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

NRP guidelines recommend the delivery room temperature be at least 26°C (79°F) for extremely preterm infants, as they are at the highest risk for heat loss.

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

The servo-control probe is placed on exposed skin of the upper abdomen or chest so the warmer can automatically adjust output to maintain the target skin temperature.

Question 3

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

Accepted Answer

Preterm infants <36 weeks gestational age

Answer

Therapeutic hypothermia is contraindicated in preterm infants <36 weeks because clinical trials establishing its safety and efficacy were conducted exclusively in term and near-term infants.

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

A pre-warmed transport incubator maintains the infant's temperature during the vulnerable transition period, preventing hypothermia between care areas.

Question 5

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

Accepted Answer

A cool, unpadded surface

Answer

Conductive heat loss occurs through direct physical contact between the infant's skin and a cooler surface, such as an unpadded scale, cold examination table, or unwarmed mattress.

NRP - Neonatal Resuscitation Program Practice Test

NRP - Neonatal Resuscitation Program Practice Test

NRP Thermoregulation and Temperature Management 3