NRP Medication Administration 2

Question 1

What is the recommended intravenous/intraosseous dose of epinephrine during neonatal resuscitation?

Accepted Answer

0.01–0.03 mg/kg (0.1–0.3 mL/kg of 1:10,000 solution)

Answer

The recommended IV/IO dose of epinephrine is 0.01–0.03 mg/kg, which equals 0.1–0.3 mL/kg of a 1:10,000 (0.1 mg/mL) solution, per NRP 8th edition.

Question 2

Which of the following is the FIRST-LINE route for medication administration during neonatal resuscitation once IV access is needed?

Accepted Answer

Umbilical venous catheter

Answer

The umbilical venous catheter (UVC) is the preferred and first-line route for emergency vascular access in neonatal resuscitation due to its accessibility in the delivery room.

Question 3

What is the normal saline flush volume recommended after giving epinephrine through an umbilical venous catheter in a neonate?

Accepted Answer

0.5–1 mL

Answer

After administering epinephrine via UVC, a flush of 0.5–1 mL of normal saline is recommended to ensure the full drug dose reaches the circulation.

Question 4

When should volume expansion with normal saline be considered during neonatal resuscitation?

Accepted Answer

When the infant is suspected to have hypovolemia not responding to epinephrine

Answer

Volume expansion with isotonic saline is indicated when the infant shows signs of hypovolemia (pallor, weak pulses, poor response to resuscitation) and the cause is suspected to be blood loss or severe hypovolemia.

Question 5

What is the endotracheal dose of epinephrine if IV/IO access is unavailable during neonatal resuscitation?

Accepted Answer

0.05–0.1 mg/kg (0.5–1 mL/kg of 1:10,000 solution)

Answer

The endotracheal dose of epinephrine is 0.05–0.1 mg/kg (0.5–1 mL/kg of 1:10,000 solution) — significantly higher than the IV/IO dose — because absorption via the pulmonary route is unreliable.

NRP - Neonatal Resuscitation Program Practice Test

NRP - Neonatal Resuscitation Program Practice Test

NRP Medication Administration 2