Primary neonatal resuscitation
Q1 What is the correct method for chest compressions ?
a.
b.
c.
d.
1thumb over the xiphoid
2 hands interlocked as per adult cpr
2 thumb method below the nipple
Index and middle finger
Q2 New born resuscitation should start with ?
a.
b.
c.
d.
5 back blows
5 effective ventilation
30 sec of IPPV at 40-60/ min
Chest compression
Q3 Newborn chest compression should be provided at a rate of
A. 60/min
b. 80/min
c. 100/min
d. 120/min
Q4 The newborn compression / respiration ratio is
a.
b.
c.
d.
30: 2
15:2
5:1
3:1
Q5 How many neonates need to be assessed for resuscitation?
a. 75%
b. 0%
c. 25%
d. 100%
Q6 MRSOPA stands for what
a. M – mask adjustment, R- reposition airway S- suction
O- open mouth P- pressure increase A- alternative
airways
b. M – medication R- radient warmer S – suction O- open
mouth P- pressure decrease A- auscultate breath
c. M- mouth suction R- respiratory rate S- start test
compression O- O2 administration P-PPV A- administer
epinephrine
Q 7 What 4 questions should you ask before every birth?
a.
b.
c.
d.
Gestation,clear liquor ,Singleton / multiple ,risk factors
Maternal age, clear liquor, gestation ,risk factors
normal CTG, clear liquor, SIngleton / multiple ,maternal
age
Parity ,maternal age ,risk factors ,gestation
Q8 The following ET tube size should be available
a. 1.5,2.0,2.5
b. 2.5,3.0,3.5
c. 3.5,4.0,4.5
d. 7.0,7.5,8.5
Q9 What fluid should be used for resuscitation during
anaphylaxis ?
a. Normal saline
b. Glucose
c. Colloids
d. None
Q10 CPR on babies should be done where ?
A. Just above nipple line
B. Directly on nipple line
C. Just below the nipple line
D. None
Q11 Suction control should be set to
a. 7-21%
b. 36.0-37.5 c
c. 60-70mmhg
d. 80-100mmhg
Q12 What is the most important effective action in neonatal
resuscitation ?
a. Administering o2
b. Inserting an ET tube
c. Providing chest compression
d. Ventilating the lungs
Q13 What is the preductul Spo2 target at 1 min ?
A. 30-50%
B. 60-65%
C. 70-85%
D. 95-100%
Q14 What are the initial steps of newborn care
a. Provide o2 , clear secretion , assess heart rate with
stethoscope
b. Provide warmth position head/ neck, clear secretions if
needed, dry,Stimulate
c. Weight, spo2, heart rate, vit. K injection
Q15 O2 flow rate should be set at
A. 8 l/m
B. 21 l/m
C. 100 l/m
D. 10 l/m
Q16 How to you rapidly evaluate every newborn straight after
birth
a. Term , meconium stained liquor , maternal age
b. Term , tone , breathing or crying
c. Tone , temperature , blood glucose lavel
d. Weight , heart rate , spo2
Q17 What equipment should be checked prior to birth
a.
b.
c.
Emergency bell, heart rate moniter ,O2 meconium
aspirater
Stethoscope suction , emergency bleep , ET tube
Suction , PPV device , O2 , larygnoscope
Q18 When suctioning, which do you suction first
a.
b.
c.
Mouth
Nose
None
Q19 Ideally epinephrine should be given
a. I.m.
b. Subcutaneously
c. Sublingually
d. Umbilical venous catheter
Q20 How many neonates need resuscitation measure to begin
breathing at birth?
A. 20%
B. 30%
C. 10%
D. 40%
Q21 In what condition is the MONA acronum used
a. Anaphylaxis
b. Over dose
c. Ventricular and tachycardia
d. Acute coronary syndrome
Q22 Which kind of apnea respond to stimulus
a. Tertiary
b. Secondary
c. Primary
d. None of the above
Q23 Which of the following supplies is not appropriate for
providing warmth
a. Towel
b. Blanket
c. Microwave
d. Preheat worm
Q24 The dose of 10% glucose for a newborn is
A. 5ml/kg i.v.
B. 3 ml/kg i.v.
C. 2ml/kg i.v.
D. None
Q25 Start positive pressure ventilation (PPV) if
a. All answer are correct
b. Baby did not respond to the initial steps
c. The baby is not breathing gasping
d. The heart rate is below 100bpm
Q26 PIP should be set to
a. 2.5
b. 20-25cm H2O
c. 21% O2
d. 30cm H2O
Q27 If the baby's heart rate does not increase after 15 seconds
of PPV where the chest is moving, what do you do next
A.
B.
Attach bag and mask to 10litre /m of o2
Continue PPV and recheck heart rate in 15second
C.
D.
ET intubation
Start chest compression
Q28 If the baby's heart rate is not increasing after 15 seconds
of PPV where there is no chest movement, what do you do next
a. Chest compression
b. Continue administering PPV as you were before
c. ET intubation and epinephrine administration
d. MRSOPA, PPV and re-check heart rate in 30s
Q29 You auscultate a baby's heart rate for 6 seconds, and
count 6 beats. The heart rate per minute is
a. 36bpm
b. 60bpm
c. 90bpm
d. 120bpm
Q30 If the baby's lungs are not being ventilated the CO2
detector will turn
a. Blue/purple
b. Green
c. Orange
d. Yellow
Q31 If the baby's lungs are being ventilated the CO2 detector
will turn
e. Blue/purple
f. Green
g. Orange
h. Yellow
Q32 Within how many second of PPV should the baby heart
rate begin to increase
a. 15s
b. 30s
c. 60s
d. 90s
Q33 Which of the following are risk factors that increase the
likelihood of neonatal resuscitation
a. Gestational diabetes , Advanced maternal age
b. PET , IUGR , polyhydramnios
Q34 When inserting an orogastric tube , measure
a. Bridge of nose to earlobe and from earlobe to the nipple
line
b. Bridge of nose to the xiphoid process
c. Earlobe to the xiphoid process and from the xiphoid
process to the umbilicus
d. Length of the femur
Q35 PEEP should be set to
a. 5cm H2o
b. 7cm H2O
c. 21-30% O2
d. 100bpm
Q36 Continuous positive airway pressure is
a. The gas pressure maintained in the lungs between breath
when a baby is breathing spontaneously
b. The gas pressure maintained in the lungs between breath
when a baby is receiving assisted breath
c. The number of assisted breath administered per minute
Q37 A precordial thumb is effective what % of time
a. 2%
b. 5%
c. 12%
d. 30%
Q38 What is the drug of the choice for use in torsads
a. Ca gluconate
b. Mg sulphate
c. Amideron
d. Atropine
Q39 Before birth , the alveoli in the fetal lungs are …… and are
filled with …….
a. Collapsed , air
b. Collapsed , fluid
c. Expended , air
d. Expended , fluid
Q40 If after 60s compression and breath the heart rate remains
below 60bpm, what do you do next
a. Administer epinephrine
b. Repeat another 30s of compression and breath
c. Repeat another 60s of compression and re-insert ET tube
d. None