NRP Chest Compressions and Cardiac Resuscitation 3

Question 1

After compressions are stopped because the heart rate is above 60 bpm, what is the next step?

Accepted Answer

Continue PPV and assess if the infant can maintain heart rate above 100 bpm independently

Answer

Once compressions stop, continued PPV supports the recovering heart while assessing for sustained improvement above 100 bpm.

Question 2

Which route of epinephrine administration is preferred in neonatal resuscitation?

Accepted Answer

Intravenous (umbilical venous catheter)

Answer

IV administration via an umbilical venous catheter is preferred because it delivers a reliable and predictable dose to the circulation.

Question 3

What epinephrine dose is used via the intravenous route during neonatal resuscitation?

Accepted Answer

0.01–0.03 mg/kg (1:10,000 solution)

Answer

The IV dose of epinephrine is 0.01–0.03 mg/kg using the 1:10,000 (0.1 mg/mL) concentration.

Question 4

What is the approximate combined rate of compressions and ventilations per minute during 3:1 CPR?

Accepted Answer

120 events per minute (90 compressions + 30 ventilations)

Answer

The 3:1 ratio at the correct pace delivers 90 compressions and 30 ventilations, totaling 120 coordinated events per minute.

Question 5

If the heart rate does not respond after epinephrine and effective CPR, what should be considered?

Accepted Answer

Hypovolemia, pneumothorax, or other reversible causes

Answer

Reversible causes such as hypovolemia, tension pneumothorax, or equipment failure must be considered when resuscitation is not effective.

NRP - Neonatal Resuscitation Program Practice Test