Free Neonatal Resuscitation Practice Test - Neonatal Certification Prep

Question 1

What is the most important intervention in NRP for the full-term neonate in distress?

Positive Pressure Ventilation (PPV)
Chest compressions
Supplemental oxygen
CPAP

Where should a pulse oximeter be placed on a neonate in the delivery room?

Right wrist
Left wrist
Left foot
Chest

Cyanosis in which location of the neonate is concerning in the hours after birth?

Hands
Feet
Lips
Cyanosis in all of these are concerning

When is 60% oxygenation normal in a neonate?

1 minute after birth
3 minutes after birth
5 minutes after birth
10 minutes after birth

When is the first moment that the effectiveness of positive pressure ventilation (PPV) should be evaluated?

After 1 second of PPV
After 15 seconds of PPV
After 30 seconds of PPV
After 60 seconds of PPV

In the delivery room, the 1-minute-old, 39-weeks-gestation neonate is receiving positive pressure ventilation (PPV) due to no spontaneous respiratory effort. After 30 seconds of effective ventilation, the heart rate has increased to 140 bpm. What action is taken next?

Return baby to mother
Continue PPV until baby breathes spontaneously
Start chest compressions
Insert laryngeal mask airway

During neonatal resuscitation, how many chest compressions are to be administered in 60 seconds?

120
90
60
Neonates should never receive chest compressions

Once chest compressions are started in a neonate, what is the maximum concentration of oxygen that may be used?

100%
30%
21%
Room air

What is the least effective way to administer epinephrine?

Through the intravenous route
Through the intraosseous route
Through the endotracheal tube
All three of these options are equally effective

True or False: Sodium bicarbonate is the first and best treatment for metabolic (lactic) acidosis.

True
False

Which size laryngoscope blade is not usually used during neonatal resuscitation?

Size 00
Size 0
Size 1
Size 2

Which congenital condition is urgently treated by placing a tube deep in the nasal passage?

Pleural effusion
Pierre Robin syndrome
Choanal atresia
Congenital diaphragmatic hernia

Compared to full-term newborns, preterm neonates have which of the following?

More subcutaneous fat
Stronger chest muscles
Higher blood volume
A higher surface area to body mass ratio

What is the recommended level of positive end-expiratory pressure (PEEP) for positive pressure ventilation (PPV)?

5 cm H₂O
5 mm Hg
30 cm H₂O
40 cm H₂O

Which best defines the ethical principle that a patient has a right to make medical choices, even if they conflict with provider’s advice or potential benefit?

Autonomy
Beneficence
Justice
Non-maleficence

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Neonatal Resuscitation Practice Test

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