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NCC National Certification Corporation 2024-
Registered Nurse Certified in Neonatal Intensive Care
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- Complications of hyperthermia -increased metabolic demands -increased oxygen requirements -apnea 2. Why might a HYPERthermic **infant be hypotensive?
- What are three complications of** increased insensible water **loss?
- What circumstances would war-** rant a baby being on an **elemental formula?
- Most common causes of metabol-** **ic acidosis in NICU population
- Common causes of metabolic al-** **kalosis
- How is PIP adjusted in** **accordance with PaCO2?
- What is the general indication** for HFOV? They are vasodilated in an attempt to dissipate heat HYPERnatremia, dehydration, evapo- rative heat loss Liver disease, short gut syndrome, dysmotility (such as gastroschisis), malabsorption, severe protein aller- gies Renal tubular acidosis/renal failure, lactic acidosis (tissue hypoxia, sepsis, neonatal cold stress) Vomiting, NG/OG suctioning, sodium bicarb use Elevated PaCO2 -> Increase PIP Low PaCO2 --> Decrease PIP
- Phosphoru 10. When does the ANATOMIC closure of the ductus arteriosus **occur?
- TTN (Transient tachypnea of** the newborn) Can take up to one month after birth -Respiratory distress caused by in- effective breathing at birth; delayed clearance of lung fluid -Tachypnea, grunting, shallow breath- ing, nasal flaring, respiratory acidosis -May need intubation and ventilation -Sunburst pattern with perihilar streak- iness on x-ray -Fluid in interlobar tissue
- Normal Urine output 1-4 ml/kg/hr 13. What are three effects of perinatal steroids on neonates? -Maturation of epithelial skin barrier and renal epithelial transport system When does FUNCTIONAL closure of the ductus arteriosus occur?
- Phosphoru -Lower incidence of insensible water loss & hypernatremia -Lower fluid requirements in first 7 days of life
What are some complications of cold stress? Apnea, low blood sugar, low blood pressure, seizures
- Radiant heat loss (Radiation) -Transfer of heat between two objects that do not touch each other #1 mode of heat loss for preemies in after first week of life -Ex - baby's bed is near a cold, closed window
- Evaporative heat loss Transfer of heat through water loss #1 mode of heat loss in preemies in first week of life ex - baby on wet blankets
- Convection heat loss Transfer of heat to colder air in environ- ment ex- infant in drafty area or cold room Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧 📧 Chat with us here: 📧 Hybridgrades101@gmail.com
Transfer of heat from a warm surface to a cold surface ex- baby placed on cold scale
- Cryptorchidism undescended testes
- First Pass Effect Hepatic bio-transformation may markedly alter drug availability by di- rectly metabolizing drugs absorbed from the GI tract before those drugs reach systemic circulation 25. How is PPHN diagnosed? (gold standard) Echocardiogram shows right to left shunting
- PROM Premature rupture of membranes (be- fore onset of labor) risk of cord prolapse
- PPROM Preterm premature rupture of mem- branes ROM occurring before onset of labor and before 37wks gestation
- Chorioamnionitis Inflammation of placental membranes; can lead to sepsis, pneumonia, and even meningitis in the newborn Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧 📧 Chat with us here: 📧 Hybridgrades101@gmail.com
29. How does maternal anemia affect baby? Bleeding - oozing from umbilical cord, prolonged bleeding from heelsticks, Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧 📧 Chat with us here: 📧 Hybridgrades101@gmail.com
36. Polyhydramnios paired -May be related to Potter Sequence (no kidneys = no urine) -Positional deformities Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧 📧 Chat with us here: 📧 Hybridgrades101@gmail.com
Amniotic fluid >2L Can be due to GI obstructions, tight nuchal, neurologic defects (anything that impairs swallowing of amniotic fluid)
37. What are the major side effects of prostaglandin? Apnea, fever, flushing
- Hydrops Fetalis Condition in which the fetus or new- born accumulates fluids, potentially causing profound edema and compro- mise to pulmonary function
- Pneumatosis Intestinalis THINK: NEC Gas-containing cysts invade the walls of the intestines due to the dissection of gas beneath the serosa and submu- cosa layers of the bowel also called intraluminal air or intramur- al gas Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧 📧 Chat with us here: 📧 Hybridgrades101@gmail.com
- Gram + Cocci in pairs strep or staph
- Gram + cocci in clusters Staph
- Gram - clubshaped rods E. coli
- Gram - diploid Neisseria Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧 📧 Chat with us here: 📧 Hybridgrades101@gmail.com
45. What condition is associated with repeated fungal mouth infections? HIV/AIDs Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧 📧 Chat with us here: 📧 Hybridgrades101@gmail.com
- Four types of hypoxia Hypoxemic, anemic, circulatory, histo- logic
- Apoptosis programmed cell death 52. Normal PaO2 for preterm babies Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧 📧 Chat with us here: 📧 Hybridgrades101@gmail.com
45-65mmHg (arterial) 30-40mmHg (capillary)
- Normal PaO2 for term babies 50-80mmHg (arterial) 40-50mmHg (capillary)
- Anemic hypoxia Not enough blood, leading to decrease in amount of O2 available to the tissues
- Histologic Hypoxia Inability of the tissue to receive oxy- gen from blood, resulting in decreased oxygen available to tissue (sepsis, cold stress)
- Hypoxemic hypoxia Not enough O2 in the blood, leading to decrease in amount of O available to the tissues
- Circulatory hypoxia Issues with effective circulation of blood to the tissues, leading to a de- crease in the amount of O available to the tissues (hypotension, bradycardia, PPHN) 58. What are common complications of a vacuum assisted delivery? 59. What are some common underly- ing causes of fetal tachycardia in utero? Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧 📧 Chat with us here: 📧 Hybridgrades101@gmail.com