NRP Airway Management and Intubation

Question 1

Which laryngoscope blade size is used for a term newborn during neonatal intubation?

Accepted Answer

Size 1 (straight Miller blade)

Answer

Size 2 (curved Macintosh blade)

Answer

Size 0 (straight blade)

Answer

Size 3 (curved blade)

Question 2

What endotracheal tube (ETT) inner diameter is appropriate for a term newborn (≥38 weeks)?

Accepted Answer

3.5 mm

Answer

2.5 mm

Answer

4.0 mm

Answer

3.0 mm

Question 3

During intubation, which landmark confirms the tube is passing through the vocal cords?

Accepted Answer

The vocal cord guide (black line) at the level of the cords

Answer

The tube tip seen below the carina

Answer

Equal bilateral breath sounds

Answer

A colorimetric CO₂ detector turning yellow

Question 4

How long should an intubation attempt last before pausing to ventilate?

Accepted Answer

No more than 30 seconds

Answer

No more than 60 seconds

Answer

Until SpO₂ falls below 80%

Answer

Until the tube is placed regardless of time

Question 5

What is the most reliable primary confirmation of correct ETT placement?

Accepted Answer

Detection of exhaled CO₂ with a colorimetric detector

Answer

Equal bilateral breath sounds

Answer

Visible chest rise

Answer

Absence of gastric sounds

Question 6

At what depth (lip-to-tip) should a 3.5 mm ETT be placed in a 3 kg term newborn?

Accepted Answer

~9–10 cm at the lip

Answer

~6 cm at the lip

Answer

~13 cm at the lip

Answer

~7 cm at the lip