NICU Study Material with Complete Solutions

NICU Study Material with Complete Solutions What is the normal temperature for a neonate? - Answer- 36.5 to 37.2 degrees Celsius. This is equal to 97.7 to 99 degrees Fahrenheit. How often is IV tubing changed? - Answer- Every 3 days. How often is feeding tubing changed? - Answer- Every feeding. What is gastroschisis? - Answer- Gastroschisis is a birth defect where the baby is born with a hole in the abdominal wall, and organs are outside the body. What is the treatment for gastroschisis? - Answer- A plastic pouch or "silo" is placed around the bowel and attached to the belly. Everyday the silo is tightened and some of the bowel is gently pushed inside. When all the bowel is inside, the silo is removed and the belly is closed What are the risk factors for neonatal sepsis? - Answer- Chorioamnionitis, GBS positive, prolonged rupture of membranes, and maternal fever. What are the signs and symptoms of sepsis in a neonate? - Answer- Tachycardia, tachypnea, apnea, temperature instability (fever, hypothermia), hypoglycemia, hypotonia, pallor, hyperbilirubinemia, abdominal distention, lethargy, and increased Intra-cranial pressure. Where to check pulses on a neonate? - Answer- Palpate the inside of the elbow and the pedal pulse. What three criteria must an infant have to begin the transition to an open crib? - Answer- The infant must have 1. A weight greater than or equal to 1500 grams. 2. Consistent weight gain over the past five days. 3. Be an otherwise stable baby who is tolerating enteral feeds. When starting a crib wean, what temperature should we start the NTE on? - Answer- Start with the temperature the infant is requiring on ISC. What is a baby allowed to wear during the crib weaning process? - Answer- Diaper, onesie, sleeper, hat, and 1 blanket. That's all. What temperature must the baby have to be weaned down by 0.5 degrees celcius? - Answer- Temps greater than or equal to 36.7 degrees celcius will allow the baby to decrease the NTE by 0.5 degrees celcius during each care time. What is the low cutoff temperature for crib weaning, and what do we do when the baby has this temp? - Answer- 36.5 is the cutoff temp. Anything lower, and we need to turn up the NTE by 0.5 degrees. If the next consecutive temperature is below 36.5, switch back to ISC. What is the lowest NTE level, and what happens when the baby reaches it? - Answer- The lowest NTE level is 26 degrees. They must hold at 26 degrees NTE for 24 hours and demonstrate good axilllary temps and weight gain. After 24 hours, the baby can be put in the crib