NRP Post-Resuscitation Care and NICU Stabilization 2

Question 1

What is the purpose of surfactant therapy in preterm infants after birth?

Accepted Answer

Reduces surface tension in alveoli, improving lung compliance and gas exchange in RDS

Answer

Exogenous surfactant reduces alveolar surface tension, treats respiratory distress syndrome (RDS), and significantly reduces morbidity in preterm infants.

Question 2

What does the NRP recommend regarding temperature targets in the post-resuscitation period?

Accepted Answer

Maintain normothermia (36.5–37.5°C) unless therapeutic hypothermia is indicated

Answer

Normothermia (36.5–37.5°C) should be maintained to avoid both hypothermia-associated metabolic stress and hyperthermia-associated brain injury.

Question 3

Which route is used to establish vascular access most rapidly during neonatal resuscitation?

Accepted Answer

Umbilical venous catheter (UVC)

Answer

A UVC can be placed rapidly in the delivery room and provides reliable central venous access for medications and fluids during resuscitation.

Question 4

What neonatal condition is associated with a 'ground-glass' appearance on chest X-ray after resuscitation?

Accepted Answer

Respiratory distress syndrome (RDS) due to surfactant deficiency

Answer

RDS produces a diffuse ground-glass appearance with air bronchograms on CXR, reflecting widespread atelectasis from surfactant deficiency.

Question 5

What documentation is essential after every neonatal resuscitation event?

Accepted Answer

Time of each intervention, medications given, heart rate responses, and persons present

Answer

Complete documentation includes the timeline of events, all interventions, drug doses and times, responses, and team members for medical, legal, and quality-improvement purposes.

NRP - Neonatal Resuscitation Program Practice Test

NRP - Neonatal Resuscitation Program Practice Test

NRP Post-Resuscitation Care and NICU Stabilization 2