NICU Certification Exam with all Correct & 100% Verified
Answers |Actual Complete Update |Already Graded A+
levels effected from blood transfusion ✔Correct Answer-decreased calcium
increased potassium
rbcs usage ✔Correct Answer-used to treat anemia and hemorrhage and to improve tissue
oxygenation associated with loss of oxygen carrying capacity
rbs must be used within ✔Correct Answer-4 hours of preparation; in neonates should last at
least 2 to 3 hours to prevent overload
neonates generally transfused with how much rbs ✔Correct Answer-10 ml/kg
how much should we expect hgb to increase after transfusion ✔Correct Answer-1 g/dl
crit by 3%
platelet usage ✔Correct Answer-used for active bleeding related to thrombocytopenia or
platelet dysfunction or as prophylaxis without active bleeding present
plasma usage ✔Correct Answer-bleeding related to a deficiency of multiple coagulation
factors, reversal of warfarin effects, or treatment of coagulopathies
cryoprecipitate usage ✔Correct Answer-treatment of defective or absent plasma proteins.
Cryoprecipitate is the precipitate that remains after the thawing process of plasma and consists
of enriched factor VIII, von Willebrand factor, fibrinogen, and factor XIII. Cryoprecipitate is used
in patients with factor XIII deficiency, such as hemophilia A and B, or disease-related deficiencies
(e.g., disseminated intravascular coagulation [DIC]), or von Willebrand disease.
Benefits of leukocyte reduction ✔Correct Answer-ecrease the frequency of recurrent febrile
nonhemolytic transfusion reaction, which is typically manifested by a temperature elevation of
1°C (1.8°F) or more occurring during or within 4 hours of transfusion.1 Leukocyte-reduced
components also have been shown to reduce the risk of transfusion-transmitted
cytomegalovirus (CMV) and to reduce the incidence of human leukocyte antigen (HLA)
alloimmunization.
Irradiated blood components prevent ✔Correct Answer-propagation of T lymphocytes, which
is the immediate cause of transfusion-associated graft-versus-host disease (GVHD)
Washing blood and blood products removes ✔Correct Answer-unwanted plasma proteins,
including antibodies. Washing is indicated when these products are suspected to predispose the
patient to significant transfusion reactions.
, why are units of blood divided into aliquots ✔Correct Answer-reduce exposure to multiple
donors
preparation of blood transfusion ✔Correct Answer-type and screen
gather supplies
verify informed consent
pretransfusion meds?
obtain blood component when ready
blood transfusion order needs to include ✔Correct Answer-type of blood
special preparation
quantity
duration
why does blood need to be filtered ✔Correct Answer-remove clots and aggregates
can you run blood with iv fluids ✔Correct Answer-no
if only one point of access consider BG
flush line with saline prior to administration
signs to notify md during blood transfusion ✔Correct Answer-temp increase more than 1C
elevated HR
increased or decreased BP
tachypnea
resp distress
decrease in urine output
what is starting dose of morphine for NAS ✔Correct Answer-0.04MG/KG/DOSE
How many times can infant receive rescue morphine before being placed on maintenance
✔Correct Answer-3 in 24 hour period
what is max dose of morphine ✔Correct Answer-0.2mg/kg/dose
dose of clonidine ✔Correct Answer-1mcg/kg/dose q6- 2mcg/kg/dose q6
wean schedule for morphine ✔Correct Answer-0.02mg/kg/dose every 24 hours
how does nas affect infants ✔Correct Answer-CNS hyperexcitability- high pitched or
continuous crying, decreased sleep, hyperactive moro, undisturbed tremors, increased muscle
tone, myoclonic jerks, seizures
autonomic dysregulation- fever, sweating, nasal stuffiness, sneezing, tachypnea
Answers |Actual Complete Update |Already Graded A+
levels effected from blood transfusion ✔Correct Answer-decreased calcium
increased potassium
rbcs usage ✔Correct Answer-used to treat anemia and hemorrhage and to improve tissue
oxygenation associated with loss of oxygen carrying capacity
rbs must be used within ✔Correct Answer-4 hours of preparation; in neonates should last at
least 2 to 3 hours to prevent overload
neonates generally transfused with how much rbs ✔Correct Answer-10 ml/kg
how much should we expect hgb to increase after transfusion ✔Correct Answer-1 g/dl
crit by 3%
platelet usage ✔Correct Answer-used for active bleeding related to thrombocytopenia or
platelet dysfunction or as prophylaxis without active bleeding present
plasma usage ✔Correct Answer-bleeding related to a deficiency of multiple coagulation
factors, reversal of warfarin effects, or treatment of coagulopathies
cryoprecipitate usage ✔Correct Answer-treatment of defective or absent plasma proteins.
Cryoprecipitate is the precipitate that remains after the thawing process of plasma and consists
of enriched factor VIII, von Willebrand factor, fibrinogen, and factor XIII. Cryoprecipitate is used
in patients with factor XIII deficiency, such as hemophilia A and B, or disease-related deficiencies
(e.g., disseminated intravascular coagulation [DIC]), or von Willebrand disease.
Benefits of leukocyte reduction ✔Correct Answer-ecrease the frequency of recurrent febrile
nonhemolytic transfusion reaction, which is typically manifested by a temperature elevation of
1°C (1.8°F) or more occurring during or within 4 hours of transfusion.1 Leukocyte-reduced
components also have been shown to reduce the risk of transfusion-transmitted
cytomegalovirus (CMV) and to reduce the incidence of human leukocyte antigen (HLA)
alloimmunization.
Irradiated blood components prevent ✔Correct Answer-propagation of T lymphocytes, which
is the immediate cause of transfusion-associated graft-versus-host disease (GVHD)
Washing blood and blood products removes ✔Correct Answer-unwanted plasma proteins,
including antibodies. Washing is indicated when these products are suspected to predispose the
patient to significant transfusion reactions.
, why are units of blood divided into aliquots ✔Correct Answer-reduce exposure to multiple
donors
preparation of blood transfusion ✔Correct Answer-type and screen
gather supplies
verify informed consent
pretransfusion meds?
obtain blood component when ready
blood transfusion order needs to include ✔Correct Answer-type of blood
special preparation
quantity
duration
why does blood need to be filtered ✔Correct Answer-remove clots and aggregates
can you run blood with iv fluids ✔Correct Answer-no
if only one point of access consider BG
flush line with saline prior to administration
signs to notify md during blood transfusion ✔Correct Answer-temp increase more than 1C
elevated HR
increased or decreased BP
tachypnea
resp distress
decrease in urine output
what is starting dose of morphine for NAS ✔Correct Answer-0.04MG/KG/DOSE
How many times can infant receive rescue morphine before being placed on maintenance
✔Correct Answer-3 in 24 hour period
what is max dose of morphine ✔Correct Answer-0.2mg/kg/dose
dose of clonidine ✔Correct Answer-1mcg/kg/dose q6- 2mcg/kg/dose q6
wean schedule for morphine ✔Correct Answer-0.02mg/kg/dose every 24 hours
how does nas affect infants ✔Correct Answer-CNS hyperexcitability- high pitched or
continuous crying, decreased sleep, hyperactive moro, undisturbed tremors, increased muscle
tone, myoclonic jerks, seizures
autonomic dysregulation- fever, sweating, nasal stuffiness, sneezing, tachypnea
