NRP Review Questions

Lesson I - Overview and Principles of Resuscitation

1. About ___________% of newborns will require some assistance to begin regular breathing.
2. About ___________% of newborns will require extensive resuscitation to survive.
3. True or False: Careful identification of risk factors during pregnancy and labor can identify all babies
who will require resuscitation.
4. Chest compressions and medications are _____________needed when resuscitating newborns.
5. Before the birth, the alveoli in a baby’s lungs are _____________and filled with_____________.
6. The air that fills the baby’s lungs during normal transition contains______% of oxygen.
7. The air in the baby’s lungs causes the pulmonary arterioles to ______________so that the oxygen can
be absorbed from alveoli and distributed to all organs.
8. If baby does not begin breathing in response to stimulation, you should assume she is in
________________________apnea and you should provide_________________________________.
9. If the baby enters the stage of secondary apnea, her heart rate will _____________and her BP
will_____________.
10. Restoration of adequate ventilation usually will result in a _____________improvement of heart rate.
11. Resuscitation ____________ be delayed until the 1-minute Apgar score is available.
12. Premature babies have unique challenges during resuscitation because of
a. fragile brain capillaries that my bleed
b. lungs deficient in surfactant
c. poor temperature control
d. higher likelihood of infection
e. all of the above
13. Apnea or heart rate below 100 Provide_____________ and apply___________. Heart rate then drops
to 60 take____________ If the heart rate continues below 60 start chest compressions and insert an
_________________________ and give_______________________.
14. Every delivery should be attended with at least_____ skilled persons.
15. At least _____skilled persons should be present with high risk delivery
16. Equipment _____________be unpacked if a newborn is anticipated to be depressed.
17. Since the baby required continuous supplemental oxygen, she should receive ________________care.
18. When twins are expected, there should be _______people present the delivery room to form the
resuscitation team prepared to resuscitate.

Lesson II – Initial Steps of Resuscitation

1. A newborn who is born at term, has no meconium in the amniotic fluid or on the skin, is breathing well,
and has good muscle tone_______________ need resuscitation.
 2. A newborn with meconium fluid who is not vigorous_____________ need to have his trachea suctioned
via an endotracheal tube. A newborn with meconium in the amniotic fluid who is vigorous
_______________ need to have his trachea suctioned via an endotracheal tube.
3. When deciding which babies need tracheal suctioning, the term “vigorous” is defined by what 3
characteristics? ____________________ ,_____________________ ______________________.
4. When a suction catheter is used to clear the oropharynx of meconium before inserting an endotracheal
tube, the appropriate size is __________ or ________.
5. The position of the head prior to suctioning is the _____________________ position.
6. A newborn is covered with meconium, is breathing well, has normal muscle tone, has a heart rate of
120 bpm, and is pink. The correct action is to __________________ or __________________.
7. In suctioning a baby’s nose and mouth, the rule is to first suction the ______________ and then
the________________.
8. The correct way to stimulate a newborn is __________________ and __________________.
9. If the baby is in secondary apnea, stimulation of the baby______________ stimulate breathing.
10. A newborn is still not breathing after a few seconds of stimulation. The next step should be to
administer _____________________.
11. A newborn has poor muscle tone, labored breathing, and cyanosis. Your initial steps
are:_______________, __________________, _________________,
__________________,____________________, ____________________.
12. There are three ways to give free-flow oxygen. ________________, _______________,
________________.
13. Oxygen saturation should be expected to be only______% by 2 minutes of life.
14. If you need to give supplemental oxygen for longer than a few minutes, the oxygen should be
_________________and ___________________.
15. You have stimulated a newborn and suctioned her mouth. It is now 30 seconds after birth, and he is still
apneic and pale. His heart rate is 80 beats per minute. Your next action is to _______________.
16. You count a newborn’s heart rate for 6 seconds and count 6 beats. The heart rate is __________bpm.
17. An oximeter will show both SPO2 and _________________.

