Heme and Immune
Blood administration requires vital signs completed at these times:
At the start, 15 minutes after, hourly, at the finish, and 30 minutes after.
To prevent ROP, the bedside RN should be titrating _______ to meet oxygen targeting guidelines.
Bonus points (50): At Crouse NICU, what should be high alarm limit on the monitor for a 30 week infant on a ventilator that's requiring 35% oxygen?
FiO2
97%
PGE's (prostaglandins) are used to keep the _______ patent to allow for blood flow between the pulmonary artery and the aorta.
PDA
Infants who were on IVH Protocol get a cranial ultrasound on DOL ______ and DOL _______.
DOL 4 and DOL 14
Neonates have better outcomes with feeding when ________ led feeding is used and fed in a ________ _______ ______ position.
Infant led feeding
Elevated side lying
Your infant needs a blood culture, CBC, and EPOC labs completed. How many ml's of blood do you need to draw?
1.42 - 1.65 mls
1ml for blood
.3 to .5 for CBC
.12 - .15 for EPOC
During her assessment of an infant on high-frequency ventilation (HFV), the nurse notices increased chest wall motion. This could be due to:
A. improved compliance.
B. inadequate amplitude.
C. gas trapping.
D. a large pneumothorax.
AACN; AWHONN; NANN. Certification and Core Review for Neonatal Intensive Care Nursing - E-Book (p. 33). Saunders. Kindle Edition.
a. improved compliance
Adenosine is a medication that is commonly used to treat the following cardiac arrhythmia: ________
SVT
This type of tube is a double-lumen catheter that is typically inserted orally, attached to intermittent low wall suction, and helps remove the accumulation of secretions or gastric contents.
Replogle tube
Name an individual in each role:
1. Lactation:
2. Discharge:
3. Bereavement/Spiritual Care:
1. Nychole, Charlene, Christine
2. Sabrina or Cindy
3. Liz Dablock or Jeremiah
What are the two most common IV antibiotics used to treat infants who are suspected of being septic?
Ampicillin
Gentamicin
According to NRP guidelines, PPV is started on all newborns with:
(3 possible answers, name at least two)
Points for stating: Apnea, gasping breaths, or HR <100 bpm
Shunt responsible for the movement of blood between the right and left atrium is called a _____ and primarily shunts blood flow from the ______ side to the _____ side during fetal life.
PFO, right to left shunt
Therapeutic hypothermia should be initiated within ___ hours of resuscitation and have to be at least ___ weeks.
Bonus Question (50 points): While infants are on therapeutic hypothermia, they typically have to have these labs drawn at least every 12 hours due to the risk for coagulopathy. (please list exact labs)
6 hours of resuscitation
36 weeks or greater
Bonus points: INR, PT/PTT, Fibronogen, Platelets
Answer the following prompts as True or False (must get all three questions right for all points):
1. When picking up opps, an individual who is full time may pick up opportunities as soon as the schedule is posted?
2. You have to work 40 hours before earning EP.
3. Vacation and PL do not count as "hours worked" in terms of earning EP.
1. False, you must follow the date you can pick up according to which group/category you fall in.
2. False, EP is earned after 36 hours.
3. True, vacation and PL are not counted as hours worked.
What maternal blood types prompt further evaluation in the neonate related to hemolysis?
Type O and Rh negative
The use of epinephrine in neonatal resuscitation for bradycardia less than 60 beats per minute is recommended after:
following initial steps, 30 seconds of effective ventilations, and 60 seconds of chest compressions.
An infant is on indomethacin for the closure of a PDA. What negative side effect should be closely monitored by the nurse?
Low Urinary Output
Bleeding
This type of GI disorder stems from the failure of ganglion nerve cells to develop in the large colon, leading to a lack of peristalsis, difficulty or no passing of stool, and distention of the bowel.
Hirschprungs Disease
In terms of ml/kg/day, what is considered a "full feed" for an infant?
165-180 ml/kg/day
How many ml's per kg is the circulatory blood volume of an infant?
90-110 ml/kg of blood
A neonate is placed on the decadron protocol to help with reducing lung inflammation. When explaining the steroid course to parents, you tell them the protocol lasts ___ days and the dose is weaned every ___ days.
42 days
3 days
Tetralogy of Fallot consists of these four cardiac defects:
1.
2.
3.
4. Right ventricular hypertrophy
1. Overriding Aorta
2. VSD
3. Pulmonary stenosis
4. Right ventricular hypertrophy
Which abdominal defect has a 60-65% association with other anomalies?
a. Malrotation
b. Omphalocele
c. Gastroschesis
d. Volvulus
b. Omphalocele
What is the only mechanism an infant can utilize to increase their cardiac output?
Increasing heart rate