Question 1

What route may be used to administer epinephrine 1:10,000 (0.1 mg/mL) to increase heart rate

Accepted Answer

A) Subcutaneously 
B) Intravenously only 
C) Endotracheally only 
D) Intravenously and endotracheally 
A) Subcutaneously 
B) Intravenously only 
C) Endotracheally only 
D) Intravenously and endotracheally D

Question 2

Baby Carter presents with gasping, his heart rate is greater than 100 bpm, and the presence of seCondary apnea is seen.Initially, what is the best approach when managing this newborn

Accepted Answer

A) Biphasic positive airway pressure therapy 
B) Positive pressure ventilation via resuscitation bag and mask 
C) Oxygen therapy 
D) Positioning, drying, and vigorously rubbing the newborn's back 
A) Biphasic positive airway pressure therapy 
B) Positive pressure ventilation via resuscitation bag and mask 
C) Oxygen therapy 
D) Positioning, drying, and vigorously rubbing the newborn's back B

Question 3

A newborn presents at delivery with meConium-stained amniotic fluid and is handed to the resuscitation team.She is crying, has central cyanosis, and is moving spontaneously.Which of the following is the most appropriate first action for the team to take to resuscitate

Accepted Answer

A) Dry, stimulate, and suction the mouth and nose. 
B) Auscultate the lungs to evaluate aspiration of meConium. 
C) Intubate and suction the trachea to remove meConium. 
D) Place the baby on the mother's chest. 
A) Dry, stimulate, and suction the mouth and nose. 
B) Auscultate the lungs to evaluate aspiration of meConium. 
C) Intubate and suction the trachea to remove meConium. 
D) Place the baby on the mother's chest. A

Question 4

Withholding and disContinuing resuscitation efforts may be appropriate in all of the following circumstances except:

Accepted Answer

A) When the birth weight is less than 400 grams 
B) When gestational age is less than 28 weeks 
C) When parental agreement is obtained 
D) When there is an undetectable heart rate after 10 minutes of CPR 
A) When the birth weight is less than 400 grams 
B) When gestational age is less than 28 weeks 
C) When parental agreement is obtained 
D) When there is an undetectable heart rate after 10 minutes of CPR

Question 5

Which of the following statements are true regarding disadvantages of self-inflating bags
I.Inability to know if a good seal is being obtained
II.A reservoir attachment needed to achieve 100% FiO₂
III.Ability to provide 100% FiO₂ free- flowing dependably
IV.Inability to provide 100% FiO₂ free-flowing dependably

Accepted Answer

A) I, III, IV 
B) II, III, IV 
C) I, II, IV 
D) I and II 
A) I, III, IV 
B) II, III, IV 
C) I, II, IV 
D) I and II

Question 6

What stage of labor does the cervix reach Complete dilatation

Accepted Answer

A) Active phase 
B) Latent phase 
C) Deceleration phase 
D) Transition phase 
A) Active phase 
B) Latent phase 
C) Deceleration phase 
D) Transition phase

Question 7

What is the Compressions-to-ventilation ratio that a registered respiratory therapist should use during neonatal resuscitation

Accepted Answer

A) 2:1 
B) 3:1 
C) 20:2 
D) 15:2 
A) 2:1 
B) 3:1 
C) 20:2 
D) 15:2

Question 8

If a newborn weighs 2.5 kg, where should the endotracheal tube be taped

Accepted Answer

A) 7.5 cm at the upper lip 
B) 8.5 cm at the upper lip 
C) 7.0 cm at the upper lip 
D) 8.0 cm at the upper lip 
A) 7.5 cm at the upper lip 
B) 8.5 cm at the upper lip 
C) 7.0 cm at the upper lip 
D) 8.0 cm at the upper lip

Question 9

All of the following statements about fetal heart rate monitoring are true except:

Accepted Answer

A) It is used to estimate a fetus's tolerance of labor process. 
B) It is used to make decisions on the method and speed of the delivery. 
C) It improves neonatal outComes. 
D) It has beCome the standard method of care in the United States. 
A) It is used to estimate a fetus's tolerance of labor process. 
B) It is used to make decisions on the method and speed of the delivery. 
C) It improves neonatal outComes. 
D) It has beCome the standard method of care in the United States.

Question 10

What is the Course of action when a newborn presents with seCondary apnea

Accepted Answer

A) Place in sniffing position. 
B) Place on apnea monitor. 
C) Initiate positive pressure ventilation. 
D) Administer medications to increase heart rate. 
A) Place in sniffing position. 
B) Place on apnea monitor. 
C) Initiate positive pressure ventilation. 
D) Administer medications to increase heart rate.

