Neonatology: neonatal resuscitation initial steps: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Neonatology: neonatal resuscitation initial steps

Sample item

A term baby is born limp, not breathing, after a clear liquor. Following the NRP sequence, what is the first set of actions?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Warm, position the airway, dry and stimulate

The initial steps are providing warmth, positioning, clearing the airway if needed, drying and stimulating. If apnoea or heart rate below 100 persists, positive pressure ventilation follows.

Option by option

  • A. Immediate intubation

    Intubation is not part of the initial steps for a baby with clear liquor.

  • B. Start chest compressions

    Compressions are indicated only if heart rate stays below 60 after effective ventilation.

  • C. Give adrenaline

    Adrenaline is a late step after ventilation and compressions fail.

  • D. Warm, position the airway, dry and stimulate (correct)

    Correct. These are the initial steps within the first 30 seconds.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is D, Warm, position the airway, dry and stimulate. The initial steps are providing warmth, positioning, clearing the airway if needed, drying and stimulating.

Why is "Immediate intubation" not the answer?

Intubation is not part of the initial steps for a baby with clear liquor.

Why is "Start chest compressions" not the answer?

Compressions are indicated only if heart rate stays below 60 after effective ventilation.

Why is "Give adrenaline" not the answer?

Adrenaline is a late step after ventilation and compressions fail.

What concept does this question test?

It tests Neonatology: neonatal resuscitation initial steps in Pediatrics. If apnoea or heart rate below 100 persists, positive pressure ventilation follows.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Neonatology: neonatal resuscitation initial steps?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.