Hot & Cold
Let's Get Physical
Just Breathe
Stop, Collaborate & Listen
Developmental Deep Dive
100

This mechanism, otherwise known as nonshivering thermogenesis, is the most important means of heat production in the neonate.

What is Brown Fat Metabolism

100

This can be done every 3-4 days with parents on either shift.

What is infant bath?
100

This condition is one of the most common respiratory problems in neonates and is defined by the cessation of breathing for 20 seconds or more if accompanied by cyanosis, pallor, or bradycardia.

What is apnea of prematurity?

100

Safety equipment required at every NICU beside

What are

Bag w/correct mask

monitor alarms set correctly

emergency drug sheet

wall suction (80-100 mmHg)

bulb syringe

100

A multidisciplinary approach to NICU care that allows for periods of care followed by good rest for the baby.

What is clustered care?

200

This mode is used to maintain a baby's temp at a constant temperature by changing the environment around the baby when the infant is under phototherapy lights.

What is baby mode/servo/skin mode?

200

The process for assessing an PIV that is infusing.

What is flushing, comparing extremities, feeling, looking for redness, swelling, or hardness ?

200

List 4 signs/symptoms of respiratory distress

What is nasal flaring, tugging, retractions, grunting, tachypnea, cyanosis, altered mental status?

200

Additional Check that you should do at the beginning of your shift and found ON the infant?

What is confirm patient ID bands?

200

The developmental technique that exposes the baby to certain intensities of light during the day and reducing light at night. This typically starts around 32 weeks gestation.

What is light cycling?

300

Add a hat, double swaddle, t-shirt with a sleeper, warmed blankets, or place back into an isolette.

What to do if the infant gets cold in a crib?

300

The name of the tab that you can review to make sure all of the admission required charting has been completed.

What is Required Doc?

Found in the Summary tab

300

The white, milky substance that is produced in the lungs to help keep our alveoli open during inhalation and exhalation.

What is surfactant?

300

Preventing falls in the NICU for an infant in an isolette

What is ensuring isolette portholes are closed and side walls are locked?

300

A technique that can allow parents to provide touch if they are unable to hold their baby.

What is a hand hug, containment or therapeutic touch?

400

The hormone released in response to cold stress

What is norepinephrine?

400

The normal temperature range for a NICU baby

What is 36.5C - 37.5C?

400

A disease state that is caused by delayed clearance of lung fluid after birth, commonly seen after a c-section.

What is Transient Tachypnea of the Newborn (TTN)?

400

A good review of this at the beginning and throughout your shift.  Goal is to review every 2 hours.

What are orders in Epic?

400

The four key concepts to consider when thinking about positioning a NICU baby.

What are flexion, midline, containment, and comfort?

500
Hypoglycemia, hypoxia, metabolic acidosis, increased respiratory distress, feeding intolerance, and impaired weight gain are all short term or chronic consequences of this.
What is cold stress?
500

The car seat test requires 2 different charting times.

What are the start and stop times?

500

A common respiratory disease in neonates caused by their insufficiency of surfactant production and structural immaturity of the lungs. S/S include increased work of breathing, retractions and grunting.

What is respiratory distress syndrome (RDS)?

500

Safety checks should include these if your baby is on respiratory support

What is checking your respiratory support settings and FiO2?

500

This is the last sense to develop in a neonate, but one that they are often overexposed to in the NICU.

What is the visual sense?

M
e
n
u