NRP 2021 Questions and Answers
Graded A+
Question: What is the primary focus of the Neonatal Resuscitation Program (NRP) 2021?
Answer: The primary focus of NRP 2021 is to provide healthcare professionals with the
knowledge and skills needed to perform effective neonatal resuscitation, incl...
NRP 2021 Questions and Answers
Graded A+
Question: What is the primary focus of the Neonatal Resuscitation Program (NRP) 2021?
Answer: ✔✔ The primary focus of NRP 2021 is to provide healthcare professionals with the
knowledge and skills needed to perform effective neonatal resuscitation, including initial steps,
ventilation, and chest compressions, with an emphasis on teamwork and communication.
Question: What is the recommended starting ventilation rate for a newborn requiring positive
pressure ventilation?
Answer: ✔✔ The recommended starting ventilation rate is 40 to 60 breaths per minute.
Question: When should chest compressions be initiated during neonatal resuscitation?
Answer: ✔✔ Chest compressions should be initiated if the newborn's heart rate remains below
60 beats per minute after 30 seconds of effective positive pressure ventilation.
Question: What is the preferred method for monitoring oxygen saturation during neonatal
resuscitation?
Answer: ✔✔ Pulse oximetry is the preferred method for monitoring oxygen saturation during
neonatal resuscitation, with the sensor placed on the right hand or wrist.
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,Question: How should oxygen be administered to a newborn who requires resuscitation?
Answer: ✔✔ For term newborns, resuscitation should begin with room air (21% oxygen). For
preterm newborns, a lower concentration of oxygen (21-30%) may be used, with adjustments
based on oxygen saturation targets.
Question: What is the importance of the Golden Minute in neonatal resuscitation?
Answer: ✔✔ The Golden Minute emphasizes that within the first 60 seconds after birth, the
newborn should be assessed and receive appropriate interventions, including drying, stimulating,
and providing positive pressure ventilation if necessary, to stabilize breathing and heart rate.
Question: What is the recommended compression-to-ventilation ratio during neonatal
resuscitation?
Answer: ✔✔ The recommended compression-to-ventilation ratio is 3:1, with three chest
compressions followed by one breath, giving a total of 120 events per minute.
Question: When is intubation indicated during neonatal resuscitation?
Answer: ✔✔ Intubation is indicated if there is inadequate ventilation with a face mask or
laryngeal mask airway, or if chest compressions are needed, and the provider is trained and
experienced in performing endotracheal intubation.
2
, Question: What are the key components of post-resuscitation care for newborns?
Answer: ✔✔ Post-resuscitation care includes continued monitoring of the newborn's respiratory
and cardiac status, maintaining normothermia, ensuring proper oxygenation and ventilation, and
providing glucose management and neurological monitoring as needed.
Question: How should communication and teamwork be conducted during neonatal
resuscitation?
Answer: ✔✔ Effective communication and teamwork during neonatal resuscitation involve
clear, concise instructions, role clarity, frequent updates, and closed-loop communication to
ensure that all team members are aware of the actions being taken and can respond effectively.
After the initial steps of newborn care, a baby is apneic. What is the most important and effective
action to take in the resuscitation of this baby?
Provide positive-pressure ventilation.
Perform chest compressions.
Provide additional vigorous stimulation
Provide supplemental oxygen. ✔✔Provide positive-pressure ventilation.
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