NICU exam questions and answers 2023 with complete
solution
how often do you change leads?
Q 7 days
normal temp
97.9-99.1
normal HR
120-160
normal RR
30-60
normal glucose
60-120
Do you need an order to change alarm settings?
yes
5 safety checks
lines & tube
bag/mask
suction
orders
emergency med list
describe sucrose
releases endorphins in the brain, helps distract them, gives them happy feeling
caffeine
tells the brain to send a signal to the lungs to breathe
apnea of prematurity is common
explain jaundice
their body isnt mature enough to break down rbcs in the body so the lights help the
baby do that. a byproduct is bilirubin and it is excreted in the urine and stool
probiotics
immature so at risk for infection, good bacteria helps their gut health and immune
system
VS during admission
q15 for 1 hour, q30 x2, then qh until stable
SS qh
ET tube sizes
2.5 under 28 wks or less than 1,000 g
3.0 1-2 kg or 28-34 wks
3.5 over 2kg or over 34 wks
when do you start chest compressions
if HR less than 60 after 30 sec PPV
check q 60 sec
when do you give epi?
, if HR is less than 60 after 1 min of CPR
assess after 1 min of giving
if HR less than 60 repeat dose q 3-5 min
what is MR SOPA
M- mask adjust
R- reposition head
S-suciton mouth then nose
O-open mouth
P-inc pip and peep
A-alt airway
when do you stop PPV?
when HR is 100, go to cpap
EPI
conc:
IV-
ET-
0.1 mg/ml
IV- 0.1-0.3 ml/kg
ET- 0.5-1 ml/kg
flush with 0.5-1 ml NS
if the baby has asymmetric chest rise what could this mean?
ET tube too deep
depth for compressions
1/3 ant post of chest wall
PPV increases the risk of what
pneumothorax
what does epogen do
increases RBC production, raises retic and hct
repogle
check q 2 hours
replace 1:1 if more than what you flushed
1 ml over 2 hours
change q 7 days
when do you begin wean to crib
1600g, 34 weeks
when does light cycling begin
32-34 weeks
medicate intubation
Fentanyl-chest wall rigidity
Atropine- inc HR
Succinylcholine- paralytic
Tube
NS for resuscitation
10 ml/kg over 5-10 min
when do we give flora
less than 32 weeks, stop around 34 weeks or when taking bottles
solution
how often do you change leads?
Q 7 days
normal temp
97.9-99.1
normal HR
120-160
normal RR
30-60
normal glucose
60-120
Do you need an order to change alarm settings?
yes
5 safety checks
lines & tube
bag/mask
suction
orders
emergency med list
describe sucrose
releases endorphins in the brain, helps distract them, gives them happy feeling
caffeine
tells the brain to send a signal to the lungs to breathe
apnea of prematurity is common
explain jaundice
their body isnt mature enough to break down rbcs in the body so the lights help the
baby do that. a byproduct is bilirubin and it is excreted in the urine and stool
probiotics
immature so at risk for infection, good bacteria helps their gut health and immune
system
VS during admission
q15 for 1 hour, q30 x2, then qh until stable
SS qh
ET tube sizes
2.5 under 28 wks or less than 1,000 g
3.0 1-2 kg or 28-34 wks
3.5 over 2kg or over 34 wks
when do you start chest compressions
if HR less than 60 after 30 sec PPV
check q 60 sec
when do you give epi?
, if HR is less than 60 after 1 min of CPR
assess after 1 min of giving
if HR less than 60 repeat dose q 3-5 min
what is MR SOPA
M- mask adjust
R- reposition head
S-suciton mouth then nose
O-open mouth
P-inc pip and peep
A-alt airway
when do you stop PPV?
when HR is 100, go to cpap
EPI
conc:
IV-
ET-
0.1 mg/ml
IV- 0.1-0.3 ml/kg
ET- 0.5-1 ml/kg
flush with 0.5-1 ml NS
if the baby has asymmetric chest rise what could this mean?
ET tube too deep
depth for compressions
1/3 ant post of chest wall
PPV increases the risk of what
pneumothorax
what does epogen do
increases RBC production, raises retic and hct
repogle
check q 2 hours
replace 1:1 if more than what you flushed
1 ml over 2 hours
change q 7 days
when do you begin wean to crib
1600g, 34 weeks
when does light cycling begin
32-34 weeks
medicate intubation
Fentanyl-chest wall rigidity
Atropine- inc HR
Succinylcholine- paralytic
Tube
NS for resuscitation
10 ml/kg over 5-10 min
when do we give flora
less than 32 weeks, stop around 34 weeks or when taking bottles
