NRP Chest Compressions and Cardiac Resuscitation

Question 1

At what heart rate should chest compressions be initiated in a newborn?

Accepted Answer

Below 60 bpm after 30 seconds of effective PPV

Answer

Chest compressions are started when the heart rate remains below 60 bpm after at least 30 seconds of effective PPV.

Question 2

What is the compression-to-ventilation ratio used during neonatal resuscitation?

Accepted Answer

3:1

Answer

NRP uses a 3:1 compression-to-ventilation ratio, providing 90 compressions and 30 breaths per minute.

Question 3

What is the preferred technique for chest compressions during neonatal resuscitation?

Accepted Answer

Two-thumb encircling technique

Answer

The two-thumb encircling technique generates higher peak systolic pressures and is preferred over the two-finger technique.

Question 4

How deep should sternal compressions be in a newborn?

Accepted Answer

One-third the anterior-posterior diameter of the chest

Answer

Compressions should depress the sternum approximately one-third the anterior-posterior (AP) diameter of the chest.

Question 5

Where exactly should the thumbs be placed for the two-thumb encircling technique?

Accepted Answer

Lower third of the sternum, just below the nipple line

Answer

The thumbs are placed on the lower third of the sternum, just below an imaginary line drawn between the nipples.

NRP - Neonatal Resuscitation Program Practice Test