Question 11

What does the acronym APGAR stand for

Accepted Answer

A) Assessment, pulse, grimace, appearance, resonance 
B) Appearance, pulse, grimace, activity, respirations 
C) Assessment, pulse, ground-glass appearance, asthma, respirations 
D) Assessment, projection, grimace, auditory, respirations 
A) Assessment, pulse, grimace, appearance, resonance 
B) Appearance, pulse, grimace, activity, respirations 
C) Assessment, pulse, ground-glass appearance, asthma, respirations 
D) Assessment, projection, grimace, auditory, respirations

Question 12

During cardiopulmonary resuscitation, a newborn's heart rate should be assessed every 5 seConds to determine effectiveness of Compressions.

Accepted Answer

A) True 
 B)False

Question 13

Randomized Controlled trials have suggested all of the following statements regarding induced hypothermia are true except:

Accepted Answer

A) Infants with moderate-to-severe hypoxic encephalopathy may be protected against brain injury. 
B) Strict guidelines must be implemented within 12 to 24 hours following birth. 
C) Infants with moderate-to-severe ischemic encephalopathy should be offered therapeutic hypothermia in a timely manner. 
D) Registered respiratory therapists must be aware of their institutional policies to provide appropriate follow-up care. 
A) Infants with moderate-to-severe hypoxic encephalopathy may be protected against brain injury. 
B) Strict guidelines must be implemented within 12 to 24 hours following birth. 
C) Infants with moderate-to-severe ischemic encephalopathy should be offered therapeutic hypothermia in a timely manner. 
D) Registered respiratory therapists must be aware of their institutional policies to provide appropriate follow-up care.

Question 14

What actions are usually enough to stimulate a newborn to breathe

Accepted Answer

A) Positioning, drying, and suctioning 
B) Positioning, drying, and slapping the newborn's buttocks 
C) Positioning, drying, and vigorously rubbing the newborn's back 
D) Positioning, drying, and flicking the newborn's arm 
A) Positioning, drying, and suctioning 
B) Positioning, drying, and slapping the newborn's buttocks 
C) Positioning, drying, and vigorously rubbing the newborn's back 
D) Positioning, drying, and flicking the newborn's arm

Question 15

Transition to the extrauterine world Consists of all of the following rapid, physiological events except:

Accepted Answer

A) Establishment of respirations 
B) VasoConstriction of the pulmonary vasculature and increase in pulmonary vascular resistance 
C) Transition of fetal circulation to adult circulation 
D) Expansion of the lungs 
A) Establishment of respirations 
B) VasoConstriction of the pulmonary vasculature and increase in pulmonary vascular resistance 
C) Transition of fetal circulation to adult circulation 
D) Expansion of the lungs

Question 16

In the presence of meConium, it is suggested to use a bulb syringe aspirator vigorously to reduce the risk of aspiration.

Accepted Answer

A) True 
 B)False

Question 17

It is best to intubate and not to bag-mask ventilate a newborn when multiple unsuccessful attempts to establish an airway have occurred because hypoxia and permanent damage will occur after 4 minutes.

Accepted Answer

A) True 
 B)False

Question 18

A sinusoidal heart rate is indicative of:

Accepted Answer

A) Uteroplacental insufficiency 
B) umbilical Cord Compression 
C) A change in vagal tone after brief hypoxia episodes 
D) Severe fetal hypoxia, acidosis, or anemia 
A) Uteroplacental insufficiency 
B) umbilical Cord Compression 
C) A change in vagal tone after brief hypoxia episodes 
D) Severe fetal hypoxia, acidosis, or anemia

Question 19

What chest Compression method is reCommended by the Neonatal Resuscitation Program, and gives a greater peak systolic pressure when performing CPR on newborns

Accepted Answer

A) Two-finger technique (Compressing the chest with two fingers as the seCond hand supports the back) 
B) One finger technique (Compressing the chest with one finger as the seCond hand supports the back) 
C) Two-thumb encircling-hand technique (two thumbs with fingers encircling the chest and supporting the back) 
D) Two-thumb encircling-hold technique (two thumbs with fingers encircling the chest and supporting the back) 
A) Two-finger technique (Compressing the chest with two fingers as the seCond hand supports the back) 
B) One finger technique (Compressing the chest with one finger as the seCond hand supports the back) 
C) Two-thumb encircling-hand technique (two thumbs with fingers encircling the chest and supporting the back) 
D) Two-thumb encircling-hold technique (two thumbs with fingers encircling the chest and supporting the back)

What route may be used to administer epinephrine 1:10,000 (0.1 mg/mL) to increase heart rate

Baby Carter presents with gasping, his heart rate is greater than 100 bpm, and the presence of seCondary apnea is seen.Initially, what is the best approach when managing this newborn

A newborn presents at delivery with meConium-stained amniotic fluid and is handed to the resuscitation team.She is crying, has central cyanosis, and is moving spontaneously.Which of the following is the most appropriate first action for the team to take to resuscitate

Withholding and disContinuing resuscitation efforts may be appropriate in all of the following circumstances except:

What stage of labor does the cervix reach Complete dilatation

What is the Compressions-to-ventilation ratio that a registered respiratory therapist should use during neonatal resuscitation

If a newborn weighs 2.5 kg, where should the endotracheal tube be taped

All of the following statements about fetal heart rate monitoring are true except:

What is the Course of action when a newborn presents with seCondary apnea

What does the acronym APGAR stand for

During cardiopulmonary resuscitation, a newborn's heart rate should be assessed every 5 seConds to determine effectiveness of Compressions.