Lesson III – Use of Resuscitation Devices for Positive Pressure Ventilation

1. Flow-inflating bags _______________ work without a compressed gas source.
2. A baby is born apneic and cyanotic. You clear her airway and stimulate her. Thirty seconds after birth,
she has not improved. The next step is to __________________.
3. The single most important and most effective step in neonatal resuscitation is ___________________.
4. Identify the flow-inflating bag by a _________________________. Identify the self-inflating bag by an
___________. Identify the T-piece resuscitator by ____________________.

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 5. Masks of different sizes ____________need to be available at every delivery.
6. Self-inflating bags require the attachment of a(n)________________ to deliver a high concentration of
oxygen.
7. A T-piece resuscitator ______________________ work without a gas source.
8. Neonatal bags are __________________ than adult bags.
9. The safety feature of a self-inflating bag is the _______________ and the _________________. The
safety feature of the flow-inflating bag is the___________________. The safety feature of the T-piece
resuscitator is the __________________ and the _________________________.
10. Free-flow oxygen can be delivered reliably through the mask attached to the__________________
and__________________.
11. When giving free-flow oxygen with a flow-inflating bag and mask, it is necessary to place the mask
__________________ on the baby’s face to allow some gas to escape around the edges of the mask.
12. Before an anticipated resuscitation, the ventilation device should be connected to a _______________
which enables you to provide oxygen in any concentration from room air up to 100% oxygen.
13. Resuscitation of the term newborn may begin with _______% oxygen. The inspired oxygen
concentration used during resuscitation is guided by the use of ______________ which measures
oxygen saturation.
14. The proper position for PPV is the __________________________.
15. The correct positions to assist in PPV are______________ or __________________to use a
resuscitation device effectively
16. You must hold the resuscitative device so that you can see newborn’s ___________________ and
____________________.
17. An anatomically shaped mask should be positioned with the ___________________________ end
over the newborn’s nose.
18. If you notice that the baby’s chest looks as if he is taking a deep breath, you are
________________________ the lungs and it is possible that a pneumothorax may occur.
19. When ventilating a baby, you should provide positive pressure ventilation at a rate of _________ to
______ breaths per minute.
20. Begin positive pressure ventilations with an initial inspiratory pressure of __________cm H20.
21. MR SOPA stands for:
a. M _______________________________________________________
b. R ________________________________________________________
c. S_________________________________________________________
d. O_________________________________________________________
e. P_________________________________________________________
f. A_________________________________________________________

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 22. Your assistant assesses effectiveness of positive-pressure by first assessing the ________________
and ____________________and listening for________________________ If these signs are not
acceptable, you should look for___________________________.
23. A properly fitting mask fits over the __________________ and the_________________ with the
____________________________________.
24. You have started positive-pressure ventilation on an apneic newborn. The heart rate is not rising,
oxygen saturation is not improving, and your assistant does not hear bilateral breath sounds. List three
possibilities of what may be wrong.
a. _________________________________________________
b. _________________________________________________
c. _________________________________________________
25. If, after performing the ventilation corrective sequence and making appropriate adjustments, you are
unable to obtain a rising heart rate or bilateral breath sound or see chest movement with PPV, you
usually will have to insert an ___________________________ or a ___________________________.
26. You have administered PPV with bilateral breath sounds and chest movement for 30 seconds. What do
you do if the baby’s heart rate is below 60 bpm? ___________________________________________
What do you do if the heart rate is more than 60 bpm and less than 100 bpm but steadily improving with
effective PPV? _______________________________. What do you do if the heart rate is more than 60
bpm and less than 100 bpm and not improving with effective PPV? __________________________.
27. Assisted ventilation may be discontinued when_________________ and _______________________.
28. If you must continue with PPV with a mask for more than several minutes, an ________________
should be inserted to act as a vent for the gas in the stomach during the remainder of the resuscitation.
29. The orogastric tube needs to inserted ___________________________________________________.

