NRP Airway Management and Intubation 2

Question 1

What is a laryngeal mask airway (LMA) used for in neonatal resuscitation?

Accepted Answer

Alternative airway when intubation fails or is not feasible in ≥34-week infants

Answer

First-line airway device replacing bag-mask ventilation

Answer

Airway for infants requiring chest compressions

Answer

Routine airway for all preterm infants

Question 2

What complication is suggested if the ETT fogs with each breath but the infant does not improve?

Accepted Answer

Right mainstem intubation causing unilateral ventilation

Answer

Esophageal intubation

Answer

Equipment failure

Answer

Mucus plug in the tube

Question 3

After intubation, which clinical sign most reliably confirms bilateral equal lung ventilation?

Accepted Answer

Equal bilateral breath sounds in the axillae

Answer

Equal chest rise visually

Answer

Absence of gastric gurgling

Answer

SpO₂ rise above 95%

Question 4

What is the most common cause of unsuccessful intubation during neonatal resuscitation?

Accepted Answer

Incorrect positioning or inadequate visualization of the glottis

Answer

Equipment malfunction

Answer

Laryngospasm

Answer

Excessive secretions obstructing the view

Question 5

Which structure should the ETT pass through to confirm tracheal placement during direct laryngoscopy?

Accepted Answer

Vocal cords (glottis)

Answer

Epiglottis

Answer

Vallecula

Answer

Uvula

Question 6

What is the role of CO₂ detectors in the presence of extremely poor cardiac output?

Accepted Answer

They may give a false negative (no color change) even with correct tracheal placement

Answer

They are more reliable than in normal perfusion states

Answer

They consistently show positive CO₂ regardless of placement

Answer

They detect only esophageal placement accurately