NRP
NICU Basics
Assessments
Treatments
Wild Card
100

How long should the nurse assess the heart rate for after 30 seconds of PPV?

6 seconds

100

Best practice is to use a heel warmer for _______ minutes prior to performing a heelstick.

5
100

After delivery your baby has an edematous, bruised lesion on the right anterior scalp where the vacuum was applied. This lesion has clearly demarcated edges, is firm to touch, and does not cross the suture line. This is best described as a:

Cephalohematoma

100

What are 2 examples of non-pharmacologic approaches to pain management?

Swaddling

Non-nutritive sucking

Kangaroo Care

100

What pharmacologic intervention is appropriate for a circumcision?

Subcutaneous lidocaine

200

According to the AAP, intubation attempts should be limited to ___________ seconds?

30

200

When an infant’s foot is stroked, the toes will fan outward which is known as the

Babinski reflex

200

Small white/yellow pustules with erythematous margins located on the neonate’s face and trunk.

Normal newborn rash
200

If the neonate is symptomatic with a plasma glucose value of <40mg/dl (2.2mmol/L), and is refusing or not tolerating feedings, what dose of D10W should the nurse prepare?

2mL/kg - Bonus: at what rate should the D10W infusion start at?

200

What is the most reliable laboratory test to determine neonatal drug exposure during the pregnancy?

Meconium analysis

300
What is the dose of a volume expander for a 3kg infant?

30mL

300
What medication is primarily used for the treatment of neonatal abstinence syndrome and what is the route of administration?

Buprenorphine, sublingual

300

List 4 signs of respiratory distress.

Grunting

Nasal flaring

Retractions

Tachypnea

300
What medication is used to treat neonatal apnea/

Caffeine Citrate

300

What vessel(s) is/are responsible for transporting oxygenated blood from the placenta to the fetus?

Umbilical Vein

400

What is the correct initial dose of IV/IO epinephrine?

0.2mL/kg (0.02mg/kg)

400

At what GA is suck-swallow coordination typically achieved?

34wks

400

How long should we expect a cephalohematoma take to resolve?

Within 3 months

400

All of the following are treatments for hyperbilirubinemia except:

  • Phototherapy
  • Hydration
  • Phenobarbital
  • Ibuprofen
  • Exchange Transfusion

Ibuprofen

400

Venous/Arterial blood rather than capillary samples should be used for all except:

  • Blood Cultures
  • Newborn Screens
  • Coagulation Studies
  • Lab tests requiring >1.5ml of blood
Newborn Screens
500

How often do you repeat epinephrine if heart rate is under 60 bpm?

Q3-5 minutes

500

A mother with mild pregnancy induced hypertension in preterm labor received IV magnesium sulfate during the 2 days prior to giving birth. She delivered a 31-week gestational age female with no apparent distress. What would the nurse monitor the infant for post-delivery?

Hypotonia

500

Risk factors for extreme hyperbilirubinemia include all except:

  • Breastfeeding
  • Sibling with hyperbilirubinemia
  • Rh/ABO Incompatibility
  • Formula Feeding

Formula feeding

500

List 3 scenarios in which capillary blood sampling would be contraindicated.

  • PICC is present in limb
  • Limb is edematous
  • Injury or anomalies that preclude putting pressure on the foot
  • Local infection
  • Poor perfusion
  • Total volume >1.5mL
500

Damage to the calcaneous is more likely when a heel stick is performed using what part of the foot?

End of the heel