Neonatal Resuscitation Program (NRP) study plan

Map the first-minute NRP decision pathway from birth through the ventilation corrective steps, labeling every assessment question and its time target

Distinguish, using three written vignettes, when to give tactile stimulation, when to start CPAP, and when to start positive pressure ventilation

Rehearse the seven steps of the ventilation corrective sequence aloud in correct order until performed from memory without prompts

Compare the three ventilation devices (self-inflating bag, flow-inflating bag, T-piece resuscitator) by listing the settings, pressure control, and failure modes of each

Position a manikin head and apply a mask to demonstrate correct jaw thrust, mask seal, and chest-rise confirmation

Explain why effective ventilation must be established before compressions begin and state the heart rate threshold and elapsed time that trigger compressions

Perform two-thumb encircling compressions on a manikin at the correct depth and rate while counting a 3:1 ratio aloud for full two-minute cycles

Coordinate the compressor and ventilator roles during a two-person simulation, including the brief pause for a heart rate check

Interpret capnography or colorimetric detector readings to confirm tube placement and distinguish them from esophageal placement

Identify three signs of ineffective ventilation and select the matching corrective action for each

State the indication, concentration, and both the intravenous and endotracheal doses of epinephrine, and explain why the endotracheal dose differs

Calculate epinephrine and volume-expander doses for infants weighing 0.6, 1.2, 2.5, 3.4, and 4.5 kg, showing the volume to draw up

Sequence the steps of umbilical venous catheter placement and list two confirmatory checks before infusing

Describe when to give a volume expander versus epinephrine and name the two acceptable fluids and their dose

Integrate medication administration into a compression cycle without losing the 3:1 rhythm

Execute a full 15-minute simulated megacode from birth through medication administration, calling each intervention aloud in sequence

Contrast the resuscitation approach for a very preterm infant under 32 weeks with that of a term infant, focusing on pressures, oxygen, and thermoregulation

Select the correct modification for each of five special situations: meconium-stained fluid, congenital diaphragmatic hernia, pneumothorax, hydrops fetalis, and suspected fetal anemia

Justify when needle aspiration of a pneumothorax is indicated during resuscitation and describe the landmark technique

Debrief your own megacode performance and name the two decision points where you lost the most time

Differentiate the initial stabilization priorities for preterm birth, meconium exposure, congenital diaphragmatic hernia, and pneumothorax in a side-by-side written comparison

Explain the physiologic rationale for avoiding routine intubation of a vigorous infant born through meconium-stained fluid

Outline thermoregulation strategies for a 26-week infant, including wrap, hat, thermal mattress, and warmed humidified gas

Describe the resuscitation modifications for a pneumothorax and a diaphragmatic hernia, and state what each change protects against

Plan the handoff of an infant requiring ongoing NICU support, naming the five data elements the receiving team needs first

Assemble a complete antenatal risk-factor list and translate it into a pre-birth team briefing that assigns roles and equipment

Perform a full pre-resuscitation equipment and environment check, verifying device pressures, oxygen blending, suction, and warming source

Outline post-resuscitation monitoring for temperature, glucose, blood pressure, respiratory status, and neurologic status with target ranges

Identify the eligibility criteria and time window for therapeutic hypothermia referral and state the actions required before transfer

Write a structured post-resuscitation handoff covering the resuscitation events, current support, and outstanding concerns

Apply a decision framework for infants at the limit of viability by writing the counseling points you would use for a birth at 22, 24, and 25 weeks

Distinguish when to continue resuscitation, when to redirect to comfort care, and who should be involved in that decision

Draft parent-facing language that explains a resuscitation event without jargon, then revise it for plain-language readability

Describe a structured team debrief after a resuscitation, including timing, participants, and the two questions that drive it

Identify the documentation elements required after a resuscitation and the roles responsible for each

Complete two full-length practice assessments under timed conditions and record the score for each domain

Rank your domains from weakest to strongest using the practice results and rebuild a one-page review sheet for the two weakest

Re-run one integrated simulation that combines ventilation, compressions, medication, and a special situation in a single scenario

State from memory the dose, route, and indication for every medication in the algorithm without reference material

Recite the full algorithm sequence from birth to post-resuscitation stabilization in under four minutes