NICU Phase 1 Exam Questions and Answers
with Verified Solutions | Latest Updated 2026
when can TPN be infused thru a <12.5% dextrose or <900 mOsm
peripheral line?
reflux precautions - smaller, more frequent feeds
- fortify feeds for smaller volume feeds
- slower bolus feeds
- pace PO feeding
- keep upright 30 min after PO feeds
- elevate HOB (but research shows this
does not
reduce GER episodes)
--> talk to LIP if if all steps in reflux
algorithm fail
and/or pt is having severe events to get
order for
HOB elevation
- position prone or left side lying
during/after
feeds
[DO NOT use acid suppressing meds
(increased
risk of NEC) or thicken feeds with cereal]
qualifications for safe sleep - >/= 32w and 1500g
- no medical condition preventing start of
SS
- no respiratory symptoms or support
(besides NC
or home O2)
,when do we get weights on our sunday, tuesday, friday
babies?
when do we get lengths and head sundays
circumference on our babies?
when are bath nights? sunday, tuesday, friday
who qualifies for DBM? - </=30 weeks GA and/or </=1500g BW
(until 34w CGA or tolerating full feeds for
1w)
- hx of GI issues
(until tolerating full feeds for 1w)
- cooling
(until feeds are advanced over
20ml/kg/day)
- <3d old until 7d (while mom establishes
milk
supply)
how long is thawed DBM good for 48h
in [partially thawed/still slushy is still
fridge? considered
frozen and can be placed back in freezer]
how long is fortified MBM/DBM 24h
good for in fridge?
how long is thawed, warmed DBM 2h
good for out of fridge? [if <1h, can be returned to fridge and used
for next
feeding]
, how often do you get glucoses if BID
patient is on TPN?
complications of long term TPN - cholestasis (liver compromise)
use - bone disease (from low Ca/phos)
- line infections
- infiltration
- gut atrophy --> increased risk of NEC
- loss of nutrition during transition from
TPN to
enteral feeds
how long is freshly expressed 4d (96h)
MBM
good for in fridge?
when do babies have the most during REM sleep
events (D/B/A)?
why do premies have a harder - higher BSA to body weight ratio
time - decreased stores of brown fat
with thermoregulation? - decreased stores of glycogen
what GI disease are premies at NEC
risk [immature gut function/motility, poor
for? microbiome,
poor/fragile circulation, weak immune
system]
with Verified Solutions | Latest Updated 2026
when can TPN be infused thru a <12.5% dextrose or <900 mOsm
peripheral line?
reflux precautions - smaller, more frequent feeds
- fortify feeds for smaller volume feeds
- slower bolus feeds
- pace PO feeding
- keep upright 30 min after PO feeds
- elevate HOB (but research shows this
does not
reduce GER episodes)
--> talk to LIP if if all steps in reflux
algorithm fail
and/or pt is having severe events to get
order for
HOB elevation
- position prone or left side lying
during/after
feeds
[DO NOT use acid suppressing meds
(increased
risk of NEC) or thicken feeds with cereal]
qualifications for safe sleep - >/= 32w and 1500g
- no medical condition preventing start of
SS
- no respiratory symptoms or support
(besides NC
or home O2)
,when do we get weights on our sunday, tuesday, friday
babies?
when do we get lengths and head sundays
circumference on our babies?
when are bath nights? sunday, tuesday, friday
who qualifies for DBM? - </=30 weeks GA and/or </=1500g BW
(until 34w CGA or tolerating full feeds for
1w)
- hx of GI issues
(until tolerating full feeds for 1w)
- cooling
(until feeds are advanced over
20ml/kg/day)
- <3d old until 7d (while mom establishes
milk
supply)
how long is thawed DBM good for 48h
in [partially thawed/still slushy is still
fridge? considered
frozen and can be placed back in freezer]
how long is fortified MBM/DBM 24h
good for in fridge?
how long is thawed, warmed DBM 2h
good for out of fridge? [if <1h, can be returned to fridge and used
for next
feeding]
, how often do you get glucoses if BID
patient is on TPN?
complications of long term TPN - cholestasis (liver compromise)
use - bone disease (from low Ca/phos)
- line infections
- infiltration
- gut atrophy --> increased risk of NEC
- loss of nutrition during transition from
TPN to
enteral feeds
how long is freshly expressed 4d (96h)
MBM
good for in fridge?
when do babies have the most during REM sleep
events (D/B/A)?
why do premies have a harder - higher BSA to body weight ratio
time - decreased stores of brown fat
with thermoregulation? - decreased stores of glycogen
what GI disease are premies at NEC
risk [immature gut function/motility, poor
for? microbiome,
poor/fragile circulation, weak immune
system]
