NICU RN A V1 UPDATED TEST PAPER QUESTIONS
AND ANSWERS SURE A+
✔✔What is the etiology of respiratory distress syndrome in the neonate - ✔✔surfactant
deficiency- preterm babies are bad at making it
✔✔What are the risk factors for respiratory distress syndrome in the neonate - ✔✔-
prematurity
-c-section (don't get the labor hormones, nothing to do with the "squeeze" of the baby)
-infant of diabetic mother
-asphyxia at birth
✔✔When is respiratory distress syndrome more severe for the neonate - ✔✔the more
premature, the more severe the disease
✔✔What is the treatment for respiratory distress - ✔✔-surfactant replacement therapy
and supportive respiratory management
-72 hours of life they make their own unless they are preterm
✔✔What are the modes of ventilation for the neonate - ✔✔-CPAP
-non-invasive positive pressure ventilation
-pressure-limited ventilation (set pressure)
-volume guarantee ventilation (tidal volume set (4-6 per kilo))
-high frequency oscillatory ventilation
Goal is still always to get them off the ventilator
✔✔Who does bronchopulmonary dysplasia occur in - ✔✔occurs in infants who receive
prolonged ventilation and develop chronic lung changes
✔✔What is the etiology of bronchopulmonary dysplasia - ✔✔-oxygen toxicity- try to give
as little oxygen as we can
-barotrauma
-volutrauma
, ✔✔What are the risk factors for bronchopulmonary dysplasia - ✔✔-oxygen
-prolonged intubation
-assisted ventilation
-prematurity- more premature the larger chance you have
-nutritional deficiencies- nutrition is vital for growth and healing
-air leaks
Around 2 years of age their lungs will heal if we can get them through their trouble
usually
✔✔What are the complications of bronchopulmonary dysplasia? - ✔✔-inability to wean
from oxygen
-ventilator dependency
-developmental delays
-congestive heart failure from cor pulmonal (heart is doing a lot of work because lungs
aren't helping much so go into heart failure)
✔✔What are the types of apnea? - ✔✔-primary- not breathing at birth but then
stimulated and are now breathing
-secondary- breathing at birth but breathing is then interrupted
-central
-obstructive- preterm babies have floppy airways
-mixed- most common- may have position problem mixed with floppy airway
✔✔How do we treat apnea - ✔✔Respiratory Support and Caffeine
-Ventilator
-CPAP
✔✔What is apnea prematurity - ✔✔-immature central respiratory center, respiratory
centers aren't developed enough
-respiratory depression occurs predominantly during TEM or transitional sleep
(neonates spend 80% of they day asleep)
-evaluate for infection or respiratory comprise that may be causing apnea, not just
prematureity
✔✔What are the causes of apnea - ✔✔-prematurity
-hypoxia
-sepsis
-CNS disorders
-drugs
✔✔What is important for the nurse to do regarding neonate apnea events - ✔✔nursing
documentation is important!
-time of apnea, color changing, what baby was doing, HR
AND ANSWERS SURE A+
✔✔What is the etiology of respiratory distress syndrome in the neonate - ✔✔surfactant
deficiency- preterm babies are bad at making it
✔✔What are the risk factors for respiratory distress syndrome in the neonate - ✔✔-
prematurity
-c-section (don't get the labor hormones, nothing to do with the "squeeze" of the baby)
-infant of diabetic mother
-asphyxia at birth
✔✔When is respiratory distress syndrome more severe for the neonate - ✔✔the more
premature, the more severe the disease
✔✔What is the treatment for respiratory distress - ✔✔-surfactant replacement therapy
and supportive respiratory management
-72 hours of life they make their own unless they are preterm
✔✔What are the modes of ventilation for the neonate - ✔✔-CPAP
-non-invasive positive pressure ventilation
-pressure-limited ventilation (set pressure)
-volume guarantee ventilation (tidal volume set (4-6 per kilo))
-high frequency oscillatory ventilation
Goal is still always to get them off the ventilator
✔✔Who does bronchopulmonary dysplasia occur in - ✔✔occurs in infants who receive
prolonged ventilation and develop chronic lung changes
✔✔What is the etiology of bronchopulmonary dysplasia - ✔✔-oxygen toxicity- try to give
as little oxygen as we can
-barotrauma
-volutrauma
, ✔✔What are the risk factors for bronchopulmonary dysplasia - ✔✔-oxygen
-prolonged intubation
-assisted ventilation
-prematurity- more premature the larger chance you have
-nutritional deficiencies- nutrition is vital for growth and healing
-air leaks
Around 2 years of age their lungs will heal if we can get them through their trouble
usually
✔✔What are the complications of bronchopulmonary dysplasia? - ✔✔-inability to wean
from oxygen
-ventilator dependency
-developmental delays
-congestive heart failure from cor pulmonal (heart is doing a lot of work because lungs
aren't helping much so go into heart failure)
✔✔What are the types of apnea? - ✔✔-primary- not breathing at birth but then
stimulated and are now breathing
-secondary- breathing at birth but breathing is then interrupted
-central
-obstructive- preterm babies have floppy airways
-mixed- most common- may have position problem mixed with floppy airway
✔✔How do we treat apnea - ✔✔Respiratory Support and Caffeine
-Ventilator
-CPAP
✔✔What is apnea prematurity - ✔✔-immature central respiratory center, respiratory
centers aren't developed enough
-respiratory depression occurs predominantly during TEM or transitional sleep
(neonates spend 80% of they day asleep)
-evaluate for infection or respiratory comprise that may be causing apnea, not just
prematureity
✔✔What are the causes of apnea - ✔✔-prematurity
-hypoxia
-sepsis
-CNS disorders
-drugs
✔✔What is important for the nurse to do regarding neonate apnea events - ✔✔nursing
documentation is important!
-time of apnea, color changing, what baby was doing, HR
