NCC Low Risk Neonatal Nursing - 2025 Practice Test


RNC-LRN Exam Format | Course Contents | Course Outline | Exam Syllabus | Exam Objectives


Certification: Low Risk Neonatal Nursing (RNC-LRN)
Issuing Organization: National Certification Corporation (NCC)
Eligibility: Requires an active RN license and recent experience in low-risk neonatal nursing
Exam Format: Computer-based, multiple-choice questions
Exam Length: 3 hours (180 minutes)
Number of Questions: 175 (150 scored + 25 pretest/un-scored)
Passing Score: Determined by a criterion-referenced standard (exact percentage not disclosed)

- Maternal risk factors and birth history
- Fetal Anatomy and Physiology
- Fetal Assessment
- GBS screening
- Nonstress testing
- Biophysical profile
- Antepartal screening
- Cord gases
- Maternal age
- Medical Conditions
-Maternal age
-Diabetes
-Blood disorders
-Infectious diseases
- CMV
- Toxoplasmosis
- syphilis
- herpes
- hepatitis HIV
- gonorrhea
- Chlamydia
- GB
-Maternal depression

- Pregnancy Related
-Hypertensive Disorders
- Eclampsia
- HELLP syndrome
- Amniotic fluid disorders (Amniotic bands, Polyhydramnios, Oligohydramnios)
- Maternal hemorrhage
- Placental abruption
- Placenta previa
- Multiple gestations
- Chorioamnionitis
- Cord Accidents

- Maternal medications during labor and delivery (tocolytics, analgesia, anesthesia)
- Complications of Labor
- Abnormal labor patterns
- Abnormal fetal heart rate patterns (altered variability, decelerations [early, late, variable]; tachycardia, bradycardia (category I, II and III fetal heart rate tracings)
- Operative/instrument assisted birth
- Preterm/postterm
- Meconium
- Breech and other malpresentation
- Life-style and Environmental Conditions
- Substance use
- Teratogen exposure
- Medication use

- Physical and gestational age assessment Gestational Age
- Physical Characteristics, Etiologies and/or Risks and Complications of
- Preterm
- Term
- Post-term
- Late preterm
- AGA
- SGA
- LGA
- Intrauterine growth restriction
- Symmetrical
- Asymmetrical

- Physical Assessment
- Cardiac examination findings
- Heart rate, rhythms and sounds
- Point of maximal intensity
- Blood pressure
- Peripheral pulses
- Perfusion
- Color
- Respiratory Physical Assessment
- Respiratory rate and breath sounds
- Respiratory patterns
- Thorax and Chest
- Abdominal examination findings
- Stooling patterns
- Neonatal skin assessment
- Characteristics of normal neonatal skin
- Musculoskeletal assessment
- Neurological assessment

- Reflexes
- Moro
- Rooting and sucking
- Palmar grasp
- Plantar grasp
- Stepping
- Babinski
- Tonic neck
- Gag
- Anal wink reflex
- Tone
- Techniques
- Pull to sit
- Truncal tone assessment

- Head, ear, eyes, nose, mouth assessment
- Fontanelles and cranial sutures
- Neck appearance
- Ear appearance, shape and placement
- Hearing
- Nasal patency
- Symmetry of the mouth
- Evaluation of pigmentation and movement
- Evaluation of cornea/sclera
- Eye prophylaxis
- Complications/Variations
- Skull/neck variations & abnormalities
- Molding
- Cephalhematoma
- Caput succedaneum
- Craniosynostosis
- Craniotabes
- Cystic hygroma
- Pierre Robin
- Variations & abnormalities
- Conjunctivitis
- Cleft lip and palate
- Epstein’s pearls
- Natal teeth
- Choanal atresia
- Retinopathy of prematurity
- Tracheomalacia
- Micronathia

- Laboratory and Diagnostic Data
- Blood
- Glucose
- Complete blood count with differential
- Cultures
- Rh (Coombs)
- Blood gases
- Bilirubin
- Electrolytes
- Newborn screening

- Cardiovascular
- Basic physiology and anatomy
- Adaptation to extrauterine life
- Complications/Variations
- Pulmonary vascular resistance
- Abnormal rhythms
- Congenital heart disease
- Patent ductus arteriosus
- Coarctation of the aorta
- Septal defects
- Tetralogy of Fallot
- Transposition of the great vessels
- Congestive heart failure
- Hypertension/Hypotension
- Shock

