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| 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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