NRP Chest Compressions and Cardiac Resuscitation 2

Question 1

How is the 3:1 compression-to-ventilation ratio delivered in practice?

Accepted Answer

Three compressions followed by a brief pause for one ventilation, repeated continuously

Answer

The provider performs three rapid compressions followed by a brief pause during which the ventilator delivers one effective breath.

Question 2

How often should the heart rate be assessed during chest compressions?

Accepted Answer

Every 60 seconds

Answer

Heart rate should be reassessed every 60 seconds during chest compressions to determine response to resuscitation.

Question 3

When should chest compressions be stopped?

Accepted Answer

When heart rate rises above 60 bpm

Answer

Chest compressions are discontinued when the heart rate rises above 60 bpm, at which point PPV alone may sustain circulation.

Question 4

What should be done if cardiac monitoring (ECG) is unavailable during compressions?

Accepted Answer

Assess heart rate by auscultation or palpation of the umbilical pulse

Answer

In the absence of a cardiac monitor, heart rate can be assessed by auscultation with a stethoscope or palpation of the umbilical cord base.

Question 5

Why is an endotracheal tube preferred over a mask when chest compressions are required?

Accepted Answer

It provides a secure airway and more reliable ventilation during coordinated compressions

Answer

An ETT secures the airway, prevents mask leak, and ensures effective ventilation that is synchronized with compressions.

NRP - Neonatal Resuscitation Program Practice Test