North American Registry of Midwives (NARM) Practice Exam

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During cardiac compression of a newborn, how deep should the chest be compressed?

  1. 1/4 inch to 1/2 inch

  2. 1/2 inch to 3/4 inch

  3. 3/4 inch to 1 inch

  4. 1 inch to 1.5 inches

The correct answer is: 1/2 inch to 3/4 inch

The depth of chest compressions during neonatal resuscitation is critical for effective circulation. The recommended depth of 1/2 inch to 3/4 inch aligns with guidelines from organizations such as the American Heart Association and the Neonatal Resuscitation Program. This depth is sufficient to create the necessary intrathoracic pressure to generate blood flow, yet it avoids the risk of causing injury to the delicate structures of a newborn's chest. While the other options suggest depths above or below this range, they either lack the efficacy needed for proper perfusion or pose a risk of damage. Therefore, the range of 1/2 inch to 3/4 inch is recognized as the standard for ensuring adequate compression without compromising the safety of the newborn.