Practice Test GeeksNRP - Neonatal Resuscitation Program Practice Test
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Post-Resuscitation Care and NICU Stabilization 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.

Read the first 6 Post-Resuscitation Care and NICU Stabilization flashcards as text

  1. What is the purpose of surfactant therapy in preterm infants after birth?

    Answer: Reduces surface tension in alveoli, improving lung compliance and gas exchange in RDS

    Exogenous surfactant reduces alveolar surface tension, treats respiratory distress syndrome (RDS), and significantly reduces morbidity in preterm infants.

  2. What does the NRP recommend regarding temperature targets in the post-resuscitation period?

    Answer: Maintain normothermia (36.5–37.5°C) unless therapeutic hypothermia is indicated

    Normothermia (36.5–37.5°C) should be maintained to avoid both hypothermia-associated metabolic stress and hyperthermia-associated brain injury.

  3. Which route is used to establish vascular access most rapidly during neonatal resuscitation?

    Answer: Umbilical venous catheter (UVC)

    A UVC can be placed rapidly in the delivery room and provides reliable central venous access for medications and fluids during resuscitation.

  4. What neonatal condition is associated with a 'ground-glass' appearance on chest X-ray after resuscitation?

    Answer: Respiratory distress syndrome (RDS) due to surfactant deficiency

    RDS produces a diffuse ground-glass appearance with air bronchograms on CXR, reflecting widespread atelectasis from surfactant deficiency.

  5. What documentation is essential after every neonatal resuscitation event?

    Answer: Time of each intervention, medications given, heart rate responses, and persons present

    Complete documentation includes the timeline of events, all interventions, drug doses and times, responses, and team members for medical, legal, and quality-improvement purposes.

  6. What is an umbilical venous catheter emergency insertion depth for a 3 kg newborn?

    Answer: Approximately 4–5 cm until blood return, then advance 2 cm beyond the ductus venosus

    For emergency access, insert the UVC until blood flows freely (approximately 4–5 cm), confirming the tip is in the inferior vena cava or right atrium.