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

A size 1 straight (Miller) blade is used for term newborns; a size 0 blade is reserved for very preterm infants.

Question 2

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

Accepted Answer

3.5 mm

Answer

A 3.5 mm ID ETT is recommended for term infants ≥38 weeks gestation; smaller tubes are used for preterm infants.

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 vocal cord guide is a black line printed on the ETT; it should be positioned at the level of the vocal cords during insertion.

Question 4

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

Accepted Answer

No more than 30 seconds

Answer

Each intubation attempt should be limited to 30 seconds; if unsuccessful, resume PPV before retrying.

Question 5

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

Accepted Answer

Detection of exhaled CO₂ with a colorimetric detector

Answer

A colorimetric CO₂ detector that changes color with exhaled CO₂ is the most reliable primary confirmation of tracheal placement.

NRP - Neonatal Resuscitation Program Practice Test