Term
| You are called to the delivery of a 42- week gestation infatnt from a mother with gestational diabetes. Upon your arrival, the labor nurse reports that the infant is having frequen decelerations and that an amnio infusion ran over 4 hours for thick meconium. The baby is delieverd vaginally with thick particulate meconium. You note that the baby has not cried and is limpin in the OB's arms. Your first priority is to... |
|
Definition
| Avoid stimulating the baby and assist with intubation and tracheal suctioning. |
|
|
Term
| You are called to a primary cesarean section for a term infant's failure to progress. Over the last few minutes of labor, the baby expierenece three 4-minute decelerations with a fetal heart rate of 68. Upon receipt of the baby, you not that the baby is apneic with no tone. After drying the baby and removing blankets, your initial assessment indicates a heart rate 70, apnea despite stiumlation, and the baby remians limp and cyanotic. This baby is |
|
Definition
| This baby is in secondary apnea |
|
|
Term
| Which of the following neonated should be intubated immediately |
|
Definition
| An apneic termin infant with poor chest rise despite positive pressure ventilation |
|
|
Term
| You are participating in the delievery and resuscitation of a 28 week gestation neonate. The heart rate is 140 with a respiratory rate of 80 with moderate retractions and cricumoral cyanosis. Your next step is to |
|
Definition
| Provided CPAP using a t-piece resusciator |
|
|
Term
| Prioritization of care during resuscitation should focus on the ABCs. ABCs stands for |
|
Definition
| airway, breathing, circulation |
|
|
Term
| Transition to extrauterine life begins when |
|
Definition
| The baby takes the first breath and the cord is clamped |
|
|
Term
| You are attending the vaginal delivery of a term infant with meconium. Which of the following infant presentations would you calssify as vigorous |
|
Definition
| The baby is crying and kicking, with a heart rate > 100 bpm |
|
|
Term
| The baby you are resuscitating has persistent cyanosis despite strong respiratory efforts and a heart rate . 100 bpm. What is the next nursing action that should be performed to assist this infant's respiratory status |
|
Definition
| Provide blow-by supplemental oxygen via a flow-inflating bag-mask-valve |
|
|
Term
| You are using a flow-inflating bag-mask-valve to resuscitate a 32 week gestation neonate. The bag fails to inflate and the cehst does not rise. What act6ion should you take first to resolve this problem |
|
Definition
| Repostition the head and verify the mask seal. |
|
|
Term
| As a transport nurse, you have been trained to use the new T-piece resuscitation device for rpeterm delieveries. Which of the following statements is true regarding the use of a T-piece for preterm infants |
|
Definition
| The rate and inspiratory time are controlled by the staff ember manipulating the t-piece |
|
|
Term
| Which of the following reactions is the best way to determine if ventilations with a bag-mask-valve are effective |
|
Definition
|
|
Term
| After assisting with the delivery of a term infant who is apneic you provided 30 seconds of positive pressure ventilation. The infant remians apneic and the heart rate is 110. What should you do next |
|
Definition
| Insert a orgogastric tube |
|
|
Term
| You are attending the resusctiation of a 33 week gestation infat. You have dried suctioned and stimulated the baby. The intital assessment reveals a heart rate f 40 bpm a spontaneous respiratory rate of 20 bpm and the baby's color is cyanotic. According to current NRP guidelines, what is the next action you should take |
|
Definition
| Provide positive pressure ventilation |
|
|
Term
| Today you are performing the duties of the charge nurse and are attending an emergency cesaeran section. The infant is a 26 week neoneate with an 18 year old gravida 1 mother with placenta previa. The infant was delivered pale, floppy, and apneic with a heart rate of 50 bpm. The neonatal nurse practitioner intubated the neonate immediately and postitve pressure ventilation was provided with effective chest rise. The heart rate increased to 80 bmp with minimal spontaneous effort. The patient is pale and hypotonic. What is the next step to be performed by you resuscitation team |
|
Definition
| insertion of umbilical venous line and adminstration of normal saline |
|
|
Term
| you are preparing to give epinephrine to a premature infant with a heart rate of 40 bpm despite well coordinated positive pressure ventilation via an endotracheal tube and adequate chest compressions. Which of the following statements regarding epinephrine administration is true |
|
Definition
| the correct epinephrine dose is .1 to .3 ml/kg via the umbilical venous line |
|
|
Term
| You resuscitation team is preparing for the delievery of a 27 week gestation neonate. Which of the following endotracheal tube (ETT) combinations should you prepare |
|
Definition
| a 2.5 ETT with a #0 straight blade |
|
|
Term
| Intubation of a term infant was just completed. The infant has a heart rate of 20 bpm no spontaneous respiratory effort, and he is flaccid and mottled. The chest rises equally and breath soulds are auscultated in al lung fields. The CO2 detector does no indacte the presence of exhaled CO2. What is the next step in this resuscitation |
|
Definition
| Continue to provied positive pressure ventilation and observe for a rise in heart rate. |
|
|
Term
| The resuscitation team is providign positive pressure ventilation (PPV) to a premature infant without an effective chest rise. The head has been repositioned, oral secretion suctioned and the resuctiation bag verified. Which mechanical blockage of the airway should be considered |
|
Definition
|
|
Term
| The resuscitation team is providign positive pressure ventilation (PPV) to a premature infant without an effective chest rise. The head has been repositioned, oral secretion suctioned and the resuctiation bag verified. Which mechanical blockage of the airway should be considered |
|
Definition
|
|
Term
| Your delievery team is resuscitationg a 35 week gestation infant with severe respiratory distress.The infant has unilater chest rise, deviated heart tones, and diminished breath sounds on the unaffected side, with a stretched to scaphoid abdomen. Which of the following actions should be taken immediately |
|
Definition
| Endotracheal intubation and orgastric tube placement |
|
|
Term
| You are resuctiating a term infant born to a mother who was given Stadol 2 hours ago. The infant is apneic, floppy cyanotic and has a heart rate of 8- bpm. The team has provided stimulation, suctioned, and positioned the airway without improvement. WHat is the next action for your team to perform to stabilize this infant. |
|
Definition
| Provide positive pressure ventilation |
|
|
Term
| While shopping at a local department store, a fellow shoppers amniotic sac ruptures. The mother tells you she has had 3 previous children and this child should be due this week. You realize delievery of a single, term infant appears imminent. EMS have been contacted and the unit en route is 5 minutes away. Before EMS arrives, a female infant is delieverd. What is the first action you should take |
|
Definition
| Dry and stiumlate the infant using clothing articles. |
|
|
Term
| To improve temperature control of premature infant at deliever you should |
|
Definition
| use a reclosable polyethylene bag |
|
|
Term
| Which of the following nursing actions prevents brain injury n the premature neonate during resusciations |