Lesson lV - Chest Compressions

1. A newborn is apneic and bradycardic. Her airway is cleared and she is stimulated. At 30 seconds, PPV
is begun. At 60 seconds her heart rate is 80 bpm. Chest compressions ____________ be started. PPV
ventilations _________________ continued.
2. A newborn is apneic and bradycardic . She remains apneic, despite having her airway cleared, being
stimulated, receiving 30 seconds of PPV, and ensuring that all ventilation techniques are optimal.
Nevertheless, her heart rate is only 40 bpm. Chest compressions _______________ started.
PPV________________________ continued.
3. The heart rate is 40 bpm as determined by auscultation, and the oximeter has stopped working. Chest
compressions have begun, but the baby is still receiving room air oxygen. What should be done about
oxygen delivery?__________________________________________________________________.

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 4. During the compression phase of chest compressions, the sternum compresses the heart, which
causes blood to be pumped from the heart and into the ___________________________________ . In
the release phase, blood enters the heart from the _________________________________________
5. Chest compressions should be________________________________________________________.
6. The preferred method of delivering chest compressions is __________________________ technique.
7. If you anticipate that the baby will need medication by the umbilical route, you can continue chest
compressions by one of the following actions _____________________________________________
or the _____________________________________________________
8. The correct depth of chest compressions is approximately_________________________________.
9. The correct method of release of chest compressions is ___________________________________.
10. What phrase is used to time and coordinate chest compressions and
ventilations?_____________________________________________________
11. The ratio of chest compressions to ventilations is _________ to ____________.
12. During PPV without chest compressions the rate of breaths per minute is _______ to ______ bpm.
13. During PPV and chest compressions, the rate of “events” per minute is _______________ “events.”
14. The count of “One-and-Two-and-Three-and-Breath” should take about________ seconds.
15. A baby has required ventilations and chest compressions. After 30 seconds of chest compressions, you
stop and count 8 heartbeats in 6 seconds. The baby’s heart rate is now ___________bpm. You should
____________ chest compressions.
16. A baby has required chest compressions and is being ventilated with bag and mask. The chest is not
moving well. You stop and count 4 heartbeats in 6 seconds. The baby’s heart rate is now_______bpm.
You may want to consider _________________________, _____________________ and
___________________ and _________________________.

Lesson V – Endotracheal Intubation and Laryngeal Mask Airway Insertion

1. A newborn with meconium and depressed respirations ________________ require suctioning via an
endotracheal tube before other resuscitation measures are started.
2. A newborn receiving ventilations by mask is not improving after 2 minutes of apparently good
technique. Despite ventilation corrective steps, the heart rate is not rising and there is poor chest
movement. Endotracheal intubation _________________ considered.
3. For babies weighing less than 1,000 grams the inside of the diameter of the endotracheal tube should
be_________________.
4. The preferred blade size for use in term newborns is No. ________The preferred blade size for use in
preterm newborns is No.____________ and for extremely newborns is No. _______.
5. When viewing the oral cavity prior to intubation you must be able to visualize the ______________ and
the ______________________.

