General Assessment and Management | |
Assessment of Fetal Well Being (10) | |
Significance of findings | |
Alpha-fetoprotein | |
Biophysical profile | |
Diagnostic ultrasound | |
Lung maturation studies Recognize neonatal significance of fetal heart rate patterns | |
Altered variability | |
Decelerations | |
Tachycardia, bradycardia Effects of maternal medications on fetus/neonate | |
Tocolytics | |
Analgesia, anesthesia Impact of methods of delivery mode on neonate | |
Adaptation to Extrauterine Life (11) | |
Transitional circulation Routine care considerations Recognition of the sick newborn | |
Neonatal Resuscitation (10) | |
AHA/AAP guidelines for neonatal resuscitation | |
Initial evaluation | |
Indications for ventilation | |
Indications for intubation | |
Indications for compressions | |
Resuscitation of the infant born through meconium stained amniotic fluid | |
Indication for chest compressions | |
Use of resuscitation medications: epinephrine, volume expanders, sodium bicarbonate Resuscitation of the neonate with | |
Diaphragmatic hernia | |
Hydrops fetalis | |
Perinatal asphyxia | |
Upper airway obstruction | |
Physical Assessment (42) | |
General appearance Head Eyes, ears, nose and throat Neck Chest Abdomen Genitalia Extremities Spine/back Skin Neuromuscular and reflexes | |
Gestational Age Assessment (32) | |
Interpretation of growth curves Physical and neuromuscular characteristics | |
Preterm | |
Term | |
Postterm | |
SGA | |
AGA | |
LGA Associated risks with | |
Preterm | |
Postterm | |
SGA | |
LGA | |
Thermoregulation (21) | |
Mechanisms of heat loss and production Maintaining a neurtralthermal environment Management of thermoregulation problems Equipment | |
Incubators: servo controlled vs non-servo controlled | |
Radiant warmers | |
Fluid and Electrolytes (21) | |
Normal fluid and electrolyte requirements Monitoring fluid and electrolyte status | |
Nutrition Management (21) | |
Nutritional requirements Enteral feeding | |
Minimal enteral feeding | |
Gavage feeding | |
Bottle feeding | |
Breast feeding Parenteral nutrition | |
Indications | |
Composition | |
Complications Dietary supplements | |
Breast milk fortifiers | |
Glucose polymers | |
Iron | |
MCT oil | |
Vitamins | |
Developmental Support (21) | |
Neurobehavioral development Stability and stress signals Impact of the NICU environment Intervention strategies | |
Reducing noise levels | |
Reducing light levels/diurnal patterns | |
Altering care patterns | |
Handling | |
Positioning | |
Kangaroo care | |
Non-nutritive sucking | |
Provision of sensory experiences | |
Radiographic Evaluation (11) | |
Xray views commonly used in newborns Radiographic densities Indwelling lines and tubes Radiographic features of common newborn diseases/defects/conditions | |
Pharmacology (10) | |
Priniciples of neonatal pharmacology | |
Administration methods/issues | |
Absorption from GI tract, skin, muscle | |
Serum drug levels (toxic vs therapeutic) | |
Drug distribution in the body | |
Drug excretion | |
Drug incompatibilities Dosage calculations Common drugs Safety issues | |
Pathophysiology | |
Pulmonary Disorders (99) | |
System wide knowledge (assessment and monitoring) | |
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