|
Definition
| titrating FiO2 based on puse oximetry to maintain saturation between 85% and 95% |
|
|
Term
| You are asked to visit the parents of a premature neonate who will delieve iminently. The labor and delivery nurse tells you that they have multiple questions regarding prognosis and expected plan of care. You should |
|
Definition
| ask the neonatologist to speak with the parents |
|
|
Term
| The resuscitation team is called to an emergency cesarean section of a 38 week gestation infant with absent fetal movement and heart rate for 5 minute. an apneic flaccid and cyanotic infant is handed to you. After drying, suctioning and psotitiong the infant remains apneic without a heartbeat and is gray. Over the next few minutes the team intubates the infant provides effective positive pressure ventilation and egins well coordinated ches compressions. An umbilical venous line is place for epinephrine and volume replacement. Throughout the resuscitation the team has never been able to establish a heartbeat in the infant. At what point may the team stop resuscitation |
|
Definition
| After 10 minutes of resuscitation |
|
|
Term
| You are transporting a preterm infant in repsirator distress to a facility for a higher level of care the parents question why their baby will not be eating immediately. Your best response is |
|
Definition
| Respiratory distress leads to an increased risk for choking and lack of oxygen that may inhbit normal intestinal function |
|
|
Term
| You transport team arrives an an outlying facility to pick up a 34 week gestation neonate with poor feeding tolerance and mild respiratory distress. Upon arrival the nursery charge nurse reports that blood cultures and and a CBC were drawn an peripheral IV heparin lock was started for antibiotics only, and the baby was nipple fed 20 ml standard formular with iron 30 minutes ago. A repeat blood sugar was 52 mg/dl You prepare a D10W IV solution at 80 ml'kg'd to hang during transport. This IV solution was selected because |
|
Definition
| You want ot provide a constant and sconsistent supply of glucose to the brain for normal physiologic function to continue. |
|
|
Term
| You are preparing a preterm neonate for transport to a higher level of care for cardiothoracic surgery the initial bedside glucose is 28 mg/dl. Per your hospital's protocol a random glucose sample is sent to the lab. What should the next step be to help prepare the infant for transport |
|
Definition
| Notify the physician and prepare to give 2 mh/kg D10W IV |
|
|
Term
| Your transport team arrives at a hospital emergency room that does not have maternal child services to tranpsrt a term infant who was surrendered to staff. The infants first termparture was 35.4 Celsius. You find the infant wrapped in heated blankets under a radiant warmer. During your assessment you find the blood glucose to be 17 mg/dl the ER physician orders Dextrose 25% at 2ml/kg IV STAT You should |
|
Definition
| politiely reufse the order notify your transportneonatologies and follow standard stabilization protocol of using Dextrose 10% t 2 ml/kg IV |
|
|
Term
| To stabilize a neonate for tranport the priority should alwasy focus first on |
|
Definition
| airway breathing and circulation |
|
|
Term
| Your tranposrt team is assessing an infant for transport to your facility. Vital signs are stable and the peripheral IV to the wrist is running Dextrose 10@ at 80 ml/kg/d You note that the IV arm is pale when compared to other extremities and core color. You should |
|
Definition
| stop the IV immediately and remove it, then prepare to insert another peripheral IV |
|
|
Term
| You have arrived at a facility to tranport a newborn with severe respiratory distress syndrom reuqiring high pressues and 100% FiO2 by convention ventilation to maintain saturations. There is an umbilical venous catheter (UVC) infusing D10W at 80 mk/kg/day. During your assessment you note pink frothy secretions in the endotracheal tube, multiple premature atrial contractions and tachycardia, you should |
|
Definition
| Check the UVC and endotracheal tube plaement via chest x-ray |
|
|
Term
| While transporting a premature infant the neonatologist orders a heparinized solution to run through the umbilical venous catheter. The order reads D10W with heparin 1 unit/ml to run at 8.9 ml/h. You have heparin 100 units/ml available and a 2.5dl bag of d10W. How much heparin would you add |
|
Definition
|
|
Term
| Your team confirms umbilical line placement on chest x-ray prior to transporting your term patient. The umbilical artery catheter is locatued at t4 and the umbilical venous catheter tip is just above the diaphragm. Based on the cehst x-ray results which of the following choices would be an appropriate action. |
|
Definition
| Confirm with the neonatologist and prepare to withdraw the arterial line back to the T6-TP and then secure the venous line |
|
|
Term
| During feeding time you have the opportunity to teach a new mother and father about taking their infants temperature. Which of the following statements about this process is true |
|
Definition
| A normal temperature for an infant is 36.5 and 37.5 celsius (97.7-99.5) |
|
|
Term
| During resuscitation in an operating suite a term infant is placed on a radiant warmer that was just turned on. The fron of the baby is dried, but the wet linens are no removed. Oxygen is provided via free flow. By which mechanisms is the infant losing heat |
|
Definition
| Conduction from being placed on a cool surface |
|
|
Term
| While orienting a new nurse you are discussing methods to stabilize and maintain temperature of a newborn. Which of the following statements is true. |
|
Definition
| A radiant warmer and a heat lamp should not be utilized at the same time |
|
|
Term
| Temperature regulation is controlled by the hypothalamus with the release of which hormone |
|
Definition
|
|
Term
| Death of the hypothermic infant may be caused by |
|
Definition
| Hypoglycemia and hypoxemia |
|
|
Term
| You are receiving report for a 26 week gestation infant with respiratory distress and feeding intolerance at day 15 of life. The neonate is developmentally positioned in a double walled isolette on servo-control with the skin probe on the abdoment. The nurse reports a wide fluctuation in isolette temperature annd that the skine probe reading does not always match actual temperatures taken. Which statement best explains these findings |
|
Definition
| The temperature probe only records skin temperature at any given time, not core temperature |
|
|
Term
| Which of the following is a correct method to take the temperature of a neonate |
|
Definition
| In the axillary area by holding the standard thermometer for 3 to 5 minutes |
|
|
Term
| The mother of a 30 weeek gestation neonate is siting at ebdside when you let her know that you will be transferring the baby to an isolette. She states,"I don;t want him to go into that box thing. I'll be afraid to touch him/ Can't he stay in this warmer thing" What is the best response to her request |
|
Definition
| We will assist you in touching and holding your baby as he gets better and the isolette allows for better temperature control and reduces stress to the baby |
|
|
Term
| An absolute contraindication to the use of regional anesthesia would be |
|
Definition
|
|
Term
| Opioids are frequently used for regional anesthesia via the epidrual route. Theses agents provide anesthesia by binding to receptors in the dorsal horn of the spinal cord an |
|
Definition
| affect sensory neurons without affecting motor or sympathetic activities |
