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Oxygen Administration and Monitoring Flashcards

6 cards from real NRP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. What device is used to precisely control the fraction of inspired oxygen (FiO2) delivered during neonatal resuscitation?

    Answer: Oxygen blender

    An oxygen blender allows precise mixing of oxygen and air to deliver any FiO2 from 21–100%, enabling titration based on pulse oximetry during resuscitation.

  2. Can a self-inflating bag reliably deliver free-flow oxygen to a newborn when held close to (not sealed over) the face?

    Answer: No, a self-inflating bag cannot reliably deliver free-flow oxygen — use a mask held near the face connected to a flow-inflating bag or T-piece instead

    A self-inflating bag cannot reliably deliver free-flow oxygen when held near the face without a seal, as the bag's valve design routes gas from the bag itself (room air) rather than from the oxygen inlet. Free-flow oxygen should be delivered via a flow-inflating bag or a mask connected to an oxygen source.

  3. What is the recommended minimum oxygen flow rate when using a flow-inflating bag or T-piece resuscitator during neonatal resuscitation?

    Answer: 5–10 L/min

    A flow rate of 5–10 L/min is recommended for flow-inflating bags and T-piece resuscitators to ensure adequate gas flow for ventilation and free-flow oxygen delivery.

  4. Which of the following represents appropriate oxygen management for a term newborn who is breathing spontaneously but has an SpO2 of 72% at 3 minutes of life?

    Answer: Observe without intervention — this SpO2 is within normal range at 3 minutes

    The NRP target SpO2 at 3 minutes is 70–75%. An SpO2 of 72% at 3 minutes is within target. No intervention beyond observation is needed for a spontaneously breathing infant whose SpO2 is meeting targets.

  5. What happens to pulse oximetry accuracy if the probe is placed on the newborn before connecting it to the oximeter?

    Answer: The probe should be connected to the oximeter first, then applied to the infant, for faster signal acquisition

    NRP recommends connecting the probe to the oximeter before applying it to the infant, which significantly speeds up signal acquisition and reduces the time to first reliable SpO2 reading.

  6. In which clinical scenario would it be appropriate to use 100% oxygen during neonatal resuscitation despite NRP's standard recommendation to start at lower FiO2?

    Answer: An infant receiving CPR for heart rate below 60 bpm despite PPV

    NRP recommends considering 100% oxygen during active CPR for heart rate below 60 bpm, as the priority in cardiac arrest is maximizing oxygen delivery. Wean as quickly as possible once circulation is restored.