NRP

Question 1

Initial O2 concentration PPV over 35 weeks

Answer 1

21%

Question 2

Initial O2 concentration PPV under 35 weeks

Answer 2

21% -30%

Question 3

Every birth should be attended by at least _____ NRP provider

Answer 3

One

Question 4

If risk factors are present then at least ___ qualified individuals should be present at birth with a full team immediately available

Answer 4

2

Question 5

If meconium is only risk factor then ___ qualified individuals should be present at birth

Answer 5

2

Question 6

If meconium and other risk factors are present then ___ should be present at birth

Answer 6

A full team

Question 7

The single most effective and important step of resuscitation

Answer 7

Ventilation of lungs

Question 8

The 4 pre birth questions

Answer 8

Gestational age?
Amniotic fluid?
Risk factors?
Umbilical cord management?

Question 9

How long to delay cord clamping

Answer 9

30-60 seconds

Question 10

If the answer to any of these 3 questions is no, the baby should be moved to the radiant warmer

Answer 10

Term? Tone? Breathing?

Question 11

Suction the ____ first and then the ____

Answer 11

Mouth, nose

Question 12

The baby should be dried if over ___ weeks

Answer 12

32

Question 13

If baby’s HR is under ___ after ___ after birth then PPV should be started

Answer 13

100, 60

Question 14

Recommended LMA size

Answer 14

Size 1

Question 15

An LMA is not recommended in babies under ___ grams

Answer 15

2000

Question 16

Most important indicator of successful PPV

Answer 16

Rising HR

Question 17

___ seconds of PPV should be attempted before beginning compressions

Answer 17

30

Question 18

Cadence for delivering breaths and compressions

Answer 18

Breath - 2 - 3

Question 19

___ should be used when the baby’s heart rate is above 100 but saturation is below targets

Answer 19

Free flow o2

Question 20

Begin with ___% free flow O2 if needed

Answer 20

30%

Question 21

Free flow O2 can be administered 4 different ways

Answer 21

T piece
Anesthesia bag
Tail piece of ambu bag
O2 tubing

Question 22

Initial pip for PPV

Answer 22

20 - 25 cmH2O

Question 23

Initial peep for PPV

Answer 23

5 cmH2O

Question 24

PPV initial O2 concentration

Answer 24

21% room air

Question 25

When giving PPV heart rate should be assessed every ___ seconds

Answer 25

15 seconds

Question 26

After 30 seconds of PPV and 60 seconds of compressions, ___ may be administered

Answer 26

Epinephrine

Question 27

Proper concentration of epinephrine

Answer 27

0.1mg/mL // 1mg/10mL

Question 28

Initial dose for IV/IO epinephrine

Answer 28

0.02 mg/kg or 0.2 mL/kg

Question 29

Subsequent recommended dose of epinephrine

Answer 29

0.01 - 0.03 mg/kg or 0.1 - 0.3 mL/kg

Question 30

Recommended volume expanders

Answer 30

NS or PRBC for anemia

Question 31

If cross matched blood is not available then type ___ should be administered

Answer 31

O negative

Question 32

Volume expanders should be bolused over ___ minutes

Answer 32

5 - 10

Question 33

Dose for volume expander bolus

Answer 33

10 mL/kg

Question 34

Rapid boluses over 10 mL/kg in patients under 32 weeks can cause

Answer 34

Intracranial hemorrhage

Question 35

The umbilical vein is usually located at the ___ o’clock position

Answer 35

12

Question 36

The UVC should be inserted ___ - ___ cm until free flow of blood occurs

Answer 36

3 - 4

Question 37

Sequence of actions when preparing to insert an UVC

Answer 37

Clean, tie, cut

Question 38

The MR SOPA pneumonic for PPV troubleshooting stands for

Answer 38

Mask adjustment
Reposition airway
Suction mouth nose
Open mouth
Pressure increase
Airway alternative

Question 39

Suction should be set to ___ - ___ in order to utilize the meconium aspirator

Answer 39

80 - 100

Question 40

Abnormalities found in patients with Robin Sequence

Answer 40

Small jaw, tongue pushed against posterior pharynx, may also have a cleft palate