|
|
Term
| Which of the following statements is true regarding the use of sedatives in the neonate |
|
Definition
| sedatives may increase pain |
|
|
Term
| Baby Sam is about to undergo a circumcision. A topical anesthetic that may be used for this procedure would be |
|
Definition
|
|
Term
| Possible side effects of EMLA cream include |
|
Definition
|
|
Term
| A possible adverse effect of morphine is |
|
Definition
|
|
Term
| A commonly used scale for assessment of paint in the neonate is the |
|
Definition
|
|
Term
| a possible adverse effect with the use of fentanyl is |
|
Definition
|
|
Term
| fentanyl administered intravenously is incompatible with |
|
Definition
|
|
Term
| a contraindication for the use of fentanyl is |
|
Definition
|
|
Term
| a term baby with neonatal abstinence sydrome should be tested for |
|
Definition
|
|
Term
| the infant you are caring forhas been pharmacoligcally weaned from opiates. Weaning is usally deemed successful if the neonate |
|
Definition
|
|
Term
| You are preparing to transpoort a 26 week gestation infant born at a rurual hospital 3 hours ago via emergency cesarean section. The reporting nurse provides you with a complete blood count as part of the chart. You would |
|
Definition
| review the lab, complete the assessment and history, and report findings to the transport neonatologist. |
|
|
Term
| Sam is a 30 week gestation neonate 14 days old. During the last 2 dats he has been having an increase in the frequency of apneas and bradycardia despitre Cafcit administration. In the last 3 hours, he has required positive pressure ventilation to restore normal heart rate, spontaneous respirations, and color. You also note an increase in feeding intolerance with residuals 15-20% of the feeding and abdominal distention. After reporting your findings to the physician, a complete blood count, blood cultures, and IV fluids are ordered. You would anticipate the immature to total ration (I/T) to be |
|
Definition
|
|
Term
| You are admitting a 37 week gestation infant to the NICU for feeding intolerance vomiting hypothermia and lethargy. The infant was delivered 18 hours ago vaginally to a homesless mother who received no prenatal care. The mother received 1 dose of penicillin prior to delivery for unknown GBS infection. The baby;s admitting temperature in nursey was 100.2 Fahrenheit, which decreased to 99 after the bath. The pediatrician ordered a complete blood count that morning and the results were white blood cell count 10 mcgL, segmented neutrophils 40% band neutrophils 15% metamyelocytes 5% lymphocytes 36% basophils 3% and eosinophils 2%. Calculate teh ANC and I/T ratio |
|
Definition
| The ANC is 6000 and the I/T is .33 |
|
|
Term
| The physician orders ampicillin and Claraforan to be started on a 33 week gestation infant with repiratory distress and requiring regular nasal cannula at 1 L/m aon 35% FiO2 to maintain saturation 88-95%. A CBC c-reactive protein (CRP) an blood culture were drawn with placement of an umbilical arterial catheter. The CBC and CRP are normal and the blood culture is pending. Although the physician suspects transient tachypnea of the new born, why would antibiotitcs be started |
|
Definition
| Although the CBC and CRP are negative, the patient is expierencing respiratory distress, there may be up to a 6 hour delay before infection is reflected in these labs |
|
|
Term
| The neonatal nurse practitioner ordered ampicillin 100 mg/kg/dose for your patient, who weighs 3.25 kg. How much ampicillin would you administer |
|
Definition
|
|
Term
| You are preparing to administer ampicillin IV to your patient. Which of the following statements is true. |
|
Definition
| Ampicillin may be infused with intralipids at the terminal injection site of venous access. |
|
|
Term
| Gentamicin 5mg/kg was started on a 30 week gestation infant 20 days ago. You note that the urine output has dropped to 1ml/kg/hour and is amber color in the diaper. The grasp reflec is weak and the infant appears lethargic. You would |
|
Definition
| Check the last gentamicin peak and trough |
|
|
Term
| The new Ballard scoring system in based on assessment of what factors |
|
Definition
| 6 neurologic and 6 physical factors |
|
|
Term
| A gravida 1 mother with no prenatal care and sever pregnancy induced hypertension treated with magnesium just gave birth to a baby girl. How will mothers medical treatment for PIH alter the gestational scoring |
|
Definition
| The neuroligic assesment portion will be altered |
|
|
Term
| The maximum score a neonate may receive using the new bllard scoring system is |
|
Definition
|
|
Term
| to achieve the most accurate gestation score, the neonate should be assessed |
|
Definition
|
|
Term
| You are explaining to a student nurse the correct method to assess arm recoil during the gestational assessment. WHich of the following instructions is correct |
|
Definition
| Place the neonate supine, hold the arms flexed for 5 seconds then straighten and release the arms to measure the angle |
|
|
Term
| You are anticipating the delivery of a 24 week gestation neonate. Which of the following instructions is coreect |
|
Definition
| A polpliteal angle of 160 degrees |
|
|
Term
| A 30 weeks gestaton neonate was vaginally delivered with vacuum assist 20 minutes ago. The weight was 2000 grams, length 45 cm and head circumfrence 31 cm. You would classify this neonate as |
|
Definition
| preterm large for gestational age (lga) |
|
|
Term
| One of the differences between the symmetric and asymmetric intrauterine growth restriction (IUGR) is |
|
Definition
| asymmetrical IUGR has a lower weight and shorter length compared to head circumference |
|
|
Term
| a diabetic mother is looking at her new son and is concerned that something may be wrong with her son because his head appears to small for his large body. You would respond |
|
Definition
| The head circumfrence is normal but seems small in comparison to the body. Insulin does not cross the blood-brain barrier and creates this effect. |
|
|
Term
| The resuscitation team has been called to the vaginal delivery of a female infant to a mother with late prenatal care. The infant is placed on the warmer. The arms are extended straight with slight flexion of the legs. The elbow crosses the sternum but not past the trunk. You note that the skin is smooth with visible veins and abundant lanugo. WHen you assess the soles, you note fant red marks without creases. The pinna are slightly curved and soft with slow recoil. The clitoris is prominent with an enlarged minora and the nipples have no bud with flat areola. The findings are consistent with a neonate of which gestational age? |
|
Definition
|
|
Term
| A 47 year old gravida 10 para 5 is in active labor. She received late prenatal care, seeing the obstetrician only once. Estimated gestation is 21 weeks and 450 grams on the ultrasound. The mother believes she is at 23 weeks. After a family conference with the obstetrician, a neonataologist, and social service, the parents decide to withold resuscitation efforts until gestation can be assessed. Upon the delivery the infant is dried positioned and placed on the warmer. Weight is estimated to be 350 grams. The skin is friable and sticky the eyelids are tightly fused and the heal-toe length is 45 mm. These findings suggest |
|
Definition
| the infant is not viable and resuscitation efforts should be withheld |
|
|
Term
| You are called to the vaginal delivery of a 44 week gestation infant with meconium. You anticipate the skin to be |
|
Definition
