can stay with his mother or be moved to
the radiant warmer for further assessment?
Is the baby warm? Does the baby have good tone? Is the baby full-term?
Is the amniotic fluid clear? Is the baby breathing or crying? Is the baby of low birth weight?
Is the baby pink? Is the baby breathing or crying? Is the amniotic fluid clear?