- Respiratory
- Basic physiology and anatomy
- Adaptation to extrauterine life
- Complications/Variations
- Air leaks
- Apnea of prematurity
- Chronic lung disease
- Pneumothorax
- Pneumomediastinum
- Pneumonia
- Respiratory distress syndrome
- Transient tachypnea of the newborn
- Persistent pulmonary hypertension
- Meconium aspiration syndrome
- Diaphragmatic hernia

- Gastrointestinal and Genitourinary
- Basic physiology and anatomy
- Complications/Variations
- Diastasis of recti muscles
- Duodenal atresia
- Bowel obstruction
- Esophageal atresia/tracheoesophageal fistula
- Imperforate anus
- Omphalocele/gastroschisis
- Umbilical hernia
- Meconium ileus/plug
- GE reflux
- Necrotizing enterocolitis
- Short gut syndrome
- Malrotation/Volvulus
- Renal function/urinary output
- Complications
- Hypospadias
- Undescended testes
- Testicular abnormalities
- Hydrocele
- Inguinal hernia
- Vaginal discharge/abnormalities
- Renal abnormalities
- Circumcision
- Postoperative care

- Musculoskeletal and Integumentary
- Musculoskeletal Complications
- Congenital hip dysplasia
- Metatarsus adductus
- Polydactyly and syndactyly
- Torticollis
- Talipes equinovarus
- Fracture
- Physiologic basis for general skin care
- Variations
- Erythema toxicum
- Milia
- hyperpigmented skin lesions
- Hemangiomas/birth marks
- Petechiae
- Cafe au lait spots
- Other skin lesions, e.g. pustules, vesicles
- Umbilical cord
- Fat necrosis
- Diaper Dermatitis

- Neurological
- Basic physiology
- Motor function
- Complications/Variations
- Seizures
- Jitteriness
- Intracranial hemorrhage (subdural)
- Intraventricular hemorrhages
- Periventricular leukomalacia
- Hydrocephalus
- Neuromuscular birth Injuries
- Brachial plexus injuries
- Facial nerve injuries
- Neural tube defects
- Therapeutic hypothermia

- Hematology and hyperbilirubinemia
- Basic physiology
- Interpret lab values (CBC; hematocrit, hemoglobin, retic, platelets, total and direct serum bilirubin, direct and indirect antibody tests)
- Complications
- Anemia (Physiologic and non-physiologic)
- Bleeding disorders
- ABO/Rh incompatibility
- Polycythemia/hyperviscosity
- Sickle Cell
- Administration of blood and blood products
- Hyperbilirubinemia
- Basic physiology
- Complications
- Jaundice
- Physiologic jaundice
- Pathologic jaundice
- Breast feeding and jaundice
- Kernicterus
- Phototherapy
- G6PD

- Genetic, Metabolic and Endocrine Genetic Disorders
- Patterns of Inheritance
- Autosomal recessive, autosomal dominant, sex linked
- Complications
- Common chromosomal abnormalities (trisomy 21, 18 & 13)
- Birth defects/congenital anomalies
- Skeletal dysplasia
- Cystic Fibrosis
- DiGeorge (22q11.2 deletion syndrome)
- Turners
- Endocrine/Metabolic
- Interpreting lab values (Calcium, phosphorus, magnesium, glucose)
- Metabolic Disorders (PKU, Thyroid, CAH, Galactosemia)
- Complications
- Hypoglycemia
- Hypocalcemia
- Rickets/metabolic bone disease
- Infant of a diabetic mother

- Resuscitation and Stabilization
- General assessment of status and need for resuscitation
- Management of resuscitation
- Airway
- Breathing
- Circulation
- Drug Therapy
- Evaluation of effectiveness of interventions
- Apgar scores
- CHD Screening

