RN Exam Practice
Management of CareQuestion 1424 of 2368

After 30 seconds of effective positive pressure ventilation, a newborn's heart rate is 50 bpm. Which action should the nurse take next?

  1. Continue ventilation alone for two more minutes
  2. Begin chest compressions with the two-thumb technique at a 3:1 ratio
  3. Give epinephrine before starting compressions
  4. Stop resuscitation and place the newborn under a warmer
Show answer

Correct answer: Begin chest compressions with the two-thumb technique at a 3:1 ratio

A heart rate below 60 bpm after 30 seconds of PPV requires chest compressions at a 3:1 compression-to-ventilation ratio.

Source: Nursing Health Promotion (Open RN, Chippewa Valley Technical College, 2025), High-risk Newborn Care: Neonatal Resuscitation. Licensed under CC BY 4.0.

Practice the topic "Management of Care"

Questions last reviewed: 18 October 2026