NRP Post-Resuscitation Care and NICU Stabilization

Question 1

After successful resuscitation, which vital sign parameter requires the closest monitoring in the immediate post-resuscitation period?

Accepted Answer

Heart rate and SpO₂

Answer

Heart rate and oxygen saturation are the primary indicators of ongoing cardiorespiratory stability after neonatal resuscitation.

Question 2

What blood glucose level requires treatment in a post-resuscitation neonate?

Accepted Answer

Below 40–45 mg/dL

Answer

Hypoglycemia (blood glucose below 40–45 mg/dL) after resuscitation requires treatment because the recovering brain is highly sensitive to low glucose.

Question 3

What is the risk of administering high-concentration oxygen for prolonged periods to a recovering neonate?

Accepted Answer

Oxidative stress, free radical injury, and retinopathy of prematurity

Answer

Prolonged hyperoxia generates reactive oxygen species that damage the brain, lungs, eyes, and other organs in neonates.

Question 4

Which complication of birth asphyxia affects multiple organ systems after initial resuscitation?

Accepted Answer

Hypoxic-ischemic encephalopathy (HIE) — brain, kidney, heart, liver, and gut injury

Answer

HIE from birth asphyxia is a multisystem disorder; the brain suffers the most but kidneys, heart, liver, and intestines are also commonly injured.

Question 5

What is the role of continuous positive airway pressure (CPAP) in post-resuscitation management of preterm infants?

Accepted Answer

Supports lung recruitment and reduces need for intubation in spontaneously breathing preterm infants

Answer

CPAP maintains positive airway pressure during spontaneous breathing, recruits alveoli, and reduces atelectasis in preterm infants after stabilization.

NRP - Neonatal Resuscitation Program Practice Test

NRP - Neonatal Resuscitation Program Practice Test

NRP Post-Resuscitation Care and NICU Stabilization