- Nutrition and Feeding
- Growth patterns (Growth curves)
- Fluid/Calorie requirements
- CHO, Fats, Proteins
- Lactation
- Anatomy and physiology of lactation
- Composition of breast milk
- Maternal nutritional needs
- Normal breastfeeding process
- Positioning
- Latch On
- Suck/swallow/sequence
- Timing (frequency and duration)
- Feeding cues
- Contraindications to breastfeeding
- Maternal Complications
- Latch on problems
- Nipple problems
- Breast engorgement
- Insufficient milk supply
- Medication effects
- Therapeutic medications
- Infection/Mastitis
- Maternal illness
- Perinatal substance abuse (TCN)
- Maternal/newborn separation
- Breast reduction/augmentation
- Newborn complications
- Drug screening
- Multiple births
- Prematurity
- Patient Education
- Breast/nipple care
- Use of supplementary/ complementary feedings
- Use of breastfeeding devices
- Expressing and storing breast milk
- Colostrum
- Complications/Contraindications
- Donor milk
- Formula feeding
- Composition of formula
- Techniques
- Special needs (e.g. cleft palate, PKU)
- Dietary Supplements (Iron, MCT, Vitamins, probiotics, Fortifiers)
- Feeding techniques
- Tube feedings
- Feeding cues
- Special Nutritional considerations
- Chronic Lung Disease (CLD)
- Prematurity
- Short Gut syndrome

- Pharmacology, Pharmacokinetics and Pharmacodynamics
- Principles of administration
- Dosage
- Route
- 5 rights of medication administration
- Blood drug levels (toxic vs therapeutic)
- Pharmacokinetics
- Common drugs used in neonates
- Vitamin K
- Antibiotics
- Antibiotics
- Anticonvulsants
- Antimicrobials
- Antiretroviral
- Immunologic agents
- Bronchodilators
- CNS stimulants (Caffeine, etc)
- Diuretics
- Drugs for NAS
- Eye prophylaxis
- Vaccines
- Pain Assessment and Management
- Signs and symptoms
- Nonpharmacological interventions
- Pharmacological interventions

- Fluid, Electrolytes and Glucose Homeostasis
- Normal fluid and electrolyte requirements
- Monitoring fluid and electrolyte status
- electrolytes
- urine output
- Parenteral nutrition (indication, composition, complications)
- Lipids
- Metabolic panel
- PICC lines or midlines
- Umbilical lines
- Hypoglycemia

- Oxygenation, non-invasive ventilation and Acid-base balance
- Oxygenation: interpretation and management
- Hypoxia/hypoxemia
- Oxygen saturation (SaO2)
- Methods of oxygenation/ventilation
- non-invasive ventilation (high flow NC, CPAP, Nasal cannula, hood)
- Blood gas: interpretation and management
- Metabolic acidosis/alkalosis
- Respiratory acidosis/alkalosis
- Mixed

- Neurodevelopmental Care
- Neurobehavioral development
- habituation
- motor organization
- sensory/interaction capabilities
- state/sleep cycles
- Environmental impact on development
- Interventions (Reducing noise, light level, diurnal patterns, handling, positioning, kangaroo care/skin to skin)
- Nonnutritive sucking
- Complications of Substance Exposure in Utero
- Alcohol
- Heroin
- Methadone
- Cocaine
- Nicotine
- Subutex
- Cannabis (marijuana)
- Prescription drug abuse
- Neonatal Abstinence Syndrome (NAS)
- Methadone
- Cocaine
- Nicotine
- Subutex
- Cannabis (marijuana)
- Prescription drug abuse

- Infection and Immunology Immune System
- Basic physiology
- Interpret laboratory values
- WBC and differential
- CRP
- Antibody function
- IgA
- IgG
- IgM
- Infection Control
- Handwashing
- Visitation
- Standards precautions
- Complications/Variations
- Neonatal sepsis
- Septic shock
- Viral and fungal infections
- AIDS/HIV
- Cytomegalovirus
- Rubella
- Hepatitis B
- Varicella
- Toxoplasmosis
- Herpes
- Human papilloma virus
- Enterovirus
- Bacterial infections
- Group B streptococcus
- Staphylococcus
- E. coli
- Sexually Transmitted infections
- Gonorrhea
- Chlamydia
- Syphilis
- Early and late onset infections

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RNC-LRN PDF Sample Questions

