Neonatology: NRP epinephrine: 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: NRP epinephrine

Sample item

In a newborn, the heart rate remains below 60 per minute after 60 seconds of effective chest compressions with ventilation. What is the next step?

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

The answer and the reasoning

B. Give epinephrine 0.01 to 0.03 mg/kg IV (umbilical venous line)

If the heart rate stays below 60 after effective ventilation and 60 seconds of compressions, intravenous epinephrine at 0.01 to 0.03 mg/kg is given, preferably through an umbilical venous catheter. Volume expansion is considered if there is blood loss. Atropine and bicarbonate are not routine.

Option by option

  • A. Give sodium bicarbonate bolus only

    Bicarbonate is not routine in neonatal resuscitation.

  • B. Give epinephrine 0.01 to 0.03 mg/kg IV (umbilical venous line) (correct)

    Correct. IV epinephrine is the next step.

  • C. Give atropine

    Atropine has no role in neonatal bradycardia from hypoxia.

  • D. Stop resuscitation

    Stopping is not appropriate at this point.

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 B, Give epinephrine 0.01 to 0.03 mg/kg IV (umbilical venous line). If the heart rate stays below 60 after effective ventilation and 60 seconds of compressions, intravenous epinephrine at 0.

Why is "Give sodium bicarbonate bolus only" not the answer?

Bicarbonate is not routine in neonatal resuscitation.

Why is "Give atropine" not the answer?

Atropine has no role in neonatal bradycardia from hypoxia.

Why is "Stop resuscitation" not the answer?

Stopping is not appropriate at this point.

What concept does this question test?

It tests Neonatology: NRP epinephrine in Pediatrics. 01 to 0.03 mg/kg is given, preferably through an umbilical venous catheter. Volume expansion is considered if there is blood loss. Atropine and bicarbonate are not routine.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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: NRP epinephrine?

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.