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

If all mask-correction steps fail to produce adequate ventilation, the provider should consider an airway alternative such as intubation or LMA.

Question 2

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

Accepted Answer

10 French

Answer

A 10 French suction catheter is appropriate for term newborns; smaller catheters (6–8 Fr) are used for preterm infants.

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

A stylet stiffens the soft ETT and allows shaping to match the curvature of the neonatal airway for easier placement.

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

The laryngoscope is held in the left hand with the blade pointing down, allowing the right hand to insert the ETT.

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

The DOPE mnemonic (Displacement, Obstruction, Pneumothorax, Equipment failure) guides systematic evaluation of sudden deterioration in an intubated neonate.

NRP - Neonatal Resuscitation Program Practice Test

NRP - Neonatal Resuscitation Program Practice Test

NRP Airway Management and Intubation 3