NCC NNP exam
fluid requirement in 1st 48 hrs
100-200ml/kg/day
<750g
<2500gm LBW is defined as
<1500gm VLBW is defined as
<1000gm ELBW is defined as
HTN Reasons for SGA
Chromosomal abnormalies
Infection
Smoking
Obesity Reasons for LGA
IDM
2nd trimester When and why does Symmetric IUGR occur
Caused by chromosomal or
congenital anomalies
3rd trimester When and why does Asymmetric IUGR occur
placental insufficiency
10% Max weight loss for term
, NCC NNP exam
10-15% Max weight loss for preterm
10-15g/kg/day average weight gain for <1kg
15-20g/kg/day average weight gain for >1-2kg
25-35g/kg/day average weight gain for >2kg
0.8-1.1cm/wk Preterm length increase rate
0.66cm/wk term length increase rate
0.6-1cm/wk Preterm OFC increase rate
0.5cm/wk term ofc increase rate
stomach, mouth, and small intestine where digestion occurs
small intestines where absorption of nutrients occurs
lipase and bile salts what breaks down fat
increase loss of H20 and NA If no large bowel is present, what is lost
ileum where are vitamins absorbed
Dueodenum and jejunum Where most nutrients are absorbed
3.4kcal Kcal of 1 gr CHO
, NCC NNP exam
4-6mg/kg/min min GIR infusion
exceeds max glucose oxidation point A GIR >12mg/kg/min can cause
and leads to fat synthesis and
increased CO2 production
reduced Ca intake reasons for hypocalcemia after birth
impaired PTH response
increased calcitonin
increased urinary loss
phos is low If calcium levels are high, then what happens to phos
cholestasis risks of tpn
metabolic bone disease
anemia
amylase enzyme that breaks down CHO
protein what does ebm have less of than formula
calcium
phos
lactose primary CHO in EBM
soy based formula for galactacemia
, NCC NNP exam
HIV Contraindications for Br feeding
HSV on breast
Cocaine use
80/20 then 60/40 ratio of whey to casein
fat most variable part of breast milk
hyperchloremia What does soy formulas cause
galactesemia soy formula is used in
lactase deficiency
hypochloremia
stimulate hormones and gut Advantages for early enteral feedings
maturation. mature small intestine
motor activity
palmitic acid is in beta position why is fat in breast milk well absorbed
decrease amt of lipase and bile salts why is fat in EBM less absorbed in premies
Hyperphosphatemia feeding whole milk can cause
IgA What gammaglobulin is excreted in EBM
stimulates osteoclasts What does VitD do for a baby with osteopenia
fluid requirement in 1st 48 hrs
100-200ml/kg/day
<750g
<2500gm LBW is defined as
<1500gm VLBW is defined as
<1000gm ELBW is defined as
HTN Reasons for SGA
Chromosomal abnormalies
Infection
Smoking
Obesity Reasons for LGA
IDM
2nd trimester When and why does Symmetric IUGR occur
Caused by chromosomal or
congenital anomalies
3rd trimester When and why does Asymmetric IUGR occur
placental insufficiency
10% Max weight loss for term
, NCC NNP exam
10-15% Max weight loss for preterm
10-15g/kg/day average weight gain for <1kg
15-20g/kg/day average weight gain for >1-2kg
25-35g/kg/day average weight gain for >2kg
0.8-1.1cm/wk Preterm length increase rate
0.66cm/wk term length increase rate
0.6-1cm/wk Preterm OFC increase rate
0.5cm/wk term ofc increase rate
stomach, mouth, and small intestine where digestion occurs
small intestines where absorption of nutrients occurs
lipase and bile salts what breaks down fat
increase loss of H20 and NA If no large bowel is present, what is lost
ileum where are vitamins absorbed
Dueodenum and jejunum Where most nutrients are absorbed
3.4kcal Kcal of 1 gr CHO
, NCC NNP exam
4-6mg/kg/min min GIR infusion
exceeds max glucose oxidation point A GIR >12mg/kg/min can cause
and leads to fat synthesis and
increased CO2 production
reduced Ca intake reasons for hypocalcemia after birth
impaired PTH response
increased calcitonin
increased urinary loss
phos is low If calcium levels are high, then what happens to phos
cholestasis risks of tpn
metabolic bone disease
anemia
amylase enzyme that breaks down CHO
protein what does ebm have less of than formula
calcium
phos
lactose primary CHO in EBM
soy based formula for galactacemia
, NCC NNP exam
HIV Contraindications for Br feeding
HSV on breast
Cocaine use
80/20 then 60/40 ratio of whey to casein
fat most variable part of breast milk
hyperchloremia What does soy formulas cause
galactesemia soy formula is used in
lactase deficiency
hypochloremia
stimulate hormones and gut Advantages for early enteral feedings
maturation. mature small intestine
motor activity
palmitic acid is in beta position why is fat in breast milk well absorbed
decrease amt of lipase and bile salts why is fat in EBM less absorbed in premies
Hyperphosphatemia feeding whole milk can cause
IgA What gammaglobulin is excreted in EBM
stimulates osteoclasts What does VitD do for a baby with osteopenia
