NRP Initial Assessment and Stabilization 2 — Questions and Answers
Question 1: Which position should the newborn's head be placed in to open the airway during resuscitation?
- Sniffing position (slight neck extension) (Correct answer)
- Full hyperextension
- Flexion with chin to chest
- Lateral position
Correct answer: Sniffing position (slight neck extension)
The sniffing position, with slight extension of the neck, aligns the airway structures for optimal airflow.
Question 2: What should be used to achieve correct head positioning when the newborn has a large occiput?
- A small shoulder roll (Correct answer)
- A thick neck pillow
- A cervical collar
- No modification is needed
Correct answer: A small shoulder roll
Placing a small roll under the shoulders compensates for the large occiput and maintains the sniffing position.
Question 3: When should a bulb syringe or suction catheter be used to clear the airway at birth?
- Only if the airway appears obstructed by secretions (Correct answer)
- Routinely on all newborns
- Before drying the newborn
- Only if meconium is present
Correct answer: Only if the airway appears obstructed by secretions
Routine suctioning is no longer recommended; suction is used only if the airway is obstructed by secretions or blood.
Question 4: What Apgar score component assesses respiratory effort?
- Respiratory effort (Correct answer)
- Grimace
- Color
- Reflex irritability
Correct answer: Respiratory effort
The Apgar score evaluates five criteria: color, heart rate, reflex irritability, muscle tone, and respiratory effort.
Question 5: How long after birth should the first Apgar score be assigned?
- 1 minute (Correct answer)
- 30 seconds
- 5 minutes
- Immediately at birth
Correct answer: 1 minute
The first Apgar score is assigned at 1 minute after birth to assess the newborn's initial transition.
Question 6: What is the recommended oxygen concentration to begin PPV for a term newborn?
- 21% (room air) (Correct answer)
- 100% oxygen
- 40% oxygen
- 30% oxygen
Correct answer: 21% (room air)
Resuscitation of term newborns should begin with 21% oxygen (room air), increasing as needed based on pulse oximetry.
NRP Initial Assessment and Stabilization 2
Which position should the newborn's head be placed in to open the airway during resuscitation?