RNC-NIC EXAM TEST WITH VERIFIED ANSWERS GRADED A+
Correct ETT placement
T 8-9
T1-T2
level of clavicles
Correct UVC placement
Correct UAC placement
Correct PICC placement
Normal weight loss of preterm infant
Healthy term infant requires how many
kcal/kg/day for normal growth?
Formula to c...
T1-T2
Correct ETT placement
level of clavicles
T 8-9
Correct UVC placement 0.5-1 cm above diaphragm
Tip in inf. vena cava
Low-L3-4
Below renal arteries
Correct UAC placement
High-T6-10
T3-5
Correct PICC placement
Lower 1/3 of s. Vena cava
Normal weight loss of preterm infant 10-15%
Healthy term infant requires how many
100-120 kcal/kg/day
kcal/kg/day for normal growth?
Formula to calculate GIR ml/kg/day x %dextrose 1.44
4-6 ml/kg/min initially May go as high as
Normal GIR
12
SGA
VATER synd.
Anomalies associated with esophageal
-vertebral
atresia
-imperf anus
-renal dysplasia
-premature
-IDM
Increased risk of mec plug?
-small left colon
-cystic fibrosis
Distended stomach on x-ray with little or
no gas below duodenum
Signs of pyloric stenosis Can palpate "olive"
Present at 2 to 3 weeks of life with Bile
stained vomiting
Normal temp range axillary 36.5 to 37.4°C
TTN vs RDS
,RNC-NIC EXAM TEST WITH VERIFIED ANSWERS GRADED A+
Usually requires less than 40% FI O2
Improves quicker
Larger lung volumes
Natural diuresis occurs
at hours of age as con- 48-72 hours
dition improves
Prolonged rupture of membranes Greater than 18 hours
Difference in PaO2 of or
15%
greater documents ductal shunting
With PPHN goal is to keep PaO2
50
or >
Chest hyperinflated on x-ray
Low PaO2 with O2 given
Signs and symptoms of MAS
Air leaks
Prone to PPHN
Prone positioning
Oral airway placement
Trach in rare cases
Treatment of micrognathia
Generally mandibular growth "catches
up" by 6 to 12 months
Surgery if significant compromise
Pierre Robin syndrome
Trisomy 18
Micrognathia associated with
Trisomy 21
Cri-du-chat syndrome
Prematurity
Erythroblastosis
Intracranial hemorrhage
Asphyxia
Causes of pulmonary hemorrhage Aspiration
Heart diagnosis, PDA
Sepsis
Hypothermia
Surfactant replacement
Vent and use PEEP to decrease bleeding
Transfused PRBC's as needed
, RNC-NIC EXAM TEST WITH VERIFIED ANSWERS GRADED A+
Treat clotting problems
Treatment of pulmonary hemorrhage Assess and treat PDA
Treat underlying disease processes
Cessation of respiration for 20 seconds,
Apneic event or less if accompanied by cyanosis, pal-
lor, decreased tone, bradycardia
1) conditions that limit lung growth
(CCAM, DH)
2) oligohydramnios (thoracic compres-
Causes pulmonary hypoplasia
sion)
3) associated congenital malformations
(Potters, phrenic nerve absence)
ph 7.35-7.45
PaCO2 35-45
Normal blood gas results PaO2 50-80
HCO3 22-26
BE -2 to +2
-Primary factor affecting oxygenation
Vent Setting VT (tidal volume) and ventilation
-should be 4-5 ml/kg
Vent Settings
Increase rate
-To increase ventilation
Vent settings
Increase FiO2, PEEP, or VT
-to increase oxygenation
1) GA > 34 weeks
2) BE > 2000 grams
3) reversible lung disease
Inclusion criteria for ECMO 4) no lethal anomalies or brain injuries
5) IVH Gr 2 or <
6) no significant bleeding issues
Set rate at 30-40/minute for respiratory
failure
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 Astudies7. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.79. You're not tied to anything after your purchase.
