NRP Ethical Considerations 5

Question 1

Which of the following conditions is explicitly listed by NRP as one where resuscitation is NOT indicated due to near-certain early death?

Accepted Answer

Confirmed anencephaly

Answer

Confirmed anencephaly is explicitly identified by NRP as a condition where resuscitation is generally not indicated due to near-certain early death.

Question 2

During a delivery room resuscitation, a religious leader asks the team to stop resuscitation because it violates family faith traditions. The most appropriate response is:

Accepted Answer

Continue resuscitation and consult with the legal guardian (parent) to confirm wishes

Answer

Medical decisions during active resuscitation must be confirmed with the legal guardian (parent), not third parties, while respecting the family's values through ongoing communication.

Question 3

What is the primary purpose of an antenatal counseling session prior to a threatened extremely preterm delivery?

Accepted Answer

To prepare families and establish shared goals of care before delivery

Answer

Antenatal counseling prepares families emotionally and informationally, and allows collaborative goal-setting before the high-stakes delivery environment.

Question 4

A neonatologist withholds prognostic information from parents because they believe it will cause unnecessary distress. Which ethical principle does this violate?

Accepted Answer

Veracity

Answer

Withholding relevant prognostic information violates veracity (truthfulness), which requires honest and complete disclosure to support informed decision-making.

Question 5

After a failed resuscitation, parents ask the team if they made the right decision to attempt resuscitation. The most ethically appropriate response is:

Accepted Answer

Provide honest, compassionate debriefing acknowledging uncertainty and supporting the family

Answer

Honest, compassionate debriefing after a failed resuscitation respects the family's need for truth and emotional support while acknowledging clinical uncertainty.

NRP - Neonatal Resuscitation Program Practice Test

NRP - Neonatal Resuscitation Program Practice Test

NRP Ethical Considerations 5