NRP Airway Management and Intubation 3

Question 1

What is the purpose of the MRSOPA step 'Airway alternative' in the context of a failed mask?

Accepted Answer

Consider intubation or LMA placement

Answer

Switch to a different mask size

Answer

Apply CPAP instead of PPV

Answer

Increase flow rate to the bag

Question 2

What size suction catheter is recommended to clear the airway before intubation in a term newborn?

Accepted Answer

10 French

Answer

6 French

Answer

14 French

Answer

8 French

Question 3

What is the purpose of applying a stylet during neonatal intubation?

Accepted Answer

To stiffen the ETT and maintain its curvature for accurate placement

Answer

To measure the depth of insertion

Answer

To provide a guide for CO₂ detection

Answer

To prevent mucus from obstructing the tube

Question 4

What is the correct technique for holding the laryngoscope during neonatal intubation?

Accepted Answer

In the left hand, blade down, with the handle vertical

Answer

In the right hand with fingers around the blade

Answer

In both hands for stability

Answer

In the left hand with the blade angled 45°

Question 5

What is the recommended response if an intubated infant suddenly deteriorates after initial improvement?

Accepted Answer

Consider DOPE: Displacement, Obstruction, Pneumothorax, Equipment failure

Answer

Immediately start compressions

Answer

Give a second dose of epinephrine

Answer

Extubate and resume bag-mask ventilation

Question 6

In what clinical situation is immediate post-delivery intubation specifically indicated?

Accepted Answer

Congenital diaphragmatic hernia (CDH) to avoid bowel distension

Answer

All deliveries where meconium is present

Answer

All preterm births less than 36 weeks

Answer

Any infant requiring supplemental oxygen