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NRP FINAL EXAM SCRIPT 2026 PRACTICE SOLUTION BUNDLED
Typology: Exams
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◉ 5 Blocks of NRP Algorithm. Answer: 1. Rapid evaluation
perform chest compressions coordinated with PPV if severe bradycardia persists despite effective assisted ventilation
◉ Before birth, pulmonary resistance is .... In the fetal lungs?. Answer: Answer: High ◉ What is the single most important and most effective step in neonatal resuscitation? Compressions Ventilation Defibrillation Medication. Answer: Ventilation ◉ Newborn resuscitation is usually the result of ....?. Answer: Answer: Respiratory failure ◉ Before birth, what can you assess to help identify which newborns are likely to require resuscitation? Maternal HR Perinatal risk How many pregnancies came before Baby's anticipated gender. Answer: Perinatal risk ◉ What are the four pre-birth questions you should ask the obstetric provider to help you assess perinatal risk (SATA)?
What Is the maternal Group B Strep Status Are there any additional factors? What is the expected GA? What is our umbilical cord management plan? Is the amniotic fluid clear?. Answer: Answer: B.Are there any additional factors? C.What is the expected GA? D. What is our umbilical cord management plan? E. Is the amniotic fluid clear? ◉ Which of these are perinatal risk factors that increase the likelihood of resuscitation (SATA)?: Term gestation Fetal anemia Prolapsed umbilical cord Maternal hypertension. Answer: Answer: B.Fetal anemia C.Prolapsed umbilical cord D. Maternal hypertension ◉ Who Attends The Birth?. Answer: At every birth...
There does need to be an individual with intubation skills immediately available ◉ What type of team do you need if there is meconium stained fluid and additional risk factors?. Answer: Need a team with full resuscitation skills ◉ A qualified team with full resuscitation should be identified & immediately available for every resuscitation. What should their skills include? Chest compression PPV Lumbar puncture Emergency Vascular access and medication administration Vacuum extraction Endotracheal intubation. Answer: Answer: A.Chest compression B.PPV D.Emergency Vascular access and medication administration F.Endotracheal intubation
◉ When the assessment risk factors indicates the likelihood of extensive resuscitation, who should be present at the time of birth? Extended family members A neonatologist One person who can administer the initial steps and PPV Advanced resuscitation team NICU staff. Answer: Answer: D. Advanced resuscitation team ◉ When meconium-stained fluid is the only risk factor, how many qualified people should be present at the time of birth?. Answer: at least two ◉ If meconium stained fluid is present and additional risk factors indicate that an extensive resuscitation is likely, how many people should be present at time of birth?. Answer: A qualified team with full resuscitation skills ◉ When checking supplies and equipment before every birth you should:. Answer: Use a standardized equipment checklist ◉ What is included in the Neonatal Resuscitation program quick equipment checklist?
◉ According the NRP 8th edition, for how long should umbilical cord clamping be delayedfor eligible babies?. Answer: At least 30- 60 seconds ◉ What are the potential benefits of delayed cord clamping for preterm babies? Requiring fewer blood transfusions during hospitalization Although uncertain, it may be beneficial for neurodevelopmental outcomes Improved early hematologic measurements Decreased mortality Higher BP and blood volume. Answer: Answer: A.Requiring fewer blood transfusions during hospitalization B. Although uncertain, it may be beneficial for neurodevelopmental outcomes ◉ What are the potential benefits of delayed cord clamping for preterm babies? Improved thermoregulation Decreasing the change of needing medication
Decreased change of needing phototherapy Possibly improved survival Requiring fewer blood transfusions during hospitalization. Answer: Answer: B. Decreasing the change of needing medication D.Possibly improved survival E.Requiring fewer blood transfusions during hospitalization ◉ Benefits for delay cord clamping in preterm babies include. Answer: Decreasing the chance of needing medications to support blood pressure after birth Requiring fewer blood transfusions during hospitalizations Possible improved survival. ◉ Benefits for delay cord clamping in term babies include. Answer: improve early Hematologic measurements uncertain there might be benefits for the neurodevelopmental outcomes.
Tone? ---> Does the baby have good muscle tone? Breathing? ---> Is the baby breathing or crying? ◉ After vaginal birth, the baby appears term, has good muscle tone and is crying. Where can the baby receive the initial steps?. Answer: Answer: On the mother's chest or abdomen ◉ What is included in the five initial steps of newborn care?. Answer: 1. Provide warmth place baby uncovered under radiant warmer
◉ If the baby stays with the mother for initial steps, when should you clear secretions with a bulb syringe?. Answer: If secretions are obstructing the baby's breathing ◉ When the baby stays with the mother for initial steps after birth, what should be monitored to determine if additional interventions are required?. Answer: Temp color breathing tone & activity ◉ What should you do if an apneic newborn is moved to a radiant warmer after birth and is still not breathing after the initial steps?. Answer: Begin PPV Immediately ◉ If a baby if apneic, gasping or has a HR less than 100 bpm after the initial steps of resuscitation, what do you do immediately?. Answer: Begin PPV Immediately ◉ If the newborn is not breathing after these initial steps, PPV begins immediately within how long after birth?. Answer: within 60 seconds! ◉ How do you estimate a newborns heart rate:. Answer: Count the number of breast in 6 seconds & multiply by 10
◉ What is the correct ventilation rate when providing PPV?. Answer: 40 - 60 breaths/min ◉ When providing PPV to a term newborn, what peak inspiratory pressure should you start with?. Answer: 20-25 cm H ◉ It can be difficult ot deliver PEEP with a self-inflating bag. A T- piece resuscitator delivers consistent inspiratory pressure & PEEP. WHat does the PEEP help achieve? SATA
◉ Where do you place pulse ox?. Answer: Rt hand or wrist ◉ During PPV, HR is increasing what do you do?. Answer: Continue PPV for another 15 seconds Assess HR you do not need to do PPV corrective steps to attain chest movement if HR is increasing ◉ During PPV, if the HR is no increasing but the chest is moving, what do you do?. Answer: Continue PPV and assess in 15 seconds ◉ During PPV, what do you do if the HR is not increasing and the chest is not moving?. Answer: Being MR. SOPA ventilation corrective steps immediately then give PPV for 30 seconds 30 seconds with chest movement ◉ What is MR. SOPA?. Answer: - Done when HR is not increasing and no chest movement
