Neonatal Resuscitation Practice Test

Prepare for Neonatal Resuscitation Program certification with realistic NRP practice questions covering neonatal assessment, resuscitation, and emergency response.

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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