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What is the high risk neonate defined as? - correct answer-A newborn, regardless of
gestational age or birth weight, who has greater than average chance of morbidity or
mortality d/t conditions associated with birth and the transition to extrauterine life.
How is a high risk neonate classified by weight? - correct answer--Low birth weight: <2500g
-Very low birth weight: <1500g
-Extremely low birth weight: <1000g
How is a high risk neonate classified by growth? - correct answer--Intrauterine growth
restriction
-Small for gestational age
-Large for gestational age
How is a high risk neonate classified by gestational age? - correct answer--Premature
infant: </= 36 6/7 weeks
-Term infant: >/= 37 0/7 weeks
-Postmature infant: >42 weeks
What are risk factors that increase the likelihood of NICU admission? - correct answer--
Prematurity
-Low birth weight
-Birth depression
-High risk pregnancy
-Congenital anomalies
What are risk factors for prematurity? - correct answer--Teen pregnancy
-Adavanced maternal age (>35y)
-Low SES
-Drug/tobacco use
-Hx of preterm birth
-Multiple gestation
-Obesity
-DM
-HTN
, -Maternal infection
-Infertility tx
What should the nurse understand about the neonatal resuscitation program? - correct
answer--Geared towards deliveries and birth interventions, as many newborns require
some assistance to begin breathing at birth
-A smaller percentage require extensive resuscitative measures (compressions or meds)
What are important questions to ask in terms of neonatal resuscitation? - correct answer--
Are they term?
-Good tone?
-Breathing/crying independently?
-How big?
What is included in post-resuscitation care in the NICU? - correct answer--
Thermoregulation
-Glucose monitoring
-Labs
-X-ray
-IVF
-Management of lines and tubes
-Monitor VS
-Support family
What should the nurse understand about thermoregulation in the neonate? - correct
answer-Risk for hypothermia
-Large surface area to body size ratio
-Decreased muscle mass
-Decreased SQ fat (especially preterm and IUGR)
-Inability to shiver
-Giraffe beds and incubators
What are the most common causes of respiratory distress in the neonate? - correct
answer--Respiratory distress syndrome
-Transient tachypnea of the newborn (TTN)
-Pneumothorax
-Meconium aspiration syndrome
-Congenital pneumonia