| leathery and cracked with meconium stained nail |
|
|
Term
| as gestational age increases, the square window angle |
|
Definition
|
|
Term
| Baby Alia is a 28 week gestation infant born 24 hours ago to a 14 yr old mother with no prenatal care. After reviewing the chart, you note that the gestation assessment was not completed. Which of the following assessment criteria is no longer accurate if done now. |
|
Definition
|
|
Term
| The parents of newborn 24 week gestation triplets ask you if they have opened their eyes. You would explain that |
|
Definition
| the eyelids are fused at this time but will open between 26 and 30 weeks gestation |
|
|
Term
| You are mentoring a nursing student and discussing the importance of obtaiing a maternal history prior to delivery. Maternal health during the pregnancy is extremely important in the development of the fetus and directly affects the post0delivery management of the neonate. Which are the most important maternal factors you should discuss with the nursing student |
|
Definition
| Placental function and inherent maternal resources. |
|
|
Term
| You are preparing for the delievery of a 38 week gestation neoneate via emergency primary cesarean section to a 29 year old gravida 1 mother with uncontrolled type 2 diabetes. The mother has been pushing for 15 hours without significant cervical changes or fetal drop. Maternal vital signs at delivery are a heart rate of 120 respiratory rat 20 blood pressure 135/85 and saturation in room air 92%. Fetal weight on last ultrasound was 4.2 kg. Which post-delivery fetal complication would you anticipate |
|
Definition
| respiratory distress syndrome |
|
|
Term
| The neonatal intensive care unit is seeing an increase in te number of teen mothers. Which of the following factors in the management of an infant of a teen mother should you consider when performing discharge teaching |
|
Definition
| discharge teaching should include birth control |
|
|
Term
| Your patient's 14 year old mother tells you she smoked pot. How is today's marjuana different from the marijuana of 20 years ago. |
|
Definition
| Pot 20 years ago was safer |
|
|
Term
| You are assisting in a neonatology consultation for a 17 yr old in preterm labor at 25 weeks gestation who is addicted to energy drinks. What potentiial complications in the neonate must you anticipate? |
|
Definition
| Complications similar to fetal alcohol syndrome |
|
|
Term
| The neonatal resuscitation team is resuscitation team is called to the vaginal delivery of a 38 week gestation infant of a mother having seizures. She is reported as having headaches, hypertension, nausea and vomiting prior to delivery. The preeclampsia work-upp shws normal platelet count, normal AST and ALT, and no proteinuria. What condition is the infant at rsk for during delivery? |
|
Definition
| Cerebral vascular accident |
|
|
Term
| Addiction and abuse are terms often used incorrectly and interchangeably in conversation with parents and family members. Which statement best defines these terms |
|
Definition
| addiction is when a user cannot live or function with the substance or drug without severe life-threatening withdrawal, and abuse is wehn the uses uses the drug or substance in amounts or functions not intended |
|
|
Term
| Which maternal illegal drug of addiction is the most commonly used |
|
Definition
|
|
Term
| Heather is a 22 year old admitted in labor at 30 weeks gestation. She denies any drug or alcohol use throughot the pregnancy. When questioned further during the neonatology consulation, she admits to drinking a "few beers" weekly while partying at college. Knowing that most patients will underestimate drug and alcohol consumption which fetal complications could you anticipate finding at delivery |
|
Definition
| Small for gestation, microencephaly |
|
|
Term
| Helen tells you that she used witch hazel during her pregnancy. Your first question after hearing this should be |
|
Definition
| Why did you take witch hazel |
|
|
Term
| Mara is a 16 yr old who was brought into the emergency room after collapsing at a party. She is 25 weeks pregnant and having mild contractions. Mara's cardiac and neurologic work-up is negative. Her urine drug screen is negative. If Mara delivers in the next few hours, what immediate infant complication could you anticipate |
|
Definition
|
|
Term
| You are assisting with the neonatal consultation for a 32 week gestation infant of a gravida 3 para 2 18 yr old mother named Brenna. Brenna apears euphoric and confused. While looking around the room you note a chewed up pacifier in the bed with her. WHy would the pacifier be significant. |
|
Definition
| Brenna may have been using the pacifier prior to you entering the room |
|
|
Term
| If a mother has a history of abusing solvents, what is the most likely effect on the fetus |
|
Definition
| intrauterine growth restriction |
|
|
Term
| You are caring fora 36 week gestation infant born to a mother addicted to methampehtamines. Which complications are you most likely to see |
|
Definition
| Cleft palate and hypoglycemia |
|
|
Term
| Rosa is 34 years old and pregnant with 33 week gestation twins. She is admitted in preterm labor. During her physical assessment, the labor nurse reports that Rosa was combative, red faced, and talking to the walls. You approach the family to obtain a prenatal history and her husband reports that Rosa has been sick with a sever cough and allergies for days. The husband had gone to the store this morning for Benadryl and Robitussin as rosa had slept soundly for 2 days. Rosa has taken both medications every 2 hours for te past 8 hours. You suspect the premature labor is due to |
|
Definition
|
|
Term
| Allison nd Jake both smoke one pack of cigarettes daily. You are completing the discharge teaching for their son Aaron born at 26 weeks gestation and who is now 36 weeks adjusted age. Which of the following statements must be included in their teaching. |
|
Definition
| Aaron is at higher risk for sudden infant death syndrome. |
|
|
Term
| Sammy is a 35 week gestation infant just born and diagnosed with fetal alcohol syndrome. His mother reports drinking heavily while pregnant and does not wrn any interaction with the baby. Due to the baby's presentation and history, you would anticipate withdrawal symptoms to occur |
|
Definition
| Within the first 12 hours of life |
|
|
Term
| Which of the following drugs are classified as stimulants |
|
Definition
| Modafinil, caffeine and amphetamines |
|
|
Term
| Jill is a 26 year old gravida 12 para 4 presenting in preterm labor at estimated 28 weeks gestation. She had had no prenatal care and refuses to provide health history. Her admitting weight is 100 pounds. A urine drug screen is positive for opioids, oxycodone, marijuana and cocaine. WHat additional testing should be considered? |
|
Definition
| Syphillis, Hepatitis B and C |
|
|
Term
| Olga is a 28 year old gravida 2 para 1 in labor at 30 weeks gestation with twins. She has been suffering from postpartum depression since her last delivery 15 months ago. She reports that she has been on Paxil 20 mg.day during the pregnancy but took extra every day because she was overwehlmed by the thought of twins. Her husband reports finding Elavil 50 mg that was prescribed to take every 8 hours on her bedside table. One fetal heart rate cannot be found using Doppler and the other fetal heart rate is 80 bpm with late decelerations. It is decided to deliver the twins via cesarean section. Which complications should be expected |
|
Definition
|
|
Term
