Complications of hyperthermia Correct Answer--increased metabolic demands
-increased oxygen requirements
-apnea
Why might a HYPERthermic infant be hypotensive? Correct Answer-They are vasodilated in an attempt to dissipate heat
What are three complications of increased insensible water loss...
RNC-NIC Questions with correct answers
Complications of hyperthermia Correct Answer--increased metabolic
demands
-increased oxygen requirements
-apnea
Why might a HYPERthermic infant be hypotensive? Correct Answer-
They are vasodilated in an attempt to dissipate heat
What are three complications of increased insensible water loss? Correct
Answer-HYPERnatremia, dehydration, evaporative heat loss
What circumstances would warrant a baby being on an elemental
formula? Correct Answer-Liver disease, short gut syndrome, dysmotility
(such as gastroschisis), malabsorption, severe protein allergies
Most common causes of metabolic acidosis in NICU population Correct
Answer-Renal tubular acidosis/renal failure, lactic acidosis (tissue
hypoxia, sepsis, neonatal cold stress)
Common causes of metabolic alkalosis Correct Answer-Vomiting,
NG/OG suctioning, sodium bicarb use
How is PIP adjusted in accordance with PaCO2? Correct Answer-
Elevated PaCO2 -> Increase PIP
Low PaCO2 --> Decrease PIP
,What is the general indication for HFOV? Correct Answer-Conventional
ventilator failure
When does FUNCTIONAL closure of the ductus arteriosus occur?
Correct Answer-within the first 12hrs after birth
When does the ANATOMIC closure of the ductus arteriosus occur?
Correct Answer-Can take up to one month after birth
TTN (Transient tachypnea of the newborn) Correct Answer--Respiratory
distress caused by ineffective breathing at birth; delayed clearance of
lung fluid
-Tachypnea, grunting, shallow breathing, nasal flaring, respiratory
acidosis
-May need intubation and ventilation
-Sunburst pattern with perihilar streakiness on x-ray
-Fluid in interlobar tissue
Normal Urine output Correct Answer-1-4 ml/kg/hr
What are three effects of perinatal steroids on neonates? Correct
Answer--Maturation of epithelial skin barrier and renal epithelial
transport system
-Lower incidence of insensible water loss & hypernatremia
,-Lower fluid requirements in first 7 days of life
What mineral aids in bone mineralization? Correct Answer-Phosphorus
Chloride Correct Answer-Normal value 96-111
Inverse correlation with bicarb
too much = acidosis
too little = alkalosis
Potassium Correct Answer-Normal value 3.5-5.5
If abnormal, can cause weakness, arrhythmias, even death
Sodium Correct Answer-Normal 135-145
If abnormal, can cause seizures, venous sinus thrombosis, CNS
hemorrhage
What are some complications of cold stress? Correct Answer-Apnea,
low blood sugar, low blood pressure, seizures
Radiant heat loss (Radiation) Correct Answer--Transfer of heat between
two objects that do not touch each other
#1 mode of heat loss for preemies in after first week of life
-Ex - baby's bed is near a cold, closed window
, Evaporative heat loss Correct Answer-Transfer of heat through water
loss
#1 mode of heat loss in preemies in first week of life
ex - baby on wet blankets
Convection heat loss Correct Answer-Transfer of heat to colder air in
environment
ex- infant in drafty area or cold room
Conductive heat loss Correct Answer-Transfer of heat from a warm
surface to a cold surface
ex- baby placed on cold scale
Cryptorchidism Correct Answer-undescended testes
First Pass Effect Correct Answer-Hepatic bio-transformation may
markedly alter drug availability by directly metabolizing drugs absorbed
from the GI tract before those drugs reach systemic circulation
How is PPHN diagnosed? (gold standard) Correct Answer-
Echocardiogram shows right to left shunting
PROM Correct Answer-Premature rupture of membranes (before onset
of labor)
risk of cord prolapse
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller cracker. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
