NRP Team Communication and Roles During Resuscitation

Question 1

What is the primary responsibility of the designated team leader during neonatal resuscitation?

Accepted Answer

Directing the team, monitoring the overall clinical picture, and making key decisions without becoming task-focused

Answer

Performing the most technically difficult procedure

Answer

Documenting all medications and interventions in real time

Answer

Maintaining airway management throughout the resuscitation

Question 2

What is a 'closed-loop communication' technique in the context of neonatal resuscitation teamwork?

Accepted Answer

A technique where the receiver of an instruction repeats it back to confirm understanding, and the sender confirms

Answer

A communication style where only the team leader speaks during resuscitation

Answer

A system of written handoffs between team members during resuscitation

Answer

A communication approach that avoids interrupting team members during procedures

Question 3

According to NRP, what is the recommended team size for a complex neonatal resuscitation (e.g., expected intubation, severe depression)?

Accepted Answer

At least 3–4 members with clearly defined roles

Answer

1–2 members if properly trained

Answer

Exactly 5 members — leader, airway, compressions, medications, documentation

Answer

As many team members as available

Question 4

What is the purpose of a pre-delivery team briefing according to NRP principles of effective teamwork?

Accepted Answer

To review anticipated risks, assign roles, confirm equipment, and establish a shared mental model for the resuscitation

Answer

To assign blame for poor outcomes before the delivery occurs

Answer

To complete hospital administrative paperwork before the infant is born

Answer

To practice procedures that may be needed, replacing formal training

Question 5

Which behavior is an example of effective 'shared mental model' during neonatal resuscitation?

Accepted Answer

All team members having the same understanding of the clinical situation, plan, and each person's role

Answer

Each team member performing tasks independently without informing the team

Answer

The team leader making all decisions without input from other members

Answer

Documenting the resuscitation retrospectively after the event

Question 6

What is the NRP recommendation regarding the communication style of team members who identify a potential error during resuscitation?

Accepted Answer

Use assertive communication to immediately voice the concern clearly and respectfully, even to senior team members

Answer

Wait until after the resuscitation to report the error to avoid distraction

Answer

Only the team leader is authorized to identify and correct errors

Answer

Document the potential error without verbally interrupting the team