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?
What lipoprotein begins production at 26 weeks and matures at 35 weeks?
What is surfactant?
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?
Explain the difference between an omphalocele and gastroschisis
Omphalocele: a congenital malformation that occurs as the result of a ventral abdominal wall defect. The abdominal viscera are herniated into the umbilical cord.
Gastroschisis: a herniation of abdominal content through an abdominal wall defect.
What is irritability, excessive sleepiness, hypo/hyperthermia, tachycardia, bradycardia, hypoglycemia, poor feeding, respiratory distress, hypotension, oliguria?
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?
State the differences between RDS and AOP
RDS: occurs in the preterm infant because of the infant's inability to produce surfactant.
AOP: characterized by a spontaneous pause in breathing due to prematurity in the brain.
What are signs and symptoms of pyloric stenosis and when would you expect this to present?
Typically within the first few weeks of life.
Hallmark is nonbilious projectile emesis, visible peristaltic waves in the epigastrium with a palpable pyloric olive-shaped mass in the right upper quadrant of the abdomen measuring 1-2 cm. Dehydration, lethargy, weight loss, failure to thrive.
What is pH 7.35-7.45, CO2: 35-45, HCO3: 19-26