Neonatal Resuscitation Practice Test

Which of the following is the FIRST initial step in the neonatal resuscitation algorithm for a newborn at term with meconium-stained amniotic fluid but with good tone and breathing?

Question 1/19

Suction mouth and nose with bulb syringe before stimulation

Perform endotracheal suctioning immediately

Proceed with drying, warming, and stimulation

Initiate chest compressions

What is the recommended rate of positive-pressure ventilation (PPV) in neonatal resuscitation when the infant is apneic or gasping?

Question 2/19

20 breaths per minute

30 breaths per minute

40 breaths per minute

50 breaths per minute

True or False: In neonatal resuscitation, if chest compressions are required, the compression-to-ventilation ratio is 3:1.

Question 3/19

True

False

Which device is recommended to confirm endotracheal tube placement in neonates during resuscitation?

Question 4/19

Colorimetric CO₂ detector

Esophageal detector device

Continuous capnography

Auscultation alone

Which heart rate threshold indicates the need to start chest compressions in neonatal resuscitation?

Question 5/19

Heart rate < 100 bpm after adequate ventilation

Heart rate < 120 bpm after adequate ventilation

Heart rate < 80 bpm after adequate ventilation

Heart rate < 60 bpm after adequate ventilation

True or False: A newborn presenting with persistent bradycardia despite effective ventilation should first receive an increase in oxygen concentration before PPV rate adjustment.

Question 6/19

True

False

At what point should epinephrine be administered during neonatal resuscitation if the heart rate remains below 60 bpm despite adequate ventilation and compressions?

Question 7/19

After 15 seconds of compressions

After 30 seconds of compressions

After 60 seconds of compressions

Immediately with initial PPV

Which of the following indicates effective chest compressions in a neonate?

Question 8/19

Visible chest rise

Palpable brachial pulse during compressions

Increase in skin color

Heart rate increase > 100 bpm

True or False: Delayed cord clamping is recommended for all term neonates not requiring immediate resuscitation.

Question 9/19

True

False

Which initial oxygen concentration is recommended for term infants requiring PPV?

Question 10/19

21% O₂ (room air)

40% O₂

60% O₂

100% O₂

Which assessment tool is used to guide ongoing resuscitation efforts in neonates by evaluating five criteria?

Question 11/19

APGAR Score

Silverman-Anderson Score

Ballard Score

Sarnat Staging

Which of the following is the appropriate depth for chest compressions in neonates?

Question 12/19

One-third of the anterior-posterior chest diameter

Half of the anterior-posterior chest diameter

One-fourth of the anterior-posterior chest diameter

Two-thirds of the anterior-posterior chest diameter

True or False: Routine suctioning of the oropharynx is recommended for clear amniotic fluid in neonates.

Question 13/19

True

False

Which intervention is indicated for a neonate with significant respiratory distress and rising CO₂ levels despite adequate PPV?

Question 14/19

Increase PPV rate to 60 breaths per minute

Intubate and provide mechanical ventilation

Administer chest compressions

Begin IV fluid bolus

Which of the following SpO₂ targets is appropriate for a neonate at 5 minutes of life?

Question 15/19

60-65%

70-75%

80-85%

90-95%

Which vascular access method is preferred for administration of emergency drugs during neonatal resuscitation if IV cannot be obtained?

Question 16/19

Umbilical venous catheter

Peripheral IV in hand

Intraosseous access in tibia

Nasopharyngeal route

Which of the following reflects the synthesis level of Bloom’s taxonomy?

Question 17/19

Remembering the steps of neonatal resuscitation

Applying PPV technique correctly

Analyzing chest compression effectiveness

Designing a simulation scenario for training

Which principle underlies the decision to start PPV in a neonate with heart rate <100 bpm?

Question 18/19

Correction of acidosis

Ensuring adequate oxygenation

Preventing hypothermia

Reducing intravascular volume

True or False: Room temperature should be maintained at 23-25°C in the delivery room to prevent neonatal hypothermia.

Question 19/19

True

False

Neonatal Resuscitation Practice Test

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