NRP Positive Pressure Ventilation

Question 1

What is the correct ventilation rate during PPV for a newborn?

Accepted Answer

40–60 breaths per minute

Answer

PPV should be delivered at 40–60 breaths per minute during neonatal resuscitation.

Question 2

What is the acronym MR SOPA used for in NRP?

Accepted Answer

Steps to correct ineffective PPV

Answer

MR SOPA (Mask adjustment, Reposition airway, Suction, Open mouth, Pressure increase, Airway alternative) guides correction of ineffective PPV.

Question 3

What is the first corrective step in MR SOPA?

Accepted Answer

Mask adjustment

Answer

The first step is to adjust the mask to achieve a proper seal on the face before moving to other corrective measures.

Question 4

What peak inspiratory pressure (PIP) is typically used to initiate PPV in a term newborn?

Accepted Answer

20–25 cm H₂O

Answer

An initial PIP of 20–25 cm H₂O is recommended for term newborns, with adjustment based on chest rise and heart rate response.

Question 5

How is PPV effectiveness best assessed during neonatal resuscitation?

Accepted Answer

Rising heart rate and visible chest rise

Answer

The most reliable indicators of effective PPV are a rising heart rate and appropriate chest rise with each breath.

NRP - Neonatal Resuscitation Program Practice Test