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 6. Both right – and left-handed people should hold the laryngoscope in the __________________ hand.
7. You should try to take no longer than _____________seconds to complete endotracheal intubation.
8. If you have not completed endotracheal intubation within the time limit, what should you
do?_____________________________________________________________________________.
9. The correct way to lift the laryngoscope to expose the pharyngeal area is_______________________.
10. You have the glottis in view, but the vocal cords are closed. You ___________________________
wait until they are open to insert the tube.
11. What 2 guidelines are helpful for determining the depth that the endotracheal tube be insert into the
baby’s trachea?__________________________, ________________________________________
12. For a one kg infant the ET tube is inserted to 7 cm mark on the tube For a two kg infant the ET tube is
inserted to _________cm mark on the tube. For a three kg infant the ET tube is inserted to the _____
cm mark on the tube.
13. True or False: You have inserted an endotracheal tube and are giving PPV through it. When you check
with a stethoscope and you hear bilateral breath sounds on both sides of the baby’s chest, with equal
intensity on each side and no air entering the stomach. The tube is correctly placed.
14. X-ray tube place will show the ET tip to be in the trachea midway between the vocal cords and the
carina. On the x-ray, the tip should be visible at the level of the_________________, or slightly lower.
15. You have inserted an endotracheal tube and giving PPV through it. When you check with your
stethoscope you hear no breath sounds on either side of the chest and you hear air entering the
stomach. The tube is placed the______________________________.
16. You have inserted an endotracheal tube and giving PPV through it. When you check with your
stethoscope you hear breath sounds over the right side, but not the left. When you check the tip-to-lip
measurement, the first number seen at the lip is higher than expected; you should ________________
the tube slightly and listen with the stethoscope again.
17. A baby is born at term following abruption of the placenta and is not improving despite PPV by mask.
You have tried intubating the trachea but have not been successful Help has not arrived. A reasonable
next step would be to insert a __________________________________________________.
18. True or False: An extremely low birth weight baby is born and requires assisted ventilation. Insertion of
an LMA would be a reasonable alternative to intubation. An LMA is too large for an extremely low birth
weight baby.

Lesson VI - Medications
1. Fewer than ______% of babies requiring resuscitation will need epinephrine to stimulate their hearts.
2. As soon as you suspect that medications may be needed during a resuscitation, one member of the
team should begin to insert a ______________ to deliver drugs.

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 3. Effective ventilation and coordinated chest compressions have been performed for 45-60 seconds, the
trachea has been intubated, and the baby’s heart rate is below 60 bpm. You should
give______________ while continuing chest compressions and ______________________.
4. What is the potential problem with administer epinephrine through the tube?
_________________________________________________.
5. You should follow in intravenous dose with a flush of ________________________ to ensure that most
of the drug is delivered to the baby and not left in the catheter.
6. Epinephrine ___________ the blood pressure and strength of cardiac contractions and____________
rate of cardiac contractions.
7. The recommended concentration of epinephrine for newborns is _______________________.
8. The recommended dose of epinephrine for newborns is _____________ to ________ if given
intravenously of a 1:10,000 solution. The recommended dose of epinephrine if give endotracheally is
_________ to___________ of a 1, 10,000 solution.
9. Epinephrine should be given ____________________________________________.
10. What should you do approximately 1 minute after giving epinephrine?
____________________________________________________________.
11. If the heart rate is below 60 beats per minute, you can repeat the epinephrine every
_______to___________________________.
12. If the baby’s heart rate remains below 60 bpm after you have given epinephrine you should also make
sure that ventilation is producing an adequate lung inflation and__________________________ are
done correctly.
13. If the baby appears to be in shock, there is evidence of blood loss, and resuscitation is not resulting in
improvement, you should consider giving _______________ of a ________________ by what
route?___________________.

Lesson VII – Special Considerations

1. Choanal atresia can be ruled out by what procedure? _________________________________________

2. Babies with Robin Syndrome and airway obstruction may be helped by placing a
_______________________ and positioning them_________________________. Endotracheal intubation of
such babies is ________________.
3. A pneumothorax or a congenital diaphragmatic hernia should be considered if breath sounds
are_________________________ on both sides of the chest.
4. You should suspect a congenital diaphragmatic hernia if the abdomen is _________________.
Such babies should not be resuscitated with ____________________________________.
5. Persistent bradycardia and low SpO2 during neonatal resuscitation most likely are caused by
________________________.

