NRP Oxygen Administration and Monitoring 2

Question 1

What device is used to precisely control the fraction of inspired oxygen (FiO2) delivered during neonatal resuscitation?

Accepted Answer

Oxygen blender

Answer

An oxygen blender allows precise mixing of oxygen and air to deliver any FiO2 from 21–100%, enabling titration based on pulse oximetry during resuscitation.

Question 2

Can a self-inflating bag reliably deliver free-flow oxygen to a newborn when held close to (not sealed over) the face?

Accepted Answer

No, a self-inflating bag cannot reliably deliver free-flow oxygen — use a mask held near the face connected to a flow-inflating bag or T-piece instead

Answer

A self-inflating bag cannot reliably deliver free-flow oxygen when held near the face without a seal, as the bag's valve design routes gas from the bag itself (room air) rather than from the oxygen inlet. Free-flow oxygen should be delivered via a flow-inflating bag or a mask connected to an oxygen source.

Question 3

What is the recommended minimum oxygen flow rate when using a flow-inflating bag or T-piece resuscitator during neonatal resuscitation?

Accepted Answer

5–10 L/min

Answer

A flow rate of 5–10 L/min is recommended for flow-inflating bags and T-piece resuscitators to ensure adequate gas flow for ventilation and free-flow oxygen delivery.

Question 4

Which of the following represents appropriate oxygen management for a term newborn who is breathing spontaneously but has an SpO2 of 72% at 3 minutes of life?

Accepted Answer

Observe without intervention — this SpO2 is within normal range at 3 minutes

Answer

The NRP target SpO2 at 3 minutes is 70–75%. An SpO2 of 72% at 3 minutes is within target. No intervention beyond observation is needed for a spontaneously breathing infant whose SpO2 is meeting targets.

Question 5

What happens to pulse oximetry accuracy if the probe is placed on the newborn before connecting it to the oximeter?

Accepted Answer

The probe should be connected to the oximeter first, then applied to the infant, for faster signal acquisition

Answer

NRP recommends connecting the probe to the oximeter before applying it to the infant, which significantly speeds up signal acquisition and reduces the time to first reliable SpO2 reading.

NRP - Neonatal Resuscitation Program Practice Test

NRP - Neonatal Resuscitation Program Practice Test

NRP Oxygen Administration and Monitoring 2