NRP Quiz: Do You Know Newborn Resuscitation Steps?

1. What is the first step in the initial assessment of a newborn requiring resuscitation?

Check heart rate and respiratory effort

Evaluate color and muscle tone

Determine if the baby is term and has good muscle tone

Immediately begin chest compressions

2. At what heart rate threshold should chest compressions begin in a newborn?

Below 120 bpm

Below 100 bpm

Below 80 bpm

Below 60 bpm

3. What is the correct compression-to-ventilation ratio for newborn resuscitation?

15:2

30:2

3:1

5:1

4. Which position best opens the airway in a newborn without hyperextension?

Sniffing position with head fully extended

Neutral position with slight head extension

Head flexed forward

Chin tucked to chest

5. What is the appropriate initial oxygen concentration for newborn resuscitation?

21% (room air)

40% (blended oxygen)

80% (high-flow oxygen)

100% (pure oxygen)

6. When should epinephrine be administered during newborn resuscitation?

After 30 seconds of ineffective ventilation

After 1 minute of chest compressions with heart rate below 60 bpm

Immediately upon birth

Only if the baby is cyanotic

7. What is the correct dose of epinephrine for a newborn in cardiac arrest?

0.1 mcg/kg IV

0.01 mg/kg IV or 0.1 mg/kg ET

1 mg IV bolus

0.5 mcg/kg IV

8. Which sign indicates the need to discontinue positive pressure ventilation?

Heart rate remains below 100 bpm

Chest rises with each breath and heart rate increases above 100 bpm

The baby remains pale

Spontaneous gasping begins

9. What is meconium aspiration syndrome?

Lung injury from meconium inhalation before birth

Bacterial infection from meconium exposure

Mild respiratory distress that resolves spontaneously

Gastrointestinal obstruction in newborns

10. How should a newborn with meconium-stained amniotic fluid be managed if vigorous?

Suction the trachea immediately

Treat as a vigorous newborn with standard resuscitation

Perform gastric decompression

Delay resuscitation for observation

11. What is the primary cause of low Apgar scores in the delivery room?

Maternal infection

Inadequate ventilation

Genetic abnormality

Prolonged labor

12. When is continuous pulse oximetry recommended during newborn resuscitation?

Only if the baby requires supplemental oxygen

Routinely during any resuscitation effort

Only if chest compressions are needed

After the first 5 minutes of life

13. What does the term 'corrected gestational age' mean in post-resuscitation assessment?

Age calculated from the due date rather than birth date

Age adjusted for prematurity in developmental milestones

Age based on physical examination findings

Chronological age minus weeks of prematurity

14. Which complication is most commonly associated with prolonged resuscitation in newborns?

Hypoglycemia

Hypoxic-ischemic encephalopathy (HIE)

Necrotizing enterocolitis

Patent foramen ovale

15. In NRP, when should resuscitation efforts be discontinued in a newborn with no signs of life?

After 5 minutes with no heart rate or response

After 10 minutes with no spontaneous heart rate or response

After 15 minutes regardless of efforts

Never discontinue resuscitation in the delivery room