NICU Nursing
How is a excessive risk neonate classified by using gestational age? - ANS--Premature little
one: </= 36 6/7 weeks
-Term infant: >/= 37 0/7 weeks
-Postmature toddler: >42 weeks
How is a high risk neonate categorised by using boom? - ANS--Intrauterine growth
restriction
-Small for gestational age
-Large for gestational age
How is a high hazard neonate labeled by weight? - ANS--Low birth weight: <2500g
-Very low start weight: <1500g
-Extremely low delivery weight: <1000g
How is crucial congenital coronary heart ailment (CCHD) measured? - ANS--Pulse ox on
higher and lower extremities and seeking out a gradient
-Mandatory for all nurseries
How is NAS managed? - ANS--Finnegan scoring
-Morphine/methadone/subutex
-Reduction of negative stimuli
-Couplet care (mom is part of care too)
-Massage therapy
-Music therapy
-Speech therapy
-Physical therapy
-Kangaroo care
What are acyanotic congenital coronary heart abnormalities? - ANS--PDA
-VSD
-ASD
-A-V canal
-Coarctation of the aorta
-Hypoplastic left heart
What are causes of apnea? - ANS--Prematurity
-Hypoxia
-Sepsis
-CNS problems
-Drugs
What are headaches of PDA? - ANS--Congestive coronary heart failure
-Feeding intolerance (not sufficient oxygenation for multiplied power call for)
, -Respiratory distress (negative oxygenation)
What are contraindications for ECMO? - ANS--Gestational age <34 weeks
-Weight <2kg
-Severe IVH
-Irreversible lung disease
-Irreversible severe neuro abnormally (i.E. Severe head bleed, as ECMO is heparinized)
-Severe congenital anomalies
What are cyanotic congenital heart abnormalities? - ANS--Transposition of the greater
vessels
-Tetralogy of Fallot
-Pulmonary stenosis
-Truncus arteriosus
What are developmental interventions in the NICU? - ANS--Therapeutic handling
-Positioning
-Non-nutritive sucking (promotes soothing and gastrin release to promote digestion)
-Negative visual/auditory stimulus (cyclic lighting and low noise)
-Kangaroo care
-Assess feeding ability
-PT and OT
-Infant massage
What are ethical issues surrounding neonates? - ANS--Infertility
-Viability
-Multiple congenital anomalies
-Futility of care
-Values: Preserving life, decreasing morbidity, relieving pain and suffering
What are important questions to ask in terms of neonatal resuscitation? - ANS--Are they
term?
-Good tone?
-Breathing/crying independently?
-How big?
What are nursing considerations for apnea of prematurity? - ANS--Evaluate for infection or
respiratory compromise that may be causing apnea, not just prematurity
-Tx: Respiratory support and caffeine
-Nursing documentation of events is important
What are potential complications of bronchopulmonary dysplasia? - ANS--Inability to wean
form O2
-Ventilator dependency
-Developmental delays
-Congestive heart failure r/t lung disease
What are potential complications of NEC? - ANS--Intestinal stricture
How is a excessive risk neonate classified by using gestational age? - ANS--Premature little
one: </= 36 6/7 weeks
-Term infant: >/= 37 0/7 weeks
-Postmature toddler: >42 weeks
How is a high risk neonate categorised by using boom? - ANS--Intrauterine growth
restriction
-Small for gestational age
-Large for gestational age
How is a high hazard neonate labeled by weight? - ANS--Low birth weight: <2500g
-Very low start weight: <1500g
-Extremely low delivery weight: <1000g
How is crucial congenital coronary heart ailment (CCHD) measured? - ANS--Pulse ox on
higher and lower extremities and seeking out a gradient
-Mandatory for all nurseries
How is NAS managed? - ANS--Finnegan scoring
-Morphine/methadone/subutex
-Reduction of negative stimuli
-Couplet care (mom is part of care too)
-Massage therapy
-Music therapy
-Speech therapy
-Physical therapy
-Kangaroo care
What are acyanotic congenital coronary heart abnormalities? - ANS--PDA
-VSD
-ASD
-A-V canal
-Coarctation of the aorta
-Hypoplastic left heart
What are causes of apnea? - ANS--Prematurity
-Hypoxia
-Sepsis
-CNS problems
-Drugs
What are headaches of PDA? - ANS--Congestive coronary heart failure
-Feeding intolerance (not sufficient oxygenation for multiplied power call for)
, -Respiratory distress (negative oxygenation)
What are contraindications for ECMO? - ANS--Gestational age <34 weeks
-Weight <2kg
-Severe IVH
-Irreversible lung disease
-Irreversible severe neuro abnormally (i.E. Severe head bleed, as ECMO is heparinized)
-Severe congenital anomalies
What are cyanotic congenital heart abnormalities? - ANS--Transposition of the greater
vessels
-Tetralogy of Fallot
-Pulmonary stenosis
-Truncus arteriosus
What are developmental interventions in the NICU? - ANS--Therapeutic handling
-Positioning
-Non-nutritive sucking (promotes soothing and gastrin release to promote digestion)
-Negative visual/auditory stimulus (cyclic lighting and low noise)
-Kangaroo care
-Assess feeding ability
-PT and OT
-Infant massage
What are ethical issues surrounding neonates? - ANS--Infertility
-Viability
-Multiple congenital anomalies
-Futility of care
-Values: Preserving life, decreasing morbidity, relieving pain and suffering
What are important questions to ask in terms of neonatal resuscitation? - ANS--Are they
term?
-Good tone?
-Breathing/crying independently?
-How big?
What are nursing considerations for apnea of prematurity? - ANS--Evaluate for infection or
respiratory compromise that may be causing apnea, not just prematurity
-Tx: Respiratory support and caffeine
-Nursing documentation of events is important
What are potential complications of bronchopulmonary dysplasia? - ANS--Inability to wean
form O2
-Ventilator dependency
-Developmental delays
-Congestive heart failure r/t lung disease
What are potential complications of NEC? - ANS--Intestinal stricture
