Sugar
Normal blood glucose range
What is 50-110?
Normal temperature range for infant.
What is 36.5-37.5?
Normal respiratory rate in infants.
What is 30-60?
Determining a normal map on a NICU patient.
What is their gestational age?
You have a CBC, Electrolytes, Blood gas and Bili to draw. What should be drawn first and second?
What is blood gas and then CBC?
D10 bolus calculation
What is 2ml/kg?
True/False. The infant should be swaddled inside the incubator on servo mode.
Three safety items that must be present at the bedside.
What is a Self-inflating bag, suction, code sheet, and an ID band on the patient?
What is 10mL/kg?
True/False. Newborn screen specimens should be double-checked with another RN.
What is True.
Causes hypoglycemia in the infant of the diabetic mother (IDM)
What is hyperinsulinism?
This is released in response to cold stress and causes the blood vessels to constrict.
What is norepinephrine?
All patients with a tracheostomy require this to be at the bedside.
What is a spare tracheostomy tube of the same size and a size smaller?
Name and explain the 3 different types of scalp swellings.
What is Caput: Cross suture lines, shifts with positioning, resolves 48-72 hours, no bleeding involved
Cephalohematoma: Blood accumulation between the skull bone and periosteum. Does not cross suture lines and resolves 2wks to 3 months.
Subgaleal hemorrhage: Crosses suture lines, may extend from eyes to neck, boggy, resolves over 2-3 weeks, high morbidity. Can be an emergency.
Explain a blood culture collection and how much should be drawn.
A blood culture should be drawn with 2 people, the patient should be scrubbed 3 separate times for 15 second intervals and the bottle top should not be popped until sample is ready (should be scrubbed prior to sample entering the bottle). 1mL is the preferred amount
Signs and symptoms of hypoglycemia
What is poor feeding, hypothermia, diaphoresis, tremors, jitteriness, irritability, tachypnea?
Patients most at risk for developing hypothermia.
What is preterm, abdominal defects, septic, prolonged resuscitation?
Signs/symptoms of TEF
What are increased secretions, labored breathing, cyanosis with feeding, abdominal distention?
What is hypovolemic, cardiogenic and septic?
I/T ratio value that raises concern for infections
What is greater than 0.2?
A D10 bolus is given, when should a follow up blood sugar be checked?
What is 30 minutes?
Four mechanisms of heat loss
What is conduction, convection, radiation, and evaporation?
Proper positioning of a pierre robin patient.
What is prone?
Explain PPHN
PPHN stands for persistent pulmonary hypertension, which is
What is pH 7.35-7.45, CO2: 35-45, HCO3: 19-26