Certification and Core Review for Neonatal Intensive Care Nursing

AWHONN Staff, American Association of Critical Care Nurses Staff, NANN Staff

ISBN 10: 1416036679 ISBN 13: 9781416036678
Editore: Elsevier - Health Sciences Division, 2007
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The new edition of this powerful review tool helps readers to assess and build their knowledge of the information covered in AWHONN, AACN, & NANN: Core Curriculum for Neonatal Intensive Care Nursing, 3e. The review book is also authored by AACN (American Association of Critical-Care Nurses), AWHONN (Association of Women's Health, Obstetric, and Neonatal Nurses), and NANN (National Association of Neonatal Nurses) and is a companion to the Core Curriculum. The Core Review includes 600 multiple-choice study questions to challenge readers' mastery of all the essential knowledge in the field. Written under the authority of the American Association for Critical-Care Nurses (AACN) and reviewed by the Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) and the National Association of Neonatal Nurses (NANN), it is an ideal study tool to facilitate preparation for neonatal critical-care nursing certification.

  • Endorsed by the American Association of Critical-Care Nurses; the Association of Women's Health, Obstetric, and Neonatal Nurses; and the National Association of Neonatal Nurses
  • Based on the Core Curriculum for Neonatal Intensive Care Nursing, 3e
  • Answers are provided for each question, accompanied by rationales and references, to assist readers in building their knowledge
  • Questions mirror the certification exam content, multiple-choice question format, and content distribution, giving readers realistic practice for the exam
  • Content on special needs patients
  • Heavily illustrated to assist with learning
  • New content questions for the following new chapters in the Core Curriculum for Neonatal Intensive Care Nursing, 3e:
    • Fluid and Electrolyte Management
    • Glucose Management
    • Lab and Diagnostic Test Management Interpretation
    • Family Centered Care
    • Care of the Extremely Low Birth Weight Infant

Contenuti: Section I: General Assessment and Management

Chapter 1. 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

Chapter 2. Adaptation to Extrauterine Life (11)

Transitional circulation

Routine care considerations

Recognition of the sick newborn

Chapter 3. 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

Chapter 4. Physical Assessment (42)

General appearance

Head

Eyes, ears, nose and throat

Neck

Chest

Abdomen

Genitalia

Extremities

Spine/back

Skin

Neuromuscular and reflexes

Chapter 5. 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

Chapter 6. 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

Chapter 7. Fluid and Electrolytes (21)

Normal fluid and electrolyte requirements

Monitoring fluid and electrolyte status

Chapter 8. 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

Chapter 9. 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

Chapter 10. Radiographic Evaluation (11)

Xray views commonly used in newborns

Radiographic densities

Indwelling lines and tubes

Radiographic features of common newborn diseases/defects/conditions

Chapter 11. 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

Section II: Pathophysiology

Chapter 12. Pulmonary Disorders (99)

System wide knowledge (assessment and monitoring)

-Anatomy and physiology

-Maturational anatomy and physiology

-Invasive, non-invasive diagnostic studies

-Relevant pharmacology

-Implications of system failure on other systems

-Respiratory monitoring: pulse oximeter, transcutaneous O2/CO2, end tidal CO2

Respiratory infections

Respiratory distress syndrome

Transient tachypnea of the newborn

Apnea of prematurity

Persistent pulmonary hypertension of the newborn

Aspiration pneumonia

Meconium aspiration

Pulmonary hemorrhage

Air leaks

Bronchopulmonary dysplasia

Diaphragmatic hernia

Choanal atresia

Pulmonary hypoplasia

Vocal cord paralysis

Phrenic nerve palsy/damage

Surfactant administration

Chest tubes and drainage systems

Endotracheal intubation

Entotracheal tube suctioning

Mechanical ventilation: cpap, conventional ventilation, high frequency

Chapter 13. Cardiovascular Disorders (58)

System wide knowledge (assessment and monitoring)

-Anatomy and physiology

-Maturational anatomy and physiology

-Invasive, non-invasive diagnostic studies

-Relevant pharmacology

-Implications of system failure on other systems

-EKG monitoring

-Hemodynamic monitoring

Congenital heart defect

Congestive heart failure/pulmonary edema

Rhythm disturbances, conduction system defects

Shock (hypovolemic, cardiogenic, distributive)

Hypertension

Tamponade

Chapter 14. Gastrointestinal Disorders (26)

System wide knowledge (assessment and monitoring)

-Anatomy and physiology

-Maturational anatomy and physiology (includes GER, TPN complications)

-Invasive, non-invasive diagnostic studies

-Relevant pharmacology

-Implications of system failure on other systems

Tracheoesophageal fistula

Omphalocele/gastroschisis

Malrotation/Volvulus

Necrotizing enterocolitis

Short bowel syndrome

Meconium ileus

Meconium plug

Intestinal obstructions (duodenal, jejunal, ileal, imperforate anus)

Gastroesophageal reflux

Chapter 15. Metabolic/Endocrine Disorders (17)

System wide knowledge (assessment and monitoring)

-Anatomy and physiology

-Maturational anatomy and physiology

-Invasive, non-invasive diagnostic studies

-Relevