NRP Medication Administration 3

Question 1

What is the recommended volume for a normal saline bolus when treating suspected hypovolemia during neonatal resuscitation?

Accepted Answer

10 mL/kg over 5–10 minutes

Answer

5 mL/kg over 5 minutes

Answer

20 mL/kg over 20 minutes

Answer

30 mL/kg over 30 minutes

Question 2

What concentration of epinephrine solution is used for neonatal resuscitation?

Accepted Answer

1:10,000 (0.1 mg/mL)

Answer

1:1,000 (1 mg/mL)

Answer

1:100,000 (0.01 mg/mL)

Answer

1:100 (10 mg/mL)

Question 3

After administering the first dose of epinephrine IV during neonatal resuscitation, when should the next dose be given if the heart rate remains below 60 bpm?

Accepted Answer

After 3–5 minutes

Answer

After 1 minute

Answer

After 10 minutes

Answer

Only after confirming UVC placement by X-ray

Question 4

Which of the following is NOT an indication for volume expansion during neonatal resuscitation?

Accepted Answer

Routine use to improve response to epinephrine

Answer

Suspected blood loss from placenta previa

Answer

Pale skin color with poor pulse volume unresponsive to resuscitation

Answer

Suspected cord avulsion with fetal hemorrhage

Question 5

What is the primary reason IV/IO epinephrine is preferred over endotracheal epinephrine during neonatal resuscitation?

Accepted Answer

IV/IO delivery provides more reliable and predictable drug absorption

Answer

IV/IO epinephrine is faster to prepare

Answer

Endotracheal epinephrine requires a larger tube size

Answer

IV/IO avoids the risk of bronchospasm from ET administration

Question 6

A 3.2 kg newborn requires IV epinephrine during resuscitation. Using the dose of 0.02 mg/kg, what is the correct volume of 1:10,000 epinephrine to administer?

Accepted Answer

0.64 mL

Answer

0.32 mL

Answer

3.2 mL

Answer

0.032 mL