Randomized Controlled trials have suggested all of the following statements regarding induced hypothermia are true except:

What actions are usually enough to stimulate a newborn to breathe

Transition to the extrauterine world Consists of all of the following rapid, physiological events except:

In the presence of meConium, it is suggested to use a bulb syringe aspirator vigorously to reduce the risk of aspiration.

It is best to intubate and not to bag-mask ventilate a newborn when multiple unsuccessful attempts to establish an airway have occurred because hypoxia and permanent damage will occur after 4 minutes.

A sinusoidal heart rate is indicative of:

What chest Compression method is reCommended by the Neonatal Resuscitation Program, and gives a greater peak systolic pressure when performing CPR on newborns

Making Sense of Caring for Kids: a Different Approach to Respiratory Care

Fetal Cardiopulmonary Development

Respiratory Distress Syndrome

Apnea of Prematurity and Bronchopulmonary Dysplasia

Disease of Full-Term Infants

Common Neonatal Complications: Pulmonary Complications

Common Neonatal Complications: Multisystem Complications

Abdominal Defects

Airway Abnormalities

Acyanotic Heart Defects

Cyanotic Heart Defects

Asthma

Pediatric Disease With Respiratory Implications

Pediatric Pulmonary Diseases

Pediatric Infectious Airway Diseases

Neuromuscular Disorders

Pediatric Diseases With Respiratory Implications

Neurological Accidents

Ethics in Perinatal and Pediatric Respiratory Care

Palliative and End of Life Care

Filters

Exam 3: Resuscitation of the Newborn During Transition to Extrauterine Life

What route may be used to administer epinephrine 1:10,000 (0.1 mg/mL) to increase heart rate

Baby Carter presents with gasping, his heart rate is greater than 100 bpm, and the presence of seCondary apnea is seen.Initially, what is the best approach when managing this newborn

A newborn presents at delivery with meConium-stained amniotic fluid and is handed to the resuscitation team.She is crying, has central cyanosis, and is moving spontaneously.Which of the following is the most appropriate first action for the team to take to resuscitate

Withholding and disContinuing resuscitation efforts may be appropriate in all of the following circumstances except:

What stage of labor does the cervix reach Complete dilatation

What is the Compressions-to-ventilation ratio that a registered respiratory therapist should use during neonatal resuscitation

If a newborn weighs 2.5 kg, where should the endotracheal tube be taped

All of the following statements about fetal heart rate monitoring are true except:

What is the Course of action when a newborn presents with seCondary apnea

What does the acronym APGAR stand for

During cardiopulmonary resuscitation, a newborn's heart rate should be assessed every 5 seConds to determine effectiveness of Compressions.

Randomized Controlled trials have suggested all of the following statements regarding induced hypothermia are true except:

What actions are usually enough to stimulate a newborn to breathe

Transition to the extrauterine world Consists of all of the following rapid, physiological events except:

In the presence of meConium, it is suggested to use a bulb syringe aspirator vigorously to reduce the risk of aspiration.

It is best to intubate and not to bag-mask ventilate a newborn when multiple unsuccessful attempts to establish an airway have occurred because hypoxia and permanent damage will occur after 4 minutes.

A sinusoidal heart rate is indicative of:

What chest Compression method is reCommended by the Neonatal Resuscitation Program, and gives a greater peak systolic pressure when performing CPR on newborns

Making Sense of Caring for Kids: a Different Approach to Respiratory Care

Fetal Cardiopulmonary Development

Respiratory Distress Syndrome

Apnea of Prematurity and Bronchopulmonary Dysplasia

Disease of Full-Term Infants

Common Neonatal Complications: Pulmonary Complications

Common Neonatal Complications: Multisystem Complications

Abdominal Defects

Airway Abnormalities

Acyanotic Heart Defects

Cyanotic Heart Defects

Asthma

Pediatric Disease With Respiratory Implications

Pediatric Pulmonary Diseases

Pediatric Infectious Airway Diseases

Neuromuscular Disorders

Pediatric Diseases With Respiratory Implications

Neurological Accidents

Ethics in Perinatal and Pediatric Respiratory Care

Palliative and End of Life Care

Filters