NRP Ch. 5

Question 1

A newborn has been receiving face-mask ventilation, but is not improving. Despite perfomring the first 5 ventilation corrective steps, the HR is not rising and there is poor chest movement. An alternative airway, such as an endotracheal tube or laryngeal mask, (Should)/(Should not) be inserted immediately

Answer 1

Should

Question 2

For babies weighing less than 1,000 g, the endotracheal tube size should be (2.5mm)/(3.5mm).

Answer 2

2.5mm

Question 3

If using the stylet, the tip of the stylet must)/(must not) extend beyond the endotracheal tube’s side and end holes.

Answer 3

Must not

Question 4

The preferred layngoscope blade size for use in a term newborn is (No.1)/(No.0)

Answer 4

No.1

Question 5

The vocal cord guide on an endotracheal tube (does)/(does not) reliably predict the correct insertion depth.

Answer 5

Does not

Question 6

Both right and left handed people should hold the laryngoscope in their (right)/(left) hand.

Answer 6

Left Hand

Question 7

You should try to take no longer than (30)/(60) seconds to complete the endotracheal intubation procedure.

Answer 7

30 Seconds

Question 8

If you have not completed endotracheal intubation within the recommended time limit, you should (continue the intubation attempt for another 30 seconds using free-flow oxygen to support the baby)/(Stop, resume positive-pressure ventilation with a mask, then try again or insert a laryngeal mask).

Answer 8

Stop, resume positive-pressure ventilation with a mask, then try again or insert a laryngeal mask

Question 9

You have inserted an endotracheal tube and ar giving positive-pressure ventilation through it. The CO2 detector does not change color and the baby’s heart rate is decreasing. The tube is most likely placed in the (esophagus)/(trachea).

Answer 9

Esophagus

Question 10

You inserted an ETT and the CO2 detector changed color when you gave positive-pressure breaths. You hear breath sounds with your stethoscope only on the right side of the chest. You should (withdraw)/(advance) the tube slightly and listen with the stethoscope again.

Answer 10

Withdraw

Question 11

A baby is born at term with a bilateral cleft lip and palate and a very small mandible. She requires positive-pressure ventilation You are unable to achieve a seal with bag and mask. You have tried to intubate twice but have not been successful. Insertion of a laryngeal mask (is)/(is not) indicated

Answer 11

Is indicated

Question 12

If a baby’s condition wrosens after endotracheal intubation, list 4 possible causes.

Answer 12

• Displaced endotracheal tube
• Obstructed endotracheal tube
• Pneumothorax
• Equipment failure