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ELBW - NCC exam questions & answers

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ELBW - NCC exam questions & answers

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ELBW - NCC exam questions &
answers10

eyes - ANSWERS-fused until 24 to 26 wks



give PPV - ANSWERS-if apneic or HR less than 100bpm



benefit to delayed cord clamping - ANSWERS-decreased need for blood transfusion, decreased
IVH, decreased NEC risk



Delivery room/ OR temp - ANSWERS-78-80 F or at least 25 C



Initial O2 set to - ANSWERS-21- 30 % Fio2



O2 target ranges: 1 min of life - ANSWERS-60-65%



O2 target ranges: 2 min of life - ANSWERS-65-70%



O2 target ranges: 3 min of life - ANSWERS-70-75%



O2 target ranges: 4min of life - ANSWERS-75-80%



O2 target ranges: 5 min of life - ANSWERS-80-85%



O2 target ranges: 10 min of life - ANSWERS-85-95%

, In ELBW infants, ventilation can be achieved - ANSWERS-without chest rise



recommended for ELBW infants with spontaneous breathing with early RDS signs to be given
------ at low Fio2 and extubated quickly to NCPAP - ANSWERS-surfactant



UVC placement - ANSWERS-just above diaphragm, T9 or T10,

(3x BW (kg) + 9cm)/2



UAC placement - ANSWERS-T6-T9

(3x BW (kg)) +9cm



ELBW neonates start on (Dextrose%) - ANSWERS-D5



Initial GIR - ANSWERS-4.5-6mg glucose/kg/min



GIR calculation - ANSWERS-(%D (g/ml) x Volume (ml/kg/day))/1.44



Humidity - ANSWERS-start at 70% or greater first 7 DOL, wean to 50% after DOL 7, discontinue
14 to 28 DOL



IWL while in incubator - ANSWERS-110ml/kg/day



radiant warmer or phototherapy: IWL - ANSWERS-increases IWL 50-190%



Fluid requirement Day 1-2 (less than 750g) - ANSWERS-100-200ml/kg/day

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