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6. Babies who do not have spontaneous respirations and whose mothers have been given a narcotic drug
should receive __________________ and then if spontaneous respirations do not begin, may be given
__________ to confirm the cause of their respiratory depression.
7. After a resuscitation of a term or near term newborn, vascular resistance in the pulmonary circuit is likely to
be ___________________. Adequate oxygenation is likely to cause the pulmonary blood flow _____________
8. If a meconium stained baby has been resuscitated and then develops acute respiratory depression a
_____________________________________ should be suspected.
9. A baby who required resuscitation still has low blood pressure and poor perfusion after having been
given a blood transfusion for suspected perinatal blood loss. He may require an infusion of
____________________ to improve his cardiac output and vascular tone.
10. Babies who have been resuscitated may have kidney damage and are likely to need __________fluids
after resuscitation.
11. Because energy stores are consumed faster in the absence of oxygen, blood _____________ levels may
be low following resuscitation
12. List three causes of seizures following resuscitation?
a. __________________________________________________________
b. __________________________________________________________
c. __________________________________________________________
13. A baby with a seizure 10 hours after being resuscitated has a normal blood glucose and serum electrolyte.
What class of drug should be used to treat her seizures?
a. __________________________________________________________
14. You will likely to have __________ difficulty controlling body temperature of babies requiring resuscitation
beyond the immediate newborn period, since they usually will not be wet.
15. The priority of resuscitating babies beyond the immediate newborn period should be to:
___________________________________________
16. If vacuum suction is not available to clear the airway,2 alternative methods are
a. _____________________________
b. _____________________________
17. If a 15-day old baby requiring resuscitation had blood loss, vascular access routes include:
_____________________________ and _____________________________
18, A baby was delivered at term by emergency C-section for persistent fetal bradycardia lasting 30 minutes.
He required chest compression and now is profoundly obtunded, with absent deep tendon reflexes. What
procedure may decrease the subsequent severity of hypoxic-ischemic encephalopathy, if instituted before 6
hours following birth?
a. __________________________________________________________

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Lesson VIII – Resuscitation of Babies Born Preterm
1. List five factors that increase the likelihood of needing resuscitation with preterm babies
a. _________________________________________________________________
b. _________________________________________________________________
c. _________________________________________________________________
d. _________________________________________________________________
e. _________________________________________________________________
2. A baby is about to be born at 30 week gestation. What additional resources should you assemble?
a. _________________________________________________________________
b. _________________________________________________________________
c. _________________________________________________________________
d. _________________________________________________________________
3. You have turned on the radiant warmer in anticipation of the birth of a 27 week’s gestation. What else
might you consider to help you maintain the baby’s temperature?
a. _________________________________________________________________
b. _________________________________________________________________
c. _________________________________________________________________
d. _________________________________________________________________
4. A baby is delivered at 30 weeks gestation. She requires PPV for an initial heart rate of 80 bpm despite
tactile stimulation. She responds quickly with rising heart rate and spontaneous respirations. At 2
minutes of life she is breathing, has a heart rate of 140 bpm and is receiving and continuous CPAP with
a flow-inflating bag and 50% oxygen. You have attached an oximeter and it now reading 95% and is
increasing.
You should _______________________________________________________________________ .
5. CPAP may be given with a:
a. _________________________________________________________________
b. _________________________________________________________________
c. _________________________________________________________________
6. To decrease the chance of brain hemorrhage, the best position is _________________________.
7. Intravenous fluids should be given ____________________ to preterm infants.
8. List three precautions that should be taken when managing a preterm baby who has required
resuscitation?
a. _________________________________________________________________
b. _________________________________________________________________
c. _________________________________________________________________

