NRP Thermoregulation and Temperature Management

Question 1

What is the recommended delivery room temperature for resuscitation of a term newborn according to NRP guidelines?

Accepted Answer

23-25°C (74-77°F)

Answer

18-20°C (64-68°F)

Answer

28-30°C (82-86°F)

Answer

32-34°C (90-93°F)

Question 2

Which mechanism of heat loss is MOST significant immediately after birth when an infant is wet from amniotic fluid?

Accepted Answer

Evaporation

Answer

Conduction

Answer

Convection

Answer

Radiation

Question 3

What is the normal axillary temperature range for a healthy newborn?

Accepted Answer

36.5-37.5°C (97.7-99.5°F)

Answer

35.0-36.0°C (95.0-96.8°F)

Answer

37.5-38.5°C (99.5-101.3°F)

Answer

38.5-39.5°C (101.3-103.1°F)

Question 4

For infants born at less than 32 weeks' gestation, which intervention is specifically recommended by NRP to prevent heat loss in the delivery room?

Accepted Answer

Polyethylene plastic bag or wrap

Answer

Warm towels changed every 2 minutes

Answer

Double-walled incubator immediately at birth

Answer

Warmed IV fluids administered at birth

Question 5

According to WHO, neonatal hypothermia is defined as a body temperature below:

Accepted Answer

36.5°C (97.7°F)

Answer

37.0°C (98.6°F)

Answer

36.0°C (96.8°F)

Answer

35.5°C (95.9°F)

Question 6

What is the FIRST action to prevent heat loss in a vigorous term newborn immediately after birth?

Accepted Answer

Dry the infant and remove wet linens

Answer

Place the infant under a prewarmed radiant warmer

Answer

Wrap in a polyethylene plastic bag

Answer

Apply a chemical warming mattress

Question 7

Which mechanism of heat loss does a radiant warmer primarily counteract?

Accepted Answer

Radiation

Answer

Evaporation

Answer

Conduction

Answer

Convection