| You are completing discharge teaching to a foster parent for a term baby treated for cocaine withdrawal. The baby still has moments of stiffness and rigidity with arching. What would you suggest to the foster parent regarding positioning |
|
Definition
| Use a hammock or sling bed for sleeping |
|
|
Term
| Which of the following mothers should be advised against breastfeeding |
|
Definition
| Nala, a 38 year old who is HIV seropositive |
|
|
Term
| Developmental care is based on which of the following standards of critical care |
|
Definition
| Parent and infant interaction is continuously assessed and interactions supported |
|
|
Term
| You are teaching new parents to recognize signs of stress in their 30 week gestation neonate. Which of the following is a correct statement regarding autonomic cues. |
|
Definition
| Sighs are sign of stress and instability. |
|
|
Term
| Over the last 2 weeks you have been teaching Jan and Eric abut behavioral cues and interventions when caring for their 26 week gestation enonate. You woud document effective learning and application if |
|
Definition
| they provide hand containment when they see arms and legs failing |
|
|
Term
| Too increase parental involvement in their neonate's acre teaching should |
|
Definition
| provide short bursts of developmental cues and parent intervention |
|
|
Term
| the best time to begin teaching parents about interpreting their neonates behavioral cues is |
|
Definition
|
|
Term
| While Nora is participating in kangaroo holding of her 29 week gestation son Dalton it is time for cares. At which point would you perform cares to lessen stress on the baby |
|
Definition
| when Dalton is asleep with movement of the chest and head |
|
|
Term
| The parents of your 31 week gestation neonate Zeke are in your unit to participate in kangaroo holding. Prior to placement skin to skin, Zeke's temperature is taken and is 38 degrees Celsius. Which parent is the better choice for performing kangaroo care at this time? |
|
Definition
|
|
Term
| Jacob and Madison are new parents to 24 week gestation triplets who are 9 days old. Due to severe respiratory and hemodynamic instability during visits they have been unable to participate in cares. During your update for triplete A Madison remarks that "this doesn;t feel real" and Jacob adds "it is hard to bond with them" An approprate action to increase parental involvement would be |
|
Definition
| have the parents assist in administering Aquaphor to the skin |
|
|
Term
| Developmental positioning is crucial to prevent both skeletal and muscular deformities. Common deformities include |
|
Definition
| neck extension and head molding |
|
|
Term
| which of the following statements regarding developmental positioning is true? |
|
Definition
| Developmental positioning should support midline alignment |
|
|
Term
| parents have correctly identified self-regulation actions by their child if they report |
|
Definition
| grasping of the parents finger and movement toward the mouth |
|
|
Term
| Jayden is a 34 week gestation infant requiring a peripherally inserted central catheter (PICC) for long-term antibiotic and fluid management, feeding intolerance, and acteremia. Aliya, Jayden's mother is concerned about long-term addiction to narcotics and asks if pain control is possible without drug therapy. You would respond |
|
Definition
| We can swaddle Jayden during the procedure and provide a sucrose pacifier during insertion |
|
|
Term
| Areceli and Quinton are the parents of a 25 week gestation infant named Valerie. Valerie is now 10 days old and is being extubated and changed to a high-flow nasal cannula. She continues to have minor periodic apneic episodes and was started on caffeine 3 days ago. She is tolerating feedings of breastmilk and will continue to adance feedings. To foster parental involvment and bonding, the nurse should |
|
Definition
| encourage the parents to journal Valerie's progress and their goals to provide care |
|
|
Term
| Fra is a 23 week gestation neonate who is now at 33 weeks adjusted gestation. During the last 10 weeks to appropriately transition Farah to breast and bottle feeding the nurse should have |
|
Definition
| provided oral care with lemon or vanilla flavoring during and between cares when sucking motions were noted. |
|
|
Term
| Damian is a 32 week gestation neonate who is now 34 weeks adjusted gestational age. You are beginning trial oral feedings because of noted increase in quiet alert state, vigorous sucking on the pacifier without desaturation, and rooting during kangaroo care. Successful transition to oral feeding with breast and/or bottle is |
|
Definition
| The infant's ability to maintain physiologic stability, a flexed posture, and a quiet alert state |
|
|
Term
| Preston is now a 35 week gestation neonate who is alternating oral and gavage feedings. You just completed a bottle feeding using a standard or regular nipple. Preston finished 40 mL of breastmilk with human miilk fortifier at 1 pack per 25 ml in 20 minutes. He required external pacing only during the first 5 mL of the feeding and no chin or cheek support. Vital signs were stable during and after the feeding. You would |
|
Definition
| Recommend advancing the feedings to oral feeding (nipple, nipple, gavage) |
|
|
Term
| Caitlyn is the mother of a 26 week gestation neonate requiring mechanical ventilation for respiratory distress syndrome. Caitlyn was planning to breastfeed after delivery, but is concerned about completing that goal. You should |
|
Definition
| have Caitlyn begin pumping immediately every 2-3 hours to establish milk supply |
|
|
Term
| Which nursing action supports long-term collaborative feeding practices within the neonatal care unit. |
|
Definition
| Establishing consistent nursing staff for feeding and general care |
|
|
Term
| During discharge teaching, you notice multiple bruises on the mothers arms and red marks on her neck. You suspect she s being physically abused. What other indicator would support your assessment? |
|
Definition
| Denial of abuse when asked directly |
|
|
Term
| According to the CDC which of the following women should not be treated prophylactically with antibiotics |
|
Definition
| A GBS positive woman with intact membranes with scheduled cesarean section |
|
|
Term
| At which of the following anticpated delieveries would you expect a neonatal team to be in attendance |
|
Definition
| Abruption or maternal hemorrhage |
|
|
Term
| Admission criteria for the intermediate care nursery may include |
|
Definition
| 33 week gestation with apnea/bradycardia |
|
|
Term
| The University of Illinois Medical Center at Chicago defines pain as, "An unpleasant sensory and emtional experience, associated with actual or potentnial tissue damage or describe in terms of such damage. Pain is always subjctive" Pain may be observed in the neonate as |
|
Definition
| tachycardia, tachypnea, and crying |
|
|
Term
| Cortical perception of pain is complete before ___ week gestation |
|
Definition
|
|
Term
| Pharmacologic intervention may be used for infants of a drug addicted mother. You would anticipate ______ to be used as a substitute for heroin and _______as a substitute for cocaine |
|
Definition
|
|
Term
| Your patient is being weaned of IV morphine. The doctor tells you that today the patient will switch from IV morphine to oral morphine. You expect the oral morphine dosage to be |
|
Definition
| three to five times the IV dose |
|
|
Term
| Within a Chinese family cultural values and practices may include which of the following beliefs |
|
Definition