RNC-LRN Sample Questions

Question: 1
A term neonate is born with a cleft lip and palate. Which of the following nursing interventions is important for the management of a neonate with cleft lip and palate?
A. Assisting with surgical repair immediately after birth
B. Administering antibiotics prophylactically
C. Promoting adequate nutrition and feeding techniques
Answer: C
Explanation: Promoting adequate nutrition and feeding techniques is an important nursing intervention for the management of a neonate with cleft lip and palate. Cleft lip and palate are congenital malformations that can affect a neonate's ability to feed properly. Special feeding techniques, such as using specialized nipples or feeding devices, may be necessary to ensure adequate nutrition. Surgical repair of the cleft lip and palate is typically performed at a later stage, after the neonate has grown and developed further. Antibiotics may be administered if there is an associated infection but are not routinely administered prophylactically.
Question: 2
A term neonate is diagnosed with congenital hypothyroidism. Which of the following interventions is a standard part of the management for this condition?
A. Surgical correction of the thyroid gland
B. Administration of corticosteroids
C. Initiation of thyroid hormone replacement therapy
Answer: C Explanation: Initiation of thyroid hormone replacement therapy is a standard part of the management for neonates diagnosed with congenital hypothyroidism. Congenital hypothyroidism is a condition characterized by an inadequate production of thyroid hormones. Replacement therapy with thyroxine (T4) is necessary to maintain normal growth and development. Corticosteroids are not routinely used in the management of congenital hypothyroidism. Surgical correction of the thyroid gland is not typically indicated in this condition.
Question: 3
A preterm neonate is being transitioned from parenteral nutrition to enteral feeds. Which of the following complications is commonly associated with enteral feeding in preterm neonates?
A. Hypertrophic pyloric stenosis (HPS)
B. Patent ductus arteriosus (PDA)
C. Necrotizing enterocolitis (NEC)
Answer: C
Explanation: Enteral feeding in preterm neonates is commonly associated with the risk of developing necrotizing enterocolitis (NEC). NEC is a gastrointestinal condition characterized by inflammation and necrosis of the intestinal mucosa. Preterm neonates have an immature gastrointestinal tract, making them more susceptible to NEC. The introduction of enteral feeds, especially if done rapidly or in large volumes, can further increase the risk of developing NEC. Close monitoring and careful advancement of enteral feeds are important to minimize the risk of this serious complication.
Question: 4
A newborn is diagnosed with necrotizing enterocolitis (NEC). Which of the following interventions is a common approach in the management of NEC?
A. Surgical repair of the affected bowel segment
B. Administration of broad-spectrum antibiotics
C. Initiation of enteral feeds
Answer: B
Explanation: Administration of broad-spectrum antibiotics is a common approach in the management of necrotizing enterocolitis (NEC) in a newborn. NEC is a serious gastrointestinal condition characterized by inflammation and necrosis of the intestinal mucosa. The administration of antibiotics helps control the infection and prevent its progression. In severe cases, surgical intervention may be necessary for the repair of the affected bowel segment. Initiation of enteral feeds is generally delayed or temporarily withheld in the management of NEC.
Question: 5
A newborn requires resuscitation at birth due to poor respiratory effort and lack of spontaneous crying. Which of the following is the most appropriate initial step in resuscitation?
A. Administering chest compressions
B. Providing positive-pressure ventilation
C. Drying and warming the newborn
Answer: C
Explanation: The most appropriate initial step in resuscitating a newborn with poor respiratory effort and lack of spontaneous crying is to dry and warm the newborn. Drying the newborn removes any wetness from the skin, which can help prevent heat loss. Warming the newborn helps maintain a stable body temperature, which is important for normal physiologic functioning. If the newborn's respiratory effort and crying do not improve after drying and warming, further steps of resuscitation, such as providing positive-pressure ventilation, may be necessary.
Question: 6
A term neonate is noted to have cyanosis, poor feeding, and respiratory distress shortly after birth. On examination, the neonate has a continuous machinery-like murmur. What is the most likely diagnosis?
A. Transposition of the great arteries
B. Coarctation of the aorta
C. Patent ductus arteriosus
Answer: C
Explanation: The symptoms described, including cyanosis, poor feeding, respiratory distress, and a continuous machinery-like murmur, are suggestive of patent ductus arteriosus (PDA) in a term neonate. PDA is a congenital heart defect characterized by the failure of the ductus arteriosus, a blood vessel that connects the pulmonary artery to the aorta, to close after birth. This results in abnormal blood flow between these two vessels, leading to symptoms such as cyanosis and respiratory distress. The continuous machinery-like murmur is a characteristic finding in PDA.
