NICU FINAL PAPER 2025/2026 QUESTIONS AND
SOLUTIONS RANKED A+
✔✔Common causes of bowel obstruction in a newborn? - ✔✔Cystic fibrosis, meconium
ileus, and duodenal atresia.
✔✔Age for humidity? - ✔✔29 weeks or less. 29.1 is too old.
✔✔Rules for humidity? - ✔✔Humidity reservoir is changed at one week. At two weeks,
humidity is d/c'd and bed is changed.
✔✔Side effect of Fentanyl? - ✔✔Chest wall rigidity.
✔✔When are trophic feeds given? - ✔✔First five days of life.
✔✔When are triglyceride levels checked? - ✔✔Usually soon after starting lipids.
✔✔Night shift duties:
Who gets a BP taken, and at what time? - ✔✔At midnight, any babies who are on CPAP
or higher level of respiratory support.
✔✔Night shift duties:
Who gets an Accucheck, and at what time? - ✔✔At midnight, any infant with running IV
fluids.
✔✔What are the amounts and size demarcations for trophic feedings? - ✔✔<1kg babies
get 1mL Q4h.
>1kg babies get 2mL Q4h.
✔✔Where should the ETT be on the CXR? - ✔✔At the level of the third rib.
✔✔Where should the PICC be on the CXR? - ✔✔Below the top of the diaphragm, and
out of the shadow of the heart.
✔✔Blood products: Clave or no clave? - ✔✔No clave.
✔✔If the end of the PICC breaks off, what to do? - ✔✔Immediately tourniquet the area,
and call for help.
✔✔CMPL: What color tube, and how much blood? - ✔✔Mint Green.
0.5mL required.
✔✔Caffeine: What color tube? - ✔✔Gold tube.
, ✔✔CBC: What color tube, and how much blood? - ✔✔Purple tube.
0.4mL required.
✔✔Type and cross: What color tube. How many tubes? - ✔✔Purple tube.
2 purple tops if born in house. 3 purple tops if baby was transported from somewhere
else.
✔✔CRP: What color tube? - ✔✔Dark green.
✔✔PTT: What color tube, and how much blood? - ✔✔Dark blue.
1.8mL.
✔✔Midazolam
Push rate
HA/Lipid compatibility? - ✔✔At least 5 mins. HA OK, NO lipids.
✔✔Fentanyl
Push rate
HA/Lipid compatibility?
Main side effect? - ✔✔5 mins. HA/Lipids OK. Chest wall rigidity.
✔✔Morphine
Push rate
HA/Lipid compatibility? - ✔✔At least 5 mins. HA/Lipids OK.
✔✔Ampicillin
Push rate
HA/Lipid compatibility?
Main side effect? - ✔✔Over 30 mins. HA/Lipids NO. Seizures.
✔✔Gentamycin
Push rate
HA/Lipid compatibility? - ✔✔Over 30 mins. HA/Lipids OK.
✔✔Hydrocortisone
Push rate
HA/Lipid compatibility?
Main side effect? - ✔✔over 5 mins. HA/Lipids OK. Hyperglycemia, HTN.
✔✔Dopamine
Push rate
HA/Lipid compatibility?
Main side effect? - ✔✔2-20mcg/Kg/min. HA/Lipids OK. Tachycardia/arrhythmias.
SOLUTIONS RANKED A+
✔✔Common causes of bowel obstruction in a newborn? - ✔✔Cystic fibrosis, meconium
ileus, and duodenal atresia.
✔✔Age for humidity? - ✔✔29 weeks or less. 29.1 is too old.
✔✔Rules for humidity? - ✔✔Humidity reservoir is changed at one week. At two weeks,
humidity is d/c'd and bed is changed.
✔✔Side effect of Fentanyl? - ✔✔Chest wall rigidity.
✔✔When are trophic feeds given? - ✔✔First five days of life.
✔✔When are triglyceride levels checked? - ✔✔Usually soon after starting lipids.
✔✔Night shift duties:
Who gets a BP taken, and at what time? - ✔✔At midnight, any babies who are on CPAP
or higher level of respiratory support.
✔✔Night shift duties:
Who gets an Accucheck, and at what time? - ✔✔At midnight, any infant with running IV
fluids.
✔✔What are the amounts and size demarcations for trophic feedings? - ✔✔<1kg babies
get 1mL Q4h.
>1kg babies get 2mL Q4h.
✔✔Where should the ETT be on the CXR? - ✔✔At the level of the third rib.
✔✔Where should the PICC be on the CXR? - ✔✔Below the top of the diaphragm, and
out of the shadow of the heart.
✔✔Blood products: Clave or no clave? - ✔✔No clave.
✔✔If the end of the PICC breaks off, what to do? - ✔✔Immediately tourniquet the area,
and call for help.
✔✔CMPL: What color tube, and how much blood? - ✔✔Mint Green.
0.5mL required.
✔✔Caffeine: What color tube? - ✔✔Gold tube.
, ✔✔CBC: What color tube, and how much blood? - ✔✔Purple tube.
0.4mL required.
✔✔Type and cross: What color tube. How many tubes? - ✔✔Purple tube.
2 purple tops if born in house. 3 purple tops if baby was transported from somewhere
else.
✔✔CRP: What color tube? - ✔✔Dark green.
✔✔PTT: What color tube, and how much blood? - ✔✔Dark blue.
1.8mL.
✔✔Midazolam
Push rate
HA/Lipid compatibility? - ✔✔At least 5 mins. HA OK, NO lipids.
✔✔Fentanyl
Push rate
HA/Lipid compatibility?
Main side effect? - ✔✔5 mins. HA/Lipids OK. Chest wall rigidity.
✔✔Morphine
Push rate
HA/Lipid compatibility? - ✔✔At least 5 mins. HA/Lipids OK.
✔✔Ampicillin
Push rate
HA/Lipid compatibility?
Main side effect? - ✔✔Over 30 mins. HA/Lipids NO. Seizures.
✔✔Gentamycin
Push rate
HA/Lipid compatibility? - ✔✔Over 30 mins. HA/Lipids OK.
✔✔Hydrocortisone
Push rate
HA/Lipid compatibility?
Main side effect? - ✔✔over 5 mins. HA/Lipids OK. Hyperglycemia, HTN.
✔✔Dopamine
Push rate
HA/Lipid compatibility?
Main side effect? - ✔✔2-20mcg/Kg/min. HA/Lipids OK. Tachycardia/arrhythmias.