| there is wide use of medicinal herbs |
|
|
Term
| your patient has been in the second stage of labor for 2 hours and the baby weighs approximately 3900 grams. You anticipate which of the following potential complications |
|
Definition
|
|
Term
| You are preparing for resuscitation of a baby with breech presentation being delivered vaginally. You anticipate possible |
|
Definition
|
|
Term
| What ultrasonopgraphic measurement is frequently used to establish gestational age |
|
Definition
|
|
Term
| A newborn's visual acuity is estimated to be in the range of |
|
Definition
|
|
Term
| A infant is determined to be healthy if he demonstrates which of the following |
|
Definition
|
|
Term
| Vernix should exist in skin folds at whic level of gestation |
|
Definition
|
|
Term
| the primary reason to determine gestational age is to |
|
Definition
| anticipate problems with development |
|
|
Term
| a complication of prone positioning is |
|
Definition
| external rotation of the hips |
|
|
Term
| A father notes several 1 mm papules on the baby's chin and cheeks. He asks you what would cause this. You should offer whihc of the following explanations |
|
Definition
| The spots are normal and will disappear within a few weeks |
|
|
Term
| A hypoxic infant who is cold stressed is at risk for developing |
|
Definition
|
|
Term
| Infants are at great risk for heat loss at a rate of three to four times that of an adult because |
|
Definition
| the infant has a greater surface-to-body ratio |
|
|
Term
| Your newborn patient's breasts appear enlarged and have a milky discharge. This finding might indicate |
|
Definition
|
|
Term
| What is the major factor that causes parental stress while their infant is in the neonatal intensive care unit |
|
Definition
| deviation from expected events |
|
|
Term
| Marilyn and Frank are the new parents of a 23 week gesttion nenonate delivered via emergency cesarean section due to uterine rupture. Initially they say little while visiting and have a glazed expression while at their baby;s bedside. The nurse recognizes this as |
|
Definition
| the initial response to a crisis |
|
|
Term
| As parents of premature and/or sick neonates cope with stree, they ust complete several psychological tasks in order to build a heathy relationship with their child. During the neonate's course of hospitalization, nursing personnel must continually monitor and intervene to support healthy bodning Which of the following parental actions would indicate the beginning of a negative parental-neonae relationship |
|
Definition
| The parents visit for only 10 minutes a t at a time and stare at the monitor. |
|
|
Term
| Your facility offers parenting classes. Nathan and Emily are 16 year old first time parents of a 32 week gestation neonate. gail and Ibrahim are 42 year old first time parents of a 34 week gestation infant. Prior to discharge home, which parents should be offered parenting classes |
|
Definition
|
|
Term
| You are preparing to update Anna and Steven aout their son, Evan a 23 week gestation neonate. He is orally intubated and was treated effectively this morning with a second course of surfactant for increasing respiratory distress and mechanical support. An echocardiogram was ordered for today to evaluate a murmur and fluctuating oxygn requirements. Trophic feedings were started using breastmilk provided by Anna. WHich of the following comments or statements regarding Evan's condition is the most therapeutic and correct? |
|
Definition
| An echocardiogram was ordered for today to evaluate blood flow through Evan's heart |
|
|
Term
| Sara and Graham are the parents of a 30 week gestation neonate admitted to the intensive care unit for respiratory disress syndrom, possible sepsis, and prematurity. Sarah and Graham ask about what to tell the three older siblings about the baby being in the unit. Which of the following statements would e appropriate |
|
Definition
| Your 2 year old daughter will not understand that the baby is in the unit, but she may have separation anxiety with you visitin for greath lengths of time. |
|
|
Term
| Jose and Nita are parents of 24 week triplets, Juaita, Sergio and Tierra born 5 days ago. Tierra was diagnosed with a grade IV intraventricular hemorrhage and cardiogenic shock, and was removed from life support yesterday. Jose and Nita are crying at the bedside while visiting juanita and sergio today. What should you do. |
|
Definition
| Tell them you are sorry for their loss and offer to listen or pray with them |
|
|
Term
| The purpose of risk management is to |
|
Definition
| collect and store records regarding potential and actual injuries in the hospital |
|
|
Term
| to provide consistent and complete transfer of care from one healthcare professional to another, regulating bodies recommend standardized report-off or hand-off documentation or reports. An example of this is |
|
Definition
|
|
Term
| Your patient is a term infant who has required some supplemental oxygen She is placed on 2 L/min via NC and ABGs have been drawn. Blood gas results show pH 7.54 PaO298 mmHg, PaCO2 26 mmhg and HCO3 24 mEq/L. These blood gas results show |
|
Definition
| uncompensated repsiratory alkalosis |
|
|
Term
| To provie consistent and complete transfer of care from one healthcare professional to another, regulating bodies recommend standardized report-off or hand-off documentation or reports. An example of this is |
|
Definition
|
|
Term
| Your patient is septic and you have just drawn an ABG. The respiratory therapist asks if the patient has a fever. The possibility of fever will have what effect on the sample |
|
Definition
|
|
Term
| The 36 week gestational aged female born 2 hours whom you are feedings begins coughing and choking. She has large amounts of oral secretions as well. Her colon is poor and she is in respiratory distress. What is the most likely cause of these symptoms. |
|
Definition
|
|
Term
| You are caring for a 24 week gestation neonate at 3 days of life. The neonate is intubated on conventional ventilation support at 30% Fio2. A double walled isolette at 65% humidity and a K-pad are in place. Double photottherapy was started for hyperbilirubinemia. Which of the following treatments would contribute most to insensible water loss |
|
Definition
|
|
Term
| The infant you are caring for has been pharmacoligically weaned from opiates. Weaning is usually deemed successful if the neonate |
|
Definition
|
|
Term
| Baby M. was born at 37 weeks gestation and is now at day 4 of life. This baby has poor skin turgor, depressed anterior fontanelle, mottled skin, weak pulses, low blood pressure and is lethargic. Lb results indicate a urine specific gravity of 1.005 an elevated serum osmolatlity and a low urine osmololaity. Urine output the past 24 hours has been 6.5 ml/kg/hr. Baby M probably has |
|
Definition
|
|
Term
| Alpha fetal protein (AFP) screening of the mother's serum potentially detects what percentage of neural tube defects. |
|
Definition
|
|
Term
| Baby Sam is about to undergo a circumcision. A topical anesthetic that may be used for this procedure would be |
|
Definition
|
|
Term
| The most common singlegene disorder (autosomal recessive) in Caucasian population is |
|
Definition
|
|
Term
| Tetralogy of Fallot manifests itself by which of the following combinations of defects |
|
Definition
| VSD, overriding aorta, pumonary stenosis, and right ventricuar hypertrophy |
|
|
Term
| A gravida 1 mother with no prenatal care and sever pregnancy-induced hypertension treate with magnesium just gave birth to a baby girl. How will the mother's medical treatement for PIH alter the gestational scoring |
