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

PEEP maintains functional residual capacity between breaths, preventing alveolar collapse especially in preterm lungs.

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

If heart rate does not rise after 30 seconds of PPV, the provider must verify chest rise and apply MR SOPA corrective steps before escalating.

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

The mask should cover the mouth and nose completely but not extend over the eyes, to ensure an adequate seal without pressure on the eyes.

Question 4

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

Accepted Answer

Self-inflating bag

Answer

A self-inflating bag reinflates automatically after each compression and does not require a compressed gas source, making it available in any setting.

Question 5

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

Accepted Answer

It cannot deliver free-flow oxygen reliably

Answer

A self-inflating bag does not deliver reliable free-flow oxygen because the inlet valve remains closed unless the bag is squeezed.

NRP - Neonatal Resuscitation Program Practice Test

NRP - Neonatal Resuscitation Program Practice Test

NRP Positive Pressure Ventilation 2