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Lesson IX – Ethics and Care at the End of Life
1. Name the four common principles of medical ethics:
a. _________________________________________________________________
b. _________________________________________________________________
c. _________________________________________________________________
d. _________________________________________________________________
2. True or False: Generally, the parents are considered to be the best “surrogate” decision makers for
their own newborn?
3. The parents of a baby about to be born at 23 weeks’ gestation have requested that, if there is any
possible brain damage, they do not want any attempt made to resuscitate their baby. What should your
reply be? _________________________________________________________________
4. You have been asked to be present of an impending birth of a baby known from prenatal ultrasound
and laboratory assessments to have major congenital malformations. List four issues that should be
covered when you meet the parents.
a. _________________________________________________________________
b. _________________________________________________________________
c. _________________________________________________________________
d. _________________________________________________________________
5. A mother enters the delivery suite in active labor at 34 weeks’ gestation after having no prenatal care.
She proceeds to deliver a live-born baby with major malformations that appear to be consistent with
trisome 18 syndrome. An attempt to resuscitate the baby in the adjacent room is unsuccessful. The
following action is the most appropriate.
_______________________________________________________________________________
6. The following two replies are appropriate to say to parents that have newborns that have just died after
unsuccessful resuscitation:
a. _________________________________________________________________
b. _________________________________________________________________

Lesson I Answers: 11. Should not

1. 10%
2. 1% 12. All of the above
3. False 13. Oxygen, oximeter probe, corrective measures
4. Rarely – MR SOPA, IV or UVC, epinephrine
5. Collapsed, fluid 14. 1
6. 21% 15. 2
7. Relax 16. Should
8. Secondary, PPV 17. Post resuscitation
9. Fall, fall 18. 4
10. Rapid

