NRP Provider Exam Section 2 (25 Questions) 2018

When a newborn has a high risk of mortality and there is a significant burden of morbidity among survivors, what should be included in your discussion with the parents concerning options for resuscitation?

Which of the following is true about the preparation and resources needed for a very preterm birth?

A 10-day-old, mechanically ventilated newborn suddenly develops a low heart rate (bradycardia) and low oxygen saturation, despite increasing the oxygen concentration to 100%.What is the first and the most important step in the resuscitation of this newborn?

Which statement best describes the ethical principle(s) that guide the resuscitation of a newborn?

Which of the following may be associated with delayed cord clamping in vigorous preterm newborns?

You are in the delivery room caring for a preterm newborn at 27 weeks' gestation. The baby is 5 minutes old and breathing spontaneously. The baby's heart rate is 120 beats per minute and the oxygen saturation is 90% in room air. The baby's respirations are labored. Which of the following is an appropriate action?

In most cases, who is (are) the usual and appropriate surrogate decision maker(s) for a newborn?

A newborn requires complex resuscitation. You have intubated and are administering positive-pressure ventilation and chest compressions. Which 3 signs are used to evaluate the effectiveness of your actions, and the need to continue one or both of these measures?

Which of the following is the best indication for volume expansion after resuscitative efforts that included intubation, chest compressions, and IV epinephrine?

You are counseling a set of 17-year-old parents,whose baby is about to be born at 23 weeks' gestation. You have explained the chance of survival is low and that if the baby survives there is a high likelihood of long-term morbidity.The parents understand your discussion and clearly request that you provide life-sustaining treatment in the delivery room.How might you answer them?

A baby born at 36 weeks' gestation was apneic after birth and required positive-pressure ventilation and oxygen supplementation in the delivery room. He continues to require supplemental oxygen after birth. Which of the following statements is true?

When are chest compressions indicated?

A baby required ventilation and chest compressions. After 60 seconds of chest compressions, the electronic cardiac monitor indicates a heart rate of 70 beats per minute. What is your next action?

A baby's heart rate does not increase after intubation and the breath sounds are louder on the right side than the left side of the chest. Which of the following is a common cause of asymmetric breath sounds in an intubated baby?

You are in the delivery room caring for a preterm newborn at 27 weeks' gestation. Resuscitation has been completed and the baby is ready to be transported to the neonatal intensive care unit. Which of the following is a true statement about the baby's subsequent care?

During resuscitation, a baby is responding to positive-pressure ventilation with a rapidly increasing heart rate. Her heart rate and oxygen saturation suddenly worsen.She has decreased breath sounds on the left side and transillumination also reveals a bright glow on the left side.What is the most likely cause of this distress?

After chest compressions with coordinated ventilations are started, the heart rate should be assessed:

How soon after administration of intravenous epinephrine should you pause compressions and reassess the baby's heart rate?

When coordinating positive-pressure ventilation with chest compressions, how many events are performed each minute?

What is the preferred method for assessing heart rate during chest compressions?

What time frame should be used to administer intravenous epinephrine?

You attend the birth of a baby with prenatally diagnosed congenital diaphragmatic hernia. After birth, you should

A mother had an emergency cesarean birth at 39 weeks' gestational because of sudden fetal bradycardia and a suspected placental abruption. After birth, the baby required extensive resuscitation including positive pressure ventilation, intubation, chest compressions and intravenous epinephrine. Afterward, the baby has poor tone, lethargy, and apnea. Which of the following statements is true?

For a newborn weighing 1 kg, what dose of 1:10,000 (0.1 mg/mL) concentration of intravenous epinephrine is indicated?

During chest compressions, which of the following is correct?