NRP Positive Pressure Ventilation 1 — Questions and Answers
Question 1: What is the correct ventilation rate during PPV for a newborn?
- 40–60 breaths per minute (Correct answer)
- 20–30 breaths per minute
- 60–80 breaths per minute
- 10–15 breaths per minute
Correct answer: 40–60 breaths per minute
PPV should be delivered at 40–60 breaths per minute during neonatal resuscitation.
Question 2: What is the acronym MR SOPA used for in NRP?
- Steps to correct ineffective PPV (Correct answer)
- Steps to prepare the resuscitation area
- Steps to place an endotracheal tube
- Steps to transition from PPV to free-flow oxygen
Correct answer: Steps to correct ineffective PPV
MR SOPA (Mask adjustment, Reposition airway, Suction, Open mouth, Pressure increase, Airway alternative) guides correction of ineffective PPV.
Question 3: What is the first corrective step in MR SOPA?
- Mask adjustment (Correct answer)
- Reposition the airway
- Suction the mouth and nose
- Open the mouth
Correct answer: Mask adjustment
The first step is to adjust the mask to achieve a proper seal on the face before moving to other corrective measures.
Question 4: What peak inspiratory pressure (PIP) is typically used to initiate PPV in a term newborn?
- 20–25 cm H₂O (Correct answer)
- 30–40 cm H₂O
- 10–15 cm H₂O
- 40–50 cm H₂O
Correct answer: 20–25 cm H₂O
An initial PIP of 20–25 cm H₂O is recommended for term newborns, with adjustment based on chest rise and heart rate response.
Question 5: How is PPV effectiveness best assessed during neonatal resuscitation?
- Rising heart rate and visible chest rise (Correct answer)
- Oxygen saturation alone
- Color change from blue to pink
- Carbon dioxide detector color change only
Correct answer: Rising heart rate and visible chest rise
The most reliable indicators of effective PPV are a rising heart rate and appropriate chest rise with each breath.
Question 6: What device is recommended by NRP to measure the pressure delivered during bag-mask ventilation?
- Pressure manometer (pressure gauge) (Correct answer)
- Pulse oximeter
- Colorimetric CO₂ detector
- End-tidal CO₂ monitor
Correct answer: Pressure manometer (pressure gauge)
A pressure manometer attached to the ventilation device allows precise measurement and adjustment of PIP during PPV.
NRP Positive Pressure Ventilation 1
What is the correct ventilation rate during PPV for a newborn?