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Lesson II Answers: 20. 20
1. Does not 21. Mask adjustment, Reposition the airway,
2. Will, Will not Suction the mouth and nose, Open the mouth,
Pressure increase, Airway alternative.
Lesson II Answers (Cont.) 22. Heart rate, oximetry, breath sounds, chest
3. HR>100 bpm, Strong respiratory effort, Good movement
muscle tone 23. Nose, Mouth
4. 12F, 14F 24. There may be an inadequate seal, the head
may need to be repositioned, and secretions
5. Sniffing may need to be suctioned.
6. Suction the mouth and nose with a bulb 25. ET tube, LMA.
syringe, suction catheter 26. Begin chest compression and consider
7. Mouth, Nose intubation, adjust oxygen, gradually, decrease
8. rub the back gently, slap the sole of the feet pressure as heart rate improves, insert
9. Will not orogastric tube, continue monitoring, repeat
MR SOPA and consider intubation.
10. PPV
27. Heart rate is above 100 bpm, the baby is
11. place the infant on a radiant warmer, remove breathing
all wet linens, suction the mouth and nose, 28. Orogastric tube
consider CPAP or free-flow O2, apply a pulse 29. The distance from the bridge of nose to the
oximeter probe, dry and stimulate. ear and then to half way between the
12. Holding the oxygen tubing cupped closely umbilicus and the xyphoid process.
over the infants mouth and nose, Closely hold
Lesson lV Answers:
the mask of a flow-inflating bag or T-piece
1. Should not, Should be.
resuscitator held over the infant’s mouth and 2. Should be, Should be.
nose, Holding an oxygen mask firmly over the 3. Increase oxygen concentration to 100%
infant’s face. 4. Arteries, Veins.
13. >65% 5. Applied to the lower third of the sternum,
14. Heated, humidified which lies between the xyphoid and a line
15. Provide PPV drawn between the nipples
6. The thumb.
16. 60 7. The thumb technique, two finger technique.
17. Heart rate 8. One third the anterior to posterior diameter of
the chest.
Lesson III Answers: 9. Fingers remaining in contact with the chest.
1. Will not 10. One-and-Two-and-Three-and-Breath.
2. Begin PPV 11. 3,1
3. Ventilating the lungs 12. 40,60
4. Deflated balloon-like appearance, oxygen 13. 120
reservoir, the pressure gauges 14. 2
5. Do 15. 80,Stop
6. Oxygen reservoir 16. 40, UVC insertion, ET tube, administer
7. Will not epinephrine
8. Much smaller
9. Pop-off valve, pressure gauge, pressure Lesson V Answers:
gauge, pressure relief control valve, pressure 1. Will
gauge. 2. Should be
10. Flow inflating bag, the T-piece resuscitator 3. 2.5
11. Loosely 4. 1, 0,00
12. Blender 5. the glottis – “the hole”, vocal cords
13. 21%, oximeter 6. Left
14. Sniffing position 7. 20
15. At the side, at the head 8. Remove the laryngoscope, ventilate with PPV
16. Chest, abdomen. by mask, and try again.
17. Pointed 9. Lift in the direction of the handle rather than
18. Overinflating rocking.
19. 40,60 10. Should
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 11. To l tip to lip 1-2-3 7-8-9, Level of the vocal e. Immature immune system
cord guide. f. Fragile capillaries in the brain
12. 8, 9 g. Small blood volume
13. True (Likely) 2. Additional resources should you assemble
Lesson V Answers (Cont): a. Additional personnel
14. Clavicles b. Additional means to control
15. Esophagus temperature
16. Withdraw c. Compressed gas source
17. LMA d. Oxygen blender
18. False e. Oximeter
3. To help you maintain the baby’s temperature:
Lesson VI Answers: a. Increase the temperature of the
1. 1% delivery room
2. UVC b. Activate a chemical heating pad
3. Epinephrine, Ventilations c. Prepare a plastic bag or wrap
4. Epinephrine is not reliably absorbed in the d. Prepare a transport incubator
lungs when given by the ET route 4. Decrease the oxygen concentration
5. Normal saline 5. CPAP may be given with a:
6. Increases, increases a. flow-inflating bag
7. 1:10,000 b. T-piece resuscitator
8. 0.1, 0.3 ml/kg, 0.5, 1 ml/kg c. NOT a self-inflating bag
9. As quickly as possible 6. Table flat
10. Check HR 7. Slowly
11. 3, 5 min, chest compressions 8. Three precautions that should be taken when
12. Chest compressions managing a preterm baby who has required
13. 10 ml/kg, volume expander, IV or UVC resuscitation:
a. Check blood glucose
Lesson VII Answers: b. Monitor for apnea and bradycardia
1. Inserting an NPA c. Control oxygenation
2. Nasopharyngeal tube, on their abdomen or d. Consider delaying feedings
prone, difficult e. Increase suspicion for infection
3. Unequal
4. Scaphoid, PPV Lesson IX Review Answers.
5. Inadequate ventilation 1. The four common principles of medical ethics
6. PPV, Naloxone (Narcan) a. Autonomy – the right of freedom to
7. High, increase make choice
8. Pneumothorax b. Beneficence – the act to benefit others
9. Dopamine c. Nonmaleficence – avoid harm
10. Less d. Justice – treat people truthfully
11. Glucose 2. True
12. Hypoxic ischemic encephalopathy, metabolic 3. Tell them you will try to support their decision,
disturbances (hypoglycemia), and electrolyte but must wait until you examine the baby after
abnormality (hyponatremia or hypocalcemia) birth to determine what you will do.
13. Anticonvulsants 4. List four issues that should be covered when
14. Less you meet the parents
15. Establish effective ventilation a. Review the current obstetric plans and
16. Bulb suction or wiping away with a clean cloth expectations
17. Peripheral and Intraosseous (IO) b. Explain who will be present and their
18. Therapeutic hypothermia respective roles
c. Explain the statistics and your
Lesson VIII Review Answers: assessment of the infant’s chances for
1. List five factors: survival and possible disability.
a. Tissues is easily damaged from d. Determine the parents’ wishes and
excess oxygen expectations.
b. Lose heat easily 5. Inform the parents that decisions may need to
c. Weak muscles, making it difficult to be modified after you examine the infant.
breathe 6. Explain the situation to the parents and ask
d. Lungs deficient in surfactant them if they would like to hold the baby.
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 7. “I’m sorry, we tried to resuscitate your baby,
but the resuscitation was unsuccessful and
your baby died,” or “I’m sorry your baby died.
She is a beautiful baby.”

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