NRP Special Resuscitation Circumstances 2

Question 1

What is the most common cardiac arrhythmia seen in neonates during resuscitation?

Accepted Answer

Bradycardia due to hypoxia

Answer

Neonatal cardiac arrest is almost always due to respiratory failure leading to hypoxic bradycardia, not primary arrhythmia.

Question 2

How should resuscitation of a newborn with Pierre Robin sequence be modified?

Accepted Answer

Prone positioning may improve airway patency; consider nasopharyngeal airway

Answer

Prone positioning uses gravity to move the tongue forward, and a nasopharyngeal airway can bypass the glossoptosis in Pierre Robin sequence.

Question 3

Which infant is at highest risk for requiring resuscitation at birth?

Accepted Answer

Preterm infant at 27 weeks with fetal heart rate decelerations

Answer

A 27-week preterm infant with signs of fetal distress has the highest combination of risks: immaturity and acute compromise.

Question 4

What is therapeutic hypothermia and when is it indicated after neonatal resuscitation?

Accepted Answer

Cooling to 33–34°C for 72 hours in ≥36-week infants with moderate–severe HIE

Answer

Therapeutic hypothermia (33–34°C for 72 hours) is indicated for ≥36-week infants with moderate-to-severe hypoxic-ischemic encephalopathy (HIE).

Question 5

A newborn is born with a pneumothorax causing deterioration. What emergency bedside procedure is performed?

Accepted Answer

Needle thoracentesis at the 2nd intercostal space, midclavicular line

Answer

Emergency needle thoracentesis at the 2nd intercostal space midclavicular line (or 4th–5th intercostal space anteriorly) rapidly decompresses a tension pneumothorax.

NRP - Neonatal Resuscitation Program Practice Test

NRP - Neonatal Resuscitation Program Practice Test

NRP Special Resuscitation Circumstances 2