NICU Nurse Core Review, NICU
Study Guide
Activity and neonatal nation (physical exam) - ANS-spontaneous, symmetric movements are
everyday
quick lasting tremors/twitching are everyday in response to coldness or startling
flaccidity, floppies, or terrible muscle tone must be cited
spasticity, hyperactivity, or seizures can be indicative of CNS damage
loss of crying in response to manipulation of a bodily examination
Blood Gases of umbilical vasculature - ANS-Umbilical veins convey oxygenated blood from
placenta to fetus
Umbilical arteries carry deoxygenated blood again to mothers move
BPP (biophysical profile) 5 variables - ANS-- fetal tone, fetal movement, fetal respiratory,
fetal reactivity (NST), and amniotic fluid quantity
Brady cardia in neonate (physical examination) - ANS-80bpm or less
causes: hypoxia (overdue), hypothermia, hypovolemia, pneumothorax
treatment: evaluate airway, oxygenate; if chronic, begin chest compressions; if further
persistent, epi IV
bronze toddler syndrome - ANS-- motive unknown
- in newborns with conjugated (direct) hyperbilirubinemia, phototherapy can motive a bronze
discoloring of the pores and skin, generally peaks @ five-eight days
- phototherapy typically endured with similarly monitoring for hematologic disorders
calories pointers for premature toddlers - ANS-110 - a hundred thirty five cal/kg/day
Color of neonate (physical exam) - ANS-should be pink; acrocyanosis is commonplace
general cyanosis and cyanosis of the lips mouth and mucous membranes may additionally
imply CNS, coronary heart, or lung sickness
Congenital Diaphragmatic Hernia (CDH) - ANS-A congenital illness in the diaphragm which
lets in abdominal contents to herniate into thorax.
Presenting signs and symptoms:
- barrel chest
- scaphoid stomach
- dwindled breath sounds
- bowel sounds heard in chest cavity
, Conjugated bilirubin - ANS-- Direct
- unbound
- Increased tiers in newborns receiving phototherapy can reason bronze baby syndrome
(BBS)
diaphragmatic hernia - ANS-peculiar commencing within the diaphragm that lets in part of
the abdominal organs to migrate into the chest cavity
s/s encompass:
- *scaphoid abdomen* r/o different diagnoses
- barrel chest
- dimished breath sounds
- bowel sounds heard in chest hollow space
- s/s of respiration distress
ductus arteriosus (what's it, what does it do, and why?) - ANS-blood vessel in fetal coronary
heart between pulmonary artery and aorta; shunts blood from proper to left because of high
pulmonary vascular resistance
allows maximum of blood coming from r. Ventricle to bypass lungs (which are not functioning
in fetus)
Excessive delivery weight - ANS-4000g and up
Extravasation - ANS-if the fluid is a non-vesicant (does now not irritate tissue), it is called an
infiltration.
If the fluid is a vesicant (a fluid that irritates tissue), it is called an extravasation.
Extremely low birth weight - ANS-1000g or much less
FHR baseline variety - ANS-a hundred and ten-one hundred sixty BPM
foramen ovale - ANS-hole connecting the atria in fetal coronary heart; shunts blood from
proper to left (due to excessive pulmonary vascular resistance)
acts as any other direction for blood to pass the lungs (along with ductus arteriosis)
a way to support milk production within the NICU mother - ANS-- educate moms on pumping
strategies (guide, hand expression, electric powered pump)
- provoke pumping inside 6 hours after delivery
- skin to skin after delivery
- pump 8x / day
- emotional guide
- initiate feeding on the breast before bottle feeding
IDM - ANS-little one of diabetic mother
IM vicinity neonates - ANS-Vastus lateralis
Study Guide
Activity and neonatal nation (physical exam) - ANS-spontaneous, symmetric movements are
everyday
quick lasting tremors/twitching are everyday in response to coldness or startling
flaccidity, floppies, or terrible muscle tone must be cited
spasticity, hyperactivity, or seizures can be indicative of CNS damage
loss of crying in response to manipulation of a bodily examination
Blood Gases of umbilical vasculature - ANS-Umbilical veins convey oxygenated blood from
placenta to fetus
Umbilical arteries carry deoxygenated blood again to mothers move
BPP (biophysical profile) 5 variables - ANS-- fetal tone, fetal movement, fetal respiratory,
fetal reactivity (NST), and amniotic fluid quantity
Brady cardia in neonate (physical examination) - ANS-80bpm or less
causes: hypoxia (overdue), hypothermia, hypovolemia, pneumothorax
treatment: evaluate airway, oxygenate; if chronic, begin chest compressions; if further
persistent, epi IV
bronze toddler syndrome - ANS-- motive unknown
- in newborns with conjugated (direct) hyperbilirubinemia, phototherapy can motive a bronze
discoloring of the pores and skin, generally peaks @ five-eight days
- phototherapy typically endured with similarly monitoring for hematologic disorders
calories pointers for premature toddlers - ANS-110 - a hundred thirty five cal/kg/day
Color of neonate (physical exam) - ANS-should be pink; acrocyanosis is commonplace
general cyanosis and cyanosis of the lips mouth and mucous membranes may additionally
imply CNS, coronary heart, or lung sickness
Congenital Diaphragmatic Hernia (CDH) - ANS-A congenital illness in the diaphragm which
lets in abdominal contents to herniate into thorax.
Presenting signs and symptoms:
- barrel chest
- scaphoid stomach
- dwindled breath sounds
- bowel sounds heard in chest cavity
, Conjugated bilirubin - ANS-- Direct
- unbound
- Increased tiers in newborns receiving phototherapy can reason bronze baby syndrome
(BBS)
diaphragmatic hernia - ANS-peculiar commencing within the diaphragm that lets in part of
the abdominal organs to migrate into the chest cavity
s/s encompass:
- *scaphoid abdomen* r/o different diagnoses
- barrel chest
- dimished breath sounds
- bowel sounds heard in chest hollow space
- s/s of respiration distress
ductus arteriosus (what's it, what does it do, and why?) - ANS-blood vessel in fetal coronary
heart between pulmonary artery and aorta; shunts blood from proper to left because of high
pulmonary vascular resistance
allows maximum of blood coming from r. Ventricle to bypass lungs (which are not functioning
in fetus)
Excessive delivery weight - ANS-4000g and up
Extravasation - ANS-if the fluid is a non-vesicant (does now not irritate tissue), it is called an
infiltration.
If the fluid is a vesicant (a fluid that irritates tissue), it is called an extravasation.
Extremely low birth weight - ANS-1000g or much less
FHR baseline variety - ANS-a hundred and ten-one hundred sixty BPM
foramen ovale - ANS-hole connecting the atria in fetal coronary heart; shunts blood from
proper to left (due to excessive pulmonary vascular resistance)
acts as any other direction for blood to pass the lungs (along with ductus arteriosis)
a way to support milk production within the NICU mother - ANS-- educate moms on pumping
strategies (guide, hand expression, electric powered pump)
- provoke pumping inside 6 hours after delivery
- skin to skin after delivery
- pump 8x / day
- emotional guide
- initiate feeding on the breast before bottle feeding
IDM - ANS-little one of diabetic mother
IM vicinity neonates - ANS-Vastus lateralis
