Practice Test GeeksNRP - Neonatal Resuscitation Program Practice Test
← All NRP Flashcard Decks

Ethical Considerations Flashcards

7 cards from real NRP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Ethical Considerations flashcards as text

  1. A baby is born at 22 weeks gestation with no signs of life after 10 minutes of resuscitation. What is the most ethically appropriate next step?

    Answer: Discontinue resuscitation and focus on comfort care

    After 10 minutes of no signs of life, discontinuing resuscitation and focusing on comfort care is ethically supported by NRP guidelines.

  2. Which ethical principle is most directly violated when a healthcare team resuscitates a neonate against clearly documented parental wishes?

    Answer: Autonomy

    Proceeding against documented parental wishes violates autonomy, the principle that respects the decision-making rights of patients and their surrogates.

  3. When parents and physicians disagree about resuscitation at the threshold of viability, what is the recommended approach?

    Answer: Ethics committee consultation should be sought

    Ethics committee consultation provides a structured process to navigate disagreements between families and care teams about resuscitation decisions.

  4. A neonate born at 23 weeks has an antenatal consultation. The parents request full resuscitation despite a poor prognosis. What is the most appropriate response?

    Answer: Honor the request and attempt resuscitation

    At 23 weeks, survival is possible and parental wishes for full resuscitation should be honored as resuscitation is considered an option in this gestational range.

  5. What does the ethical principle of 'non-maleficence' require in neonatal resuscitation?

    Answer: Avoiding interventions that cause more harm than benefit

    Non-maleficence requires that clinicians avoid interventions whose burdens outweigh their benefits, which is central to decisions about resuscitation.

  6. Which of the following best describes a 'time-limited trial' in neonatal resuscitation ethics?

    Answer: Resuscitation is attempted for a fixed duration to assess response before deciding to continue or stop

    A time-limited trial involves providing resuscitation for a defined period to evaluate response and gather information before making a final decision.

  7. Documentation of a prenatal do-not-resuscitate (DNR) agreement should ideally occur:

    Answer: During antepartum counseling before delivery

    Prenatal counseling allows families and providers to discuss and document DNR agreements before the high-stress delivery environment.