Neonatal resuscitation: compression ratio: practice question

A Anaesthesia 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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Anaesthesia · Neonatal resuscitation: compression ratio

Sample item

In neonatal resuscitation, chest compressions are started when the heart rate remains below what value after 30 seconds of effective ventilation?

A80 per minuteB100 per minuteC60 per minuteD40 per minute

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

The answer and the reasoning

C. 60 per minute

After 30 seconds of effective positive pressure ventilation with an inflated chest, compressions are begun if the heart rate is under 60 per minute, at a 3 compressions to 1 breath ratio. This gives 90 compressions and 30 breaths per minute.

Option by option

A. 80 per minute
80 per minute is not the cut-off.
B. 100 per minute
100 per minute is the threshold for adequate ventilation response.
C. 60 per minute (correct)
Correct. Heart rate below 60 requires compressions.
D. 40 per minute
40 per minute is too low.

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.

Questions about this Anaesthesia question

What is the answer to this Anaesthesia question?

The best answer is C, 60 per minute. After 30 seconds of effective positive pressure ventilation with an inflated chest, compressions are begun if the heart rate is under 60 per minute, at a 3 compressions to 1 breath ratio.

Why is "80 per minute" not the answer?

80 per minute is not the cut-off.

Why is "100 per minute" not the answer?

100 per minute is the threshold for adequate ventilation response.

Why is "40 per minute" not the answer?

40 per minute is too low.

What concept does this question test?

It tests Neonatal resuscitation: compression ratio in Anaesthesia. This gives 90 compressions and 30 breaths per minute.

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 Neonatal resuscitation: compression ratio?

Make a table of each agent, its key advantage and its main side effect. Then use the flashcards and the other Anaesthesia 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.