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

An LMA is an acceptable alternative when intubation is not possible and may be used in infants ≥34 weeks gestation and ≥2 kg.

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

Fogging indicates gas is passing through the tube, but absent improvement with decreased left breath sounds suggests right mainstem placement.

Question 3

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

Accepted Answer

Equal bilateral breath sounds in the axillae

Answer

Auscultation in both axillae (rather than over the chest wall) minimizes transmitted sounds and confirms equal bilateral ventilation.

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

Poor visualization due to incorrect head position, inadequate blade placement, or insufficient suctioning is the most common intubation failure cause.

Question 5

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

Accepted Answer

Vocal cords (glottis)

Answer

The ETT must be directed through the vocal cords (glottis) into the trachea; the glottis appears as a 'V'-shaped opening.

NRP - Neonatal Resuscitation Program Practice Test

NRP - Neonatal Resuscitation Program Practice Test

NRP Airway Management and Intubation 2