NRP

Question 1

Initial Steps of Resuscitation

Answer 1

1. Provide Warmth
2. Dry – remove wet linens
3. Stimulate
4. Position head and neck to open airway
5. Clear Secretions if needed
   ▪Only if baby isn’t breathing, gasping, has poor tone, or if
   secretions obstructing airway, or if you anticipate needing
   PPV
   ▪Gently suction mouth then nose

Question 2

Flow inflating bag

Answer 2

▪Can deliver a 100% if needed
▪Easy to determine if there is a seal
▪Stiffness of the lungs can be felt
▪Can deliver O2 via blow-by
▪Requires a tight seal
▪Requires a gas source
▪Not all flow-inflating bags have a pop-
off

Question 3

How to provide flow by

Answer 3

Do not use Self inflating bag

Question 4

Sp02 preductal target ranges

Answer 4

1 min - 60-65%
2 min - 65-70%
3 min - 70-75%
4 min - 75-80%
5 min - 80-85%
10 min - 85-95%

Question 5

ETT size based on age/gestation

Answer 5

• Below 1000g/28 weeks = 2.5mm
• 1000-2000g/28-34 weeks = 3.0mm
• Greater than 2000g/Greater than 34 = 3.5mm

Question 6

Fi02

Answer 6

• Start with Room Air

- O2 is necessary start at 30% using a blender

Question 7

BVM

Answer 7

▪Will always refill, even without a gas source
▪Has pressure relief pop-off valve 
(pre-set 40 cwp).
▪Not as easy to determine if you have 
a good seal
▪Requires a reservoir to deliver 
~100%
▪Cannot deliver blow-by O2

Question 8

T-piece

Answer 8

▪S/U with blender
▪Start with room air and
increase O2 when indicated
by SpO2

Question 9

Steps to PPV

Answer 9

▪Clear Airway
▪Position yourself at HOB
▪Position baby’s head and neck
▪Neural or sniffing position
▪Properly position mask to face
▪Two shapes – round or anatomically shaped
▪One or two hand techniques