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2024 NICU NURSING FINAL EXAM WITH 90 REAL QUESTIONS AND VERIFIED ANSWERS
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2024 NICU NURSING FINAL EXAM WITH 90 REAL QUESTIONS AND VERIFIED ANSWERS.
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2024 NICU NURSINGFINAL EXAM WITH 90
REAL WOESTIONS AND
VERIFIED ANSWERS
1. What is a high risk neonate?: a newborn, regardless of gestational age or birth weight,
who has greater than average chance of morbidity or mortality due to conditions
associated with birth and the transition to extrauterine life
2. How do we classify high risk neonates?: Weight
Growth
Gestational Age
3. What is considered a low birth weight of a high risk neonate?: <2500 grams 4.
What is considered a very low birth weight of a high risk neonate?: <1500 grams
5. What is considered an extremely low birth weight for a high risk neonate?: <1000
grams
6. What are the growth classifications of a high risk neonate?: -intrauterine growth
restriction (how they were growing in utero)
-small for gestational age (can have normal growth but still just small, <10%)
-large for gestational age (>90%)
7. What are the 3 gestational age classifications of a high risk neonate?: -premature
infant </= 36 6/7 weeks
,-Term infant >/= 37 0/7 weeks
-Post-mature infant >42 weeks gestation
8. What are the NICU risk factors?: -prematurity
-low birth weight- may just be too small to stay warm
-birth depression
-high risk pregnancy
-congenital anomalies
9. What are the risk factors for prematurity: -teen pregnancy
-advanced maternal age (>35)
-low socioeconomic status
-drug use and tobacco use
-history of preterm birth
-multiple gestation (twins, triplets)
-obesity
-diabetes
-hypertension
-infection (moms PROM, UTI, viral infection)
-infertility treatments: IVF, multiple babies
10. What do we need to know regarding neonatal resuscitation?: -neonatal
resuscitation program (NRP)
-about 10% of newborns require some assistance to begin breathing at birth
-less than 1% require extensive resuscitative measures, such as cardiac compressions or
medications
-every birth should be attended by 1 person who can perform initial steps of newborn
resuscitation and PPV (someone to preform bag and mask)
, 11. What are the important questions we need to ask regarding neonatal
resuscitation?: What's their gestation?
-are they term? premature?
What's their tone?
-crying and such they don't need resuscitation, or are they floppy?
Are they breathing or crying?
-crying baby is a breathing baby
12. What does post resuscitation care in the NICU consist of?: -thermoregulation
-monitor glucose- heel sticks
-Labs
-X-ray
-IV fluids
-management of lines and tubes
-monitor vital signs (continuous ECG)
-support family**- especially for those who expected normal healthy baby
13. Why is the neonate at risk for hypothermia?: -large surface area to body size ratio
-decreased muscle mass
-decreased subcutaneous fat (preterm, IUGR)- preterm don't have insulation
-inability to shiver- if they are shivering then there is something else wrong
14. What are the most common group of respiratory diseases in the neonate?: -
respiratory distress syndrome
-transient tachypnea of the newborn (TTN)
-pneumothorax
-meconium aspiration syndrome
-congenital pneumonia
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