NRP 8th Edition exam 2023 Questions with 100% correct answers What is the single most important and effective step in neonatal resuscitation? - Correct Answer Ventilation of the newborn's lungs Abnormal Transition Findings - Correct Answer -Irregular Breathing, absent breathing, or rapid breathing -Slow or fast heart rate -Decreased Muscle Tone -Pale Skin or Blue Skin -Low oxygen saturation -Low blood pressure NRP algorithm- First Step - Correct Answer Antenatal Counselling Team Debriefing Equipment Check After the birth of the baby, what do you ask? - Correct Answer 1. Term Gestation?
- Good Tone?
- Breathing or crying?
FIVE INITIAL STEPS:
If you answer NO to any of the three questions (term, tone, breathing) what do you do? - Correct Answer Warm Dry Stimulate Position airway Suction if needed Apnea or gasping? HR <100bpm= NO with laboured breathing/cyanosis - Correct Answer Position airway, suction if needed 1 / 2
Pulse oximeter Oxygen if needed Consider CPAP Apnea or gasping? HR <100bpm= YES - Correct Answer PPV Pulse Oximeter Consider Cardiac Monitor HR STILL less than 100bpm= YES - Correct Answer Ensure adequate ventilation Consider ETT or laryngeal mask Cardiac Monitor HR <60 bpm? - Correct Answer ETT or laryngeal mask Chest compressions Coordinate PPV-100% oxygen UVC HR STILL <60 bpm? - Correct Answer IV Epinephrine every 3-5 minutes If still less than 60, consider hypovolemia or pneumothorax Rapid Evaluation - Correct Answer Determine if the newborn can remain with the mother or should be moved to the radiant warmer for further evaluation REVIEW: Three questions you ask during rapid evaluation? - Correct Answer 1. Term?
- Good Muscle Tone?
- Breathing/crying?
- / 2
If the answer is NO to any of these, baby should be brought to radiant warmer.