|
Definition
| The neurological assessment portion will be altered |
|
|
Term
| AV canal defects are also known as |
|
Definition
| endocardial cushion defects |
|
|
Term
| anatomic dead space is defined as |
|
Definition
|
|
Term
| fetal urination is most pronounce during which trimester |
|
Definition
|
|
Term
| fetal urination is most pronounced during which trimester |
|
Definition
|
|
Term
| how do an omphalocele and gastrochisis differ |
|
Definition
| omphalocele is the herniation of some or all the abdominal contents into a sac at th umbilicus |
|
|
Term
| Baby is a term neonate who has been increasingly restless and now has petechiae on the trunk, arms, and legs. The abdomen is slightly distended and the baby demonstrates increased repiratory effort. She is now obtunded. During your assessment, you note pink-tinged urine in the diaper generalized ecchymosis and oozing from the umbilical line insertion point. You suspect Baby C has |
|
Definition
|
|
Term
| While preparing to give report at shift chnage you note a 7 cm diametere pool of blood under your patient. The infant dislodged the umbilical catheter. The infant's heart rate 188 skin is pale and capillary refiill is about 3 seconds. A normal saline bolus is ordered for fluid replacement. Which of the following parameters indicates improvement after the saline bolus has infused |
|
Definition
|
|
Term
| your team confirms umbilical line placement on chest x-ray prior to transporting your term patient. The umbilical artery ctheer is located at T4 and the umbilicial venous catheter tip is just above the diaphragm . Based on the chest x-ray results, which of the following choices would be an appropriate action |
|
Definition
| Confirm with the neonatologist and prepare to withdraw the arterial line back to T6-T9 and the secure the venous line |
|
|
Term
| infants with immature lungs are at risk for respiratory distress syndrome. Which of the following characteristics would be present in most cases of respiratory distress syndrome |
|
Definition
|
|
Term
| You are called to a primary cesarean section for a term infant's failure to progress. Over the last few minutes of labor, the baby experienced three 4-minute decerlations with a fetal heart rate of 68. Upon receipt of the baby, you not that the infant is apneic with no tone. After drying the baby and removing blankets, the initial assessment indicates a heart rate 70, apnea despite stimulation and the baby remains limp and cyanotic the baby is |
|
Definition
|
|
Term
| to achieve the most accurate gestation score, the neonate shuld be assessed |
|
Definition
|
|
Term
| you are in attendance at the c-section of a 32 week gestational age infant. The infant emerges in severe respiratory distress with a probable diaphragmatic hernia. What medical therapies do you anticipate? |
|
Definition
| Intubation, NG tube IVs chest x-ray and surgery |
|
|
Term
| factor VIII deficiency is also known as |
|
Definition
|
|
Term
| You are caring for a 28 week gestation infant at day 20 of life with hydrocephalus. The baby has had a ventriculoperitoneal (VP) shunt placed. Over the past few hours, you have noticed the baby has become increasingly lethargic. As the NICU nurse you know that |
|
Definition
| the shunt may be occluded |
|
|
Term
| which of the following statements is true regarding excess fetal insulin |
|
Definition
| excess fetal insulin may be the cause of delayed maturation of type II alveolar cells |
|
|
Term
| A newborn's visual acuity is estimated to be in the range of |
|
Definition
|
|
Term
| Type II truncus ateriosus is characterized by |
|
Definition
| the right and left pulmonary arteries having separate origins |
|
|
Term
| The physician orders high humidity and a double-walled isolette for your newly born 23-week gestation neonate. This is because |
|
Definition
| fluid regulation is impaired in the extremely low-birth-weight patient |
|
|
Term
| You are mentoring a nursing student and discussing the importance of abtaining a maternal history prior to delivery. Maternal health during the pregnancy is extremely important in the development of the fetus and directly affects the postdelivery management of the neonate. Which are the most important maternal factors you should discuss with the nursing student |
|
Definition
| placental function and inherent maternal resources |
|
|
Term
| short bowel syndrome puts the neonate at increased risk for which of the following deficiencies |
|
Definition
|
|
Term
| Which of the following statements is true about transient tachypnea of the newborn |
|
Definition
| Epinephrine may be useful in the treatment of TTN |
|
|
Term
| You are anticipating the delivery of a 24 week gestation neonate. Which of the following assessment findings would be consistent with a 24 week gestation neonate. |
|
Definition
| A popliteal angle of 160 degrees |
|
|
Term
| One of the differences between the symmetric and asymmetric intrauterine growth restriction (IUGR) is |
|
Definition
| asymmetrical IUGR has a lower weight and shorter length compared to head circumference |
|
|
Term
| VATER association presents with which f the following anomalies |
|
Definition
| Vertebral anomalies, anal anomalies, tracheoesophageal fistula, esophageal atresia, and renal anomalies |
|
|
Term
| a term infant has been diagnosed with thalassemia and is about to be discharged home. An important aspect of parent teaching for a neonate with thalassemia would incluude |
|
Definition
| using cool water for skin cleansing |
|
|
Term
| Stimulation of the anterior pituitary gland is from the hypothalamus by way of the |
|
Definition
|
|
Term
| which of the following statements is true regarding epicardial pacing wires placed for postoperative cardiac management |
|
Definition
| dual chamber pacing is most important after surgical repairs near the conduction system |
|
|
Term
| after 3 weeks in the NICU a 28 week gestational age male with Trisomy 18 begns having projective vomiting of formula immediately after feeding. He is irritable but hungry. Which of the following is the most likely cause of his problem? |
|
Definition
| Hypertrophic pyloric stenosis |
|
|
Term
| You are participating in the delivery and resuscitation of a 28 week gestation neonate. The heart rate is 140 with a respiratory rate of 80 with moderate retractions and circumoral cyanosis. Your next step is to |
|
Definition
| provide cpap using a t-piece resuscitator |
|
|
Term
| your transport team arrives at a hospital emergency room that does not have maternal child services to transport a term infant who was surrendered to staff. The infant's first temperature was 35.4 C. You find the infant wrapped in heated blankets under a radiant warmer. During yur assessment you fi the blood glucose to be 17 mg/dl. The ER physician orders dextrose 25% at 2ml/kg IV stat. You shuold be 17 mg/dl. Ther ER physician orders dextrose 25% at 2 ml/kg IV stat. You should |
|
Definition
| politey refuse the order notify your tranposrt neonatologist and follow standard stabilization protocol of using dextrose 10% at 2ml/kg IV |
|
|
Term
| a factor that increases pulmonary vascular resistance is |
|
Definition
|
|
Term
| a 30 week gestation neonate was vaginally delivered with vacuum assist 20 minutes ago. The weight was 2000 grams the length was 45 cm and the head circumference was 31 cm. You would classify this neonate as |
|
Definition
| preterm larger for gestational age (LGA) |
|
|
Term
