RNC-NIC 100% CORRECT REVIEW SOLUTION

RNC-NIC 100% CORRECT REVIEW SOLUTION Correct ETT placement - ANS-T1-T2 level of clavicles Correct UVC placement - ANS-T 8-9 0.5-1 cm above diaphragm Tip in inf. vena cava Correct UAC placement - ANS-Low-L3-4 Below renal arteries High-T6-10 Correct PICC placement - ANS-T3-5 Lower 1/3 of s. Vena cava Normal weight loss of preterm infant - ANS-10-15% Healthy term infant requires how many kcal/kg/day for normal growth? - ANS-100-120 kcal/kg/day Formula to calculate GIR - ANS-ml/kg/day x %dextrose 1.44 Normal GIR - ANS-4-6 ml/kg/min initially May go as high as 12 Anomalies associated with esophageal atresia - ANS-SGA VATER synd. -vertebral -imperf anus -renal dysplasia Increased risk of mec plug? - ANS--premature -IDM -small left colon -cystic fibrosis Signs of pyloric stenosis - ANS-Distended stomach on x-ray with little or no gas below duodenum Can palpate "olive" Present at 2 to 3 weeks of life with Bile stained vomiting Normal temp range axillary - ANS-36.5 to 37.4°C TTN vs RDS - ANS-Usually requires less than 40% FI O2 Improves quicker Larger lung volumes Natural diuresis occurs at_____________ hours of age as condition improves - ANS-48-72 hours Prolonged rupture of membranes - ANS-Greater than 18 hours Difference in PaO2 of________ or greater documents ductal shunting - ANS-15% With PPHN goal is to keep PaO2 ________or - ANS-50 Signs and symptoms of MAS - ANS-Chest hyperinflated on x-ray Low PaO2 with O2 given Air leaks Prone to PPHN Treatment of micrognathia - ANS-Prone positioning Oral airway placement Trach in rare cases Generally mandibular growth "catches up" by 6 to 12 months Surgery if significant compromise Micrognathia associated with - ANS-Pierre Robin syndrome Trisomy 18 Trisomy 21 Cri-du-chat syndrome Causes of pulmonary hemorrhage - ANS