NRP Initial Assessment and Stabilization 1 — Questions and Answers
Question 1: Which three questions should be answered at every birth to determine if resuscitation may be needed?
- Gestational age, tone, and breathing/crying (Correct answer)
- Heart rate, color, and temperature
- Weight, Apgar score, and oxygen saturation
- Gestational age, weight, and heart rate
Correct answer: Gestational age, tone, and breathing/crying
The NRP initial assessment asks: Is the baby term gestation, has good muscle tone, and is breathing or crying?
Question 2: What is the recommended room temperature for a newborn resuscitation?
- Above 25°C (77°F) (Correct answer)
- Below 20°C (68°F)
- Exactly 37°C (98.6°F)
- Between 15–18°C (59–64°F)
Correct answer: Above 25°C (77°F)
The delivery room should be warm (above 25°C/77°F) to minimize heat loss in the newborn.
Question 3: For a vigorous term newborn, what is the recommended time for umbilical cord clamping?
- At least 30–60 seconds after birth (Correct answer)
- Immediately at birth
- After 5 minutes
- Only after placenta delivery
Correct answer: At least 30–60 seconds after birth
Delayed cord clamping of at least 30–60 seconds is recommended for vigorous term and preterm newborns not requiring resuscitation.
Question 4: What are the initial steps of newborn care performed in the first 30 seconds?
- Warm, dry, stimulate, position airway, clear secretions if needed (Correct answer)
- Intubate, give oxygen, start compressions
- Weigh, measure, and give vitamin K
- Draw cord blood gas and apply pulse oximeter
Correct answer: Warm, dry, stimulate, position airway, clear secretions if needed
The initial steps are warming, drying, stimulating, positioning the airway, and clearing secretions only if necessary.
Question 5: Which stimulation technique is acceptable for a newborn who is not breathing?
- Flicking the soles of the feet or rubbing the back (Correct answer)
- Slapping the back
- Shaking the infant vigorously
- Applying cold water to the face
Correct answer: Flicking the soles of the feet or rubbing the back
Acceptable stimulation methods include flicking the soles of the feet and rubbing the back, trunk, or extremities.
Question 6: At what heart rate threshold should positive pressure ventilation (PPV) be initiated in a newborn?
- Heart rate below 100 bpm (Correct answer)
- Heart rate below 60 bpm
- Heart rate below 120 bpm
- Any heart rate if cyanosis is present
Correct answer: Heart rate below 100 bpm
PPV should be initiated if the newborn's heart rate is below 100 bpm, despite initial steps.