| You are preparing for the delivery of a 38 week gestation neonate via emergency primary cesarean section to a 29 year old gravida 1 mother wit uncontrolled type 2 diabetes. The mother has been pushing for 15 huors without significant cervical changesor fetal drop. Maternal vital signs at delivery are a heart rate of 120 respiratory rate 20 blood pressure 135/85 and saturation in room air 92%. Fetal weight on last ultrasoud was 4.2 kg. Which postdelivery fetal coplication would you anticipate? |
|
Definition
| Respiratory distress syndrome |
|
|
Term
| persistent pulmonary hypertension of the newborn (pphn) is caused by |
|
Definition
| right to left shunting through fetal channels |
|
|
Term
| a full term down syndrome baby has started vomiting. You notice his abdomen is becoing distended. Which of the following conditions may be the cause of this problem |
|
Definition
|
|
Term
| Your patient is a 35 week gestation infant who has developed respiratory distress and sepsis. THe infant is being mechanically ventailated and has had a varying pH from 7.22 to 7.30 an a base deficit that has also been fluctuating from -5 to -6 over the last 10 hours. The infant has an indirect bilirubin of 22.9. This infant will be receiving a double volume exchange transfusion. Which of this infants problems must be addressed prior to the start of the transfusion |
|
Definition
|
|
Term
| You are caring for angel a 34 week gestation neonate who is the recipient of a twin to twin transfusion on day 2 of life. There are multiple bruises on her torso and extremities. Morning labs reveal a Hgb of 17.9g/dl and a Hct of 66%. Mean arterial blood pressure is 45. She is on 1 L/m nasal cannula at 25% FiO2 wit saturation at 92%. IV therapy includes TPN of D10 at 90 ml/kg/d via peripheral IV. Urine output for the last 24 hours is 1.3 ml/kg/d. The low urine output is probably due to the |
|
Definition
|
|
Term
| The mother of a 30 week gestation neonate is sitting at bedside when you let her know that you will be transferring the baby to an isolette. She states, " I don;t want him to go into that box thing. I'll be afraid to touch him. Can't he stay in this warmer thing?" What is the best repsonse to her request |
|
Definition
| We will assist you in touching and holding your baby as he gets better and the isolette allows for better temperature control and reduces stress to the baby. |
|
|
Term
| You are asked to visit the parents of a premature neonate who will deliver imminently. The labor and delivery nurse tells you that they have multipe questions regarding prognosis and expected plan of care You should |
|
Definition
| ask the neonatologist to speak with the parents |
|
|
Term
| Your 1260 gram patient has an order to IV fluids to run at 80 ml/kgday. Which of the following IV rates is correct |
|
Definition
|
|
Term
| On an EKG left side heart failure results in |
|
Definition
|
|
Term
| The occurence of pulmonary interstitial emphysema (PIE) is closely associated with |
|
Definition
|
|
Term
| a contraindication to the surgical correction for hypoplastic left ehart sydnrome would include |
|
Definition
| significant tricuspid valve dysplasia |
|
|
Term
| Your patient with bronchopulmonry dysplasia (BPD)was started on Diuril 2 days ago for pulmonary edema. While drawing blood for a capillary blood gas (CBG) you perform a glucose check. the serum glucose is 180 mg/dl. Te most likely cause for the hyperglycemia in this patient is |
|
Definition
| suppression of the pancreatic release of insulin |
|
|
Term
| hemorrhage in an infant with hydrops fetalis is usually the result of |
|
Definition
| altered hepatic synthesis |
|
|
Term
| where is the most common loction for craniosynostosis |
|
Definition
|
|
Term
| where is the most common loction for craniosynostosis |
|
Definition
|
|
Term
| Your patient is a near term infant who exhibited worsening perioral and periorbial cyanosis after birth. The infant developed a profound generalized cyanosis after the ductus closed and has been progressively more taachypneic. A panysystolic murmur is auscultate at the left lower sternal border and is accompanied by a thrill and a diastolic rumble. These symptoms are suggestive of |
|
Definition
| pulmonary atresia with an intact ventricular septum |
|
|
Term
| You are assisting in a neonatology consultation for a 17 year old in preterm labor at 25 weeks gestation who is addicted to energy drink. What potential complications in the neonate must you anticipate? |
|
Definition
| Complications similar to fetal alcohol syndrome. |
|
|
Term
| you are caring for a 27 week gestation age female with subtle seizures. What medications do you anticipate using for this patient |
|
Definition
|
|
Term
| what is the major factor that causes parental stress while their infant is in the neonatal intensive care unit |
|
Definition
| deviation from expected events |
|
|
Term
| a 47 year old gravida 10 para 5 mother is in actor labor. She received late prenatl care seeing the obstetrician only once. Estimated gestiation is 21 weeks and 450 grams on ultrasound. The mother believes she is at 23 weeks. After a family conference with the obstetrician, neonatologist, and social service, the parents decide to hold resuscitation efforts util gestation can be assessed. Upon delivery, the infant is dried, positioned and placed on the warmer. Weight is estimated to be 350 grams. The skin is friable and sticky, the eyelids are tightly fused, and the heel-toe length is 45 mm. These findings suggest |
|
Definition
| the infant is not viable and resusciation efforts should be held. |
|
|
Term
| similac PM 6/40 is frequently give for |
|
Definition
|
|
Term
| many neonates with RDS and hyoxemia are managed by increasing the inflating pressure and applicaion of positive end expiratory pressure (PEEP) PEEP is useful in RDS because |
|
Definition
| PEEP can open collapsed alveoli |
|
|
Term
| The prents of 24 week gestation triplets ask you if they have opened their eyes. You would explaain that |
|
Definition
| the eyelids are fused at this time but will open between the 26th and 30th weeks |
|
|
Term
| A transfusion reaction that usually occurs within 5-30 minutes of the start of the transfusion is known as |
|
Definition
| an acute intravascular hemolytic reaction |
|
|
Term
| Your 31 week gestation patient is at 10 days of life. Feedings are by gavage every 3 hours with expressed breastmilk . Cafcit was started PO yesterdat for periodic apnea and bradycardia. A glycerin suppository is ordered every 4 hours if the infant has not stooled. Morning labs indicate hyponatremia. This is mostly likly due to |
|
Definition
|
|
Term
| Herniation of abdominal contents into the chest cavity early in gestation accompanied by ipsilater pulmnoary hyoplasia is known as |
|
Definition
| congential diaphragmatic hernia |
|
|
Term
| you are attending the vaginal delivery of a term infant with meconium. WHich of the following infant presentations would you classify as vigorous |
|
Definition
| the baby is crying and kicking, with a heart rate > 100 bpm |
|
|
Term
| You are caring for a 32 week gestation infant in acute respiratory failure. Te patient is receiving 02 therap and has ABGS SCHEDULED EVERY FOUR HOURS. As a NICU nurse you know that the arterial oxygen tension should be maintained between |
|
Definition
|
|
Term
| You are explaining to a student nurse the correct ehtod to assess ar recoil, during the gestational assessment. Which of the following statements is correct |
|
Definition
| Place the neonate supie, hold the arms lexed fro 5 seconds, then straighten and release and measure the angle |
|
|
