Practice Test GeeksNRP - Neonatal Resuscitation Program Practice Test
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Post-Resuscitation Care and NICU Stabilization Flashcards

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

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  1. Which criterion is used to determine eligibility for therapeutic hypothermia after birth asphyxia?

    Answer: Gestational age ≥36 weeks, evidence of perinatal hypoxia, and neurological exam showing encephalopathy

    Eligibility requires ≥36 weeks GA, evidence of acute perinatal hypoxia-ischemia, AND neurological signs of moderate-to-severe HIE on exam or amplitude-integrated EEG.

  2. What is the significance of a cord pH below 7.0 in the post-resuscitation assessment?

    Answer: Indicates severe metabolic acidosis consistent with significant birth asphyxia

    A cord pH below 7.0 indicates severe metabolic acidosis, suggesting significant hypoxic-ischemic insult and supporting evaluation for HIE/cooling criteria.

  3. What is the recommended initial glucose infusion rate (GIR) to prevent hypoglycemia in a post-resuscitation neonate?

    Answer: 4–6 mg/kg/min of dextrose

    A GIR of 4–6 mg/kg/min replicates hepatic glucose production and maintains euglycemia in neonates unable to feed orally.

  4. What NRP post-resuscitation care principle applies to family communication?

    Answer: Provide timely, honest, and compassionate information to the family about what occurred and next steps

    NRP emphasizes compassionate, timely family communication as an integral part of post-resuscitation care.

  5. What is the primary goal of post-resuscitation debriefing among the resuscitation team?

    Answer: Identify opportunities to improve team performance and process for future resuscitations

    Structured debriefing after resuscitation improves team communication, identifies system errors, and enhances future performance in a blame-free environment.

  6. An infant born at 28 weeks requires ongoing ventilatory support after resuscitation. Which lung-protective strategy is recommended?

    Answer: Low tidal volume ventilation (4–6 mL/kg) targeting permissive hypercapnia

    Low tidal volume ventilation (4–6 mL/kg) with permissive hypercapnia (PCO₂ 45–55 mmHg) minimizes volutrauma and barotrauma in fragile preterm lungs.