NRP Thermoregulation and Temperature Management 3

Question 1

For extremely preterm infants born at less than 28 weeks' gestation, NRP recommends that delivery room temperature be maintained at a minimum of:

Accepted Answer

26°C (79°F)

Answer

23°C (74°F)

Answer

24°C (75°F)

Answer

25°C (77°F)

Question 2

When a radiant warmer is operating in servo-control mode, where should the temperature probe be placed on the infant?

Accepted Answer

Exposed skin of the upper abdomen or chest

Answer

Axilla

Answer

Forehead

Answer

Rectum

Question 3

Which newborn population is generally considered a contraindication for therapeutic hypothermia?

Accepted Answer

Preterm infants <36 weeks gestational age

Answer

Term infants (≥36 weeks) with moderate HIE

Answer

Infants with pH <7.0 on cord blood gas

Answer

Infants with Apgar score ≤3 at 5 minutes

Question 4

What is the primary purpose of using a pre-warmed transport incubator when moving a newborn from the delivery room to the NICU?

Accepted Answer

To maintain normothermia and prevent heat loss during transport

Answer

To provide supplemental oxygen more efficiently during transport

Answer

To allow continuous IV access during transport

Answer

To shield the infant from noise and light stimulation

Question 5

Conductive heat loss in a newborn occurs when the infant has direct contact with:

Accepted Answer

A cool, unpadded surface

Answer

A surface warmed to body temperature

Answer

A radiant heat source

Answer

A warm blanket that matches skin temperature

Question 6

Which intervention best prevents CONVECTIVE heat loss in the delivery room?

Accepted Answer

Keeping the delivery room free of air drafts and closing doors

Answer

Drying the infant immediately after birth

Answer

Placing the infant under a prewarmed radiant warmer

Answer

Applying a polyethylene wrap to reduce evaporation

Question 7

After a neonatal resuscitation, NRP recommends that the infant's temperature should be measured and documented:

Accepted Answer

Upon admission to the NICU or newborn nursery

Answer

Only if the infant appears pale or cold to touch

Answer

Every 15 minutes for the first hour of life

Answer

At 30 minutes, 1 hour, and 4 hours after birth