Question: 7
A preterm neonate is diagnosed with patent ductus arteriosus (PDA). Which of the following medications is commonly used for pharmacological closure of PDA?
A. Naloxone
B. Epinephrine
C. Indomethacin
Answer: C
Explanation: Indomethacin is commonly used for pharmacological closure of a patent ductus arteriosus (PDA) in preterm neonates. Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that helps constrict the ductus arteriosus, leading to its closure. Other medications, such as ibuprofen, may also be used for this purpose. Surgical ligation is an alternative treatment option for PDA if pharmacological closure is ineffective.
Question: 8
A preterm neonate is diagnosed with necrotizing enterocolitis (NEC). Which of the following findings is associated with advanced stages of NEC?
A. Bloody stools
B. Abdominal distension and tenderness
C. Hypothermia
Answer: B
Explanation: Advanced stages of necrotizing enterocolitis (NEC) in a preterm neonate are characterized by abdominal distension and tenderness. NEC is a serious gastrointestinal condition that primarily affects premature infants and is characterized by inflammation and necrosis of the intestinal mucosa. In advanced stages, the affected neonate may develop abdominal distension due to gas accumulation, and the abdomen may appear tender on palpation. Other symptoms can include bloody stools, which are associated with bowel necrosis, and signs of systemic illness such as hypothermia.
Question: 9
A newborn presents with decreased movement of the left arm and asymmetrical Moro reflex. On examination, there is limited range of motion and asymmetry of the shoulder. The most likely diagnosis is:
A. Brachial plexus injury
B. Congenital hip dysplasia
C. Osteogenesis imperfecta
Answer: A
Explanation: The symptoms described, including decreased movement of the left arm, asymmetrical Moro reflex, limited range of motion, and asymmetry of the shoulder, are suggestive of a brachial plexus injury in a newborn. The brachial plexus is a network of nerves that controls movement and sensation in the arm and hand. Injury to the brachial plexus can occur during childbirth, particularly in cases of shoulder dystocia or difficult deliveries. This can result in varying degrees of weakness or paralysis in the affected arm. Further evaluation and management, including physical therapy and possible surgical intervention, may be necessary.
Question: 10
A preterm neonate is diagnosed with hypoglycemia. Which of the following signs or symptoms is commonly associated with hypoglycemia in a neonate?
A. Hypertonia
B. Bradycardia
C. Jitteriness Answer: C
Explanation: Jitteriness is a common sign associated with hypoglycemia in a neonate. Hypoglycemia is defined as a low blood glucose level and can occur in both term and preterm neonates. Other signs and symptoms of hypoglycemia may include poor feeding, lethargy, cyanosis, apnea, and seizures. Bradycardia and hypertonia are not typically specific signs of hypoglycemia.
Question: 11
A neonate is diagnosed with hyperbilirubinemia. Which of the following interventions is commonly used in the management of neonatal hyperbilirubinemia?
A. Phototherapy
B. Administration of bronchodilators
C. Initiation of antiviral therapy
Answer: A
Explanation: Phototherapy is a commonly used intervention in the management of neonatal hyperbilirubinemia. Hyperbilirubinemia refers to elevated levels of bilirubin in the blood, resulting in jaundice. Phototherapy involves exposing the neonate to special lights that help convert the bilirubin into a form that can be excreted from the body more easily. This reduces the severity of jaundice and prevents potential complications. Administration of bronchodilators is not indicated for hyperbilirubinemia, and antiviral therapy is not relevant unless there is an associated viral infection.
Question: 12
A neonate presents with poor weight gain, constipation, and a protruding abdomen. On physical examination, the neonate has a palpable olive-shaped mass in the right upper quadrant. The most likely diagnosis is:
A. Hypertrophic pyloric stenosis
B. Intussusception
C. Hirschsprung's disease
Answer: A
Explanation: The symptoms described, including poor weight gain, constipation, a protruding abdomen, and a palpable olive-shaped mass in the right upper quadrant, are characteristic of hypertrophic pyloric stenosis (HPS) in a neonate. HPS is a condition in which the muscle of the pylorus, the opening between the stomach and the small intestine, becomes thickened, leading to partial or complete obstruction. The palpable olive-shaped mass represents the hypertrophied pylorus. HPS typically presents in the first few weeks of life and requires surgical intervention.
Question: 13
A preterm neonate is diagnosed with persistent pulmonary hypertension of the newborn (PPHN). Which of the following interventions is commonly used in the management of PPHN?
A. Intravenous fluid administration
B. Inhaled nitric oxide (iNO) therapy
C. Exchange transfusion
Answer: B
Explanation: Inhaled nitric oxide (iNO) therapy is a common intervention used
in the management of persistent pulmonary hypertension of the newborn (PPHN). PPHN is a condition characterized by abnormal pulmonary vasoreactivity and decreased oxygenation. Inhaled nitric oxide helps dilate the pulmonary blood vessels, improving blood flow and oxygenation. Intravenous fluid administration is a routine practice in neonatal care but is not specific to PPHN. Exchange transfusion may be indicated in certain cases, such as severe neonatal jaundice, but is not a primary intervention for PPHN.
Question: 14
A term neonate is diagnosed with meconium aspiration syndrome (MAS). Which of the following interventions is a common management approach for this condition?
A. Continuous positive airway pressure (CPAP) therapy
B. Placement of a chest tube
C. Administration of surfactant
Answer: A
Explanation: Continuous positive airway pressure (CPAP) therapy is a common management approach for meconium aspiration syndrome (MAS) in a term neonate. MAS occurs when the neonate inhales meconium-stained amniotic fluid into the lungs, leading to respiratory distress and potential airway obstruction. CPAP therapy helps maintain positive pressure in the airways, preventing collapse and facilitating better oxygenation. It is often used as a first-line intervention for respiratory support in neonates with MAS. Surfactant administration may be considered in severe cases, and placement of a chest tube is not typically indicated for MAS.
Question: 15
A newborn is noted to have dysmorphic facial features, hypotonia, and a hoarse
cry. Laboratory investigations reveal an elevated thyroid-stimulating hormone (TSH) level and low levels of thyroid hormones (T3 and T4). The most likely diagnosis is:
A. Congenital hypothyroidism
B. Down syndrome
C. Turner syndrome
Answer: A
Explanation: The symptoms described, including dysmorphic facial features, hypotonia, hoarse cry, elevated TSH level, and low levels of thyroid hormones (T3 and T4), are consistent with congenital hypothyroidism in a newborn. Congenital hypothyroidism is a condition characterized by insufficient production of thyroid hormones, which are essential for normal growth and development. The dysmorphic facial features, such as a large tongue and a flattened nasal bridge, can be seen in infants with congenital hypothyroidism. Early diagnosis and prompt treatment with thyroid hormone replacement are crucial to prevent long-term developmental impairments.
Question: 16
A term neonate presents with pallor, poor feeding, and petechiae on physical examination. Laboratory investigations reveal a low hemoglobin level and thrombocytopenia. The most likely diagnosis is:
A. Hemolytic disease of the newborn
B. Neonatal sepsis
C. Disseminated intravascular coagulation (DIC)
Answer: C Explanation: The symptoms described, including pallor, poor feeding, petechiae, low hemoglobin level, and thrombocytopenia, are suggestive of disseminated intravascular coagulation (DIC) in a term neonate. DIC is a serious condition characterized by widespread activation of the clotting cascade, leading to both excessive clot formation and depletion of clotting factors and platelets. This can result in bleeding manifestations such as petechiae and laboratory abnormalities including low hemoglobin and platelet count. DIC can be secondary to various underlying conditions, including neonatal sepsis or hemolytic disease of the newborn.
Question: 17
A newborn is noted to have a single umbilical artery on examination. Which of the following congenital anomalies is commonly associated with this finding?
A. Cardiac anomalies
B. Renal anomalies
C. Gastrointestinal anomalies
Answer: B
Explanation: The finding of a single umbilical artery in a newborn is commonly associated with renal anomalies. Normally, the umbilical cord contains two arteries and one vein. However, in some cases, one of the arteries may be absent or underdeveloped, resulting in a single umbilical artery. This finding is often seen in association with renal anomalies, such as renal agenesis or renal dysplasia. Therefore, further evaluation of the newborn's renal system is warranted.
Question: 18
A neonate requires resuscitation at birth. Which of the following is an essential component of effective neonatal resuscitation?
A. Administration of anticoagulant medications
B. Intravenous administration of glucose
C. Use of positive pressure ventilation
Answer: C
Explanation: The use of positive pressure ventilation is an essential component of effective neonatal resuscitation. Positive pressure ventilation involves the delivery of breaths to the newborn's lungs using a bag-mask device or a specialized ventilator. This helps establish adequate oxygenation and ventilation in a neonate who is not breathing or breathing ineffectively at birth. Administration of anticoagulant medications and intravenous administration of glucose are not primary interventions during neonatal resuscitation.

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