NRP Positive Pressure Ventilation 2

Question 1

What is PEEP and why is it used during neonatal PPV?

Accepted Answer

Positive end-expiratory pressure; maintains lung volume between breaths

Answer

Pressure measured at end of exhalation; used to assess lung compliance

Answer

Peak expiratory pressure; used to limit pneumothorax

Answer

Partial exhalation end pressure; reduces oxygen demand

Question 2

A newborn receives 30 seconds of PPV with no improvement in heart rate. What is the next step?

Accepted Answer

Verify adequate chest rise and apply MR SOPA if needed

Answer

Immediately start chest compressions

Answer

Switch to 100% oxygen immediately

Answer

Call for intubation without further assessment

Question 3

What is the recommended mask size for PPV in a term newborn?

Accepted Answer

A mask that covers the mouth and nose but not the eyes

Answer

A mask covering the mouth, nose, and eyes

Answer

A mask covering the nose only

Answer

The largest mask that fits the face

Question 4

Which type of resuscitation device does NOT require a compressed gas source to deliver PPV?

Accepted Answer

Self-inflating bag

Answer

Flow-inflating bag

Answer

T-piece resuscitator

Answer

Anesthesia bag

Question 5

When can free-flow oxygen be delivered with a self-inflating bag?

Accepted Answer

It cannot deliver free-flow oxygen reliably

Answer

By holding the mask loosely over the face

Answer

By opening the inlet valve

Answer

Only when attached to a reservoir bag

Question 6

A gastric tube should be inserted during prolonged PPV primarily to:

Accepted Answer

Prevent stomach distension that can impair ventilation

Answer

Monitor gastric pH during resuscitation

Answer

Provide a route for medication delivery

Answer

Decompress the lungs