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The rules and numbers that recur on the Neonatal Pediatric Transport exam. Skim it before
test day, then prove it with practice questions.
Exam facts
- 125 questions (100 scored, 25 unscored), 2 hours
- Transport Core Knowledge 48%, Neonatal 26%, Pediatric 26%
Transport physiology (the heart of the core section)
- Boyle’s law — gas expands as pressure drops with altitude:
pneumothorax, bowel gas, and ETT cuffs all enlarge in flight. - Dalton’s law — the partial pressure of oxygen falls at altitude,
worsening hypoxia. - Stressors of transport — thermal, noise, vibration, gravitational
(G) forces, and decreased humidity.
Neonatal stabilization — S.T.A.B.L.E.
Sugar & safe care, Temperature, Airway,
Blood pressure, Lab work, Emotional support.
Keep glucose above ~45–50 mg/dL and the neonate in a thermoneutral environment.
Key medications
- Prostaglandin E1 — keeps the ductus arteriosus open in
duct-dependent lesions (watch for apnea). - Surfactant — for respiratory distress syndrome in preterm neonates.
Pediatric airway quick math
- Uncuffed ETT size ≈ (age/4) + 4; cuffed ≈ (age/4) + 3.5
- ETT insertion depth at the lip ≈ ETT size × 3 (a 4.0 tube → ~12 cm)
Normal vitals by age
| Age | Heart rate | Respiratory rate |
|---|---|---|
| Neonate | 120–160 | 40–60 |
| Infant | 100–160 | 30–60 |
| Toddler / preschool | 80–130 | 24–40 |
| School age | 70–110 | 18–30 |
Knowing these cold frees your attention for the judgment the exam is really testing.
Unlock 700+ C-NPT practice questions across 4 full-length simulators — $19.99 lifetime →
Sources & references
The exam facts on this page are drawn from official certifying-body materials, reviewed 2026-06-18 by the DrCertifications exam-prep team (10+ years in exam preparation and publishing).