NRP Initial Assessment and Stabilization 3

Question 1

What oxygen concentration is recommended when beginning PPV for a preterm newborn less than 35 weeks gestation?

Accepted Answer

21–30%

Answer

NRP recommends starting PPV in preterm infants less than 35 weeks with 21–30% oxygen, guided by pulse oximetry targets.

Question 2

Where should the pulse oximeter probe be placed during neonatal resuscitation?

Accepted Answer

Right hand or wrist (pre-ductal)

Answer

A pre-ductal SpO₂ reading is obtained by placing the probe on the right hand or wrist, reflecting oxygen delivered to the brain.

Question 3

What is the expected SpO₂ target at 1 minute of life for a term newborn being resuscitated?

Accepted Answer

60–65%

Answer

At 1 minute of life the pre-ductal SpO₂ target is 60–65%, gradually increasing to 85–95% by 10 minutes.

Question 4

Which sign indicates a newborn needs immediate resuscitation after the initial assessment?

Accepted Answer

Apneic, limp, and pale

Answer

A newborn who is apneic, limp, and pale requires immediate resuscitation, indicating severely compromised transition.

Question 5

How should a preterm infant less than 32 weeks be thermally protected in the delivery room?

Accepted Answer

Placed in a polyethylene bag without drying

Answer

Preterm infants less than 32 weeks should be placed in a polyethylene plastic bag (without drying) under a radiant warmer to reduce heat loss.

NRP - Neonatal Resuscitation Program Practice Test