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

NRP guidelines recommend maintaining delivery room temperature at 23-25°C (74-77°F) to minimize heat loss in term newborns during resuscitation.

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

Evaporation of amniotic fluid from the skin surface is the primary and most rapid mechanism of heat loss immediately after birth.

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

Normal axillary temperature for a newborn is 36.5-37.5°C (97.7-99.5°F), defining the normothermia range used in neonatal care.

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

NRP recommends placing preterm infants <32 weeks into a polyethylene plastic bag or wrap without drying to reduce evaporative heat loss.

Question 5

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

Accepted Answer

36.5°C (97.7°F)

Answer

WHO defines neonatal hypothermia as an axillary or rectal temperature below 36.5°C (97.7°F), the lower boundary of the normal range.

NRP - Neonatal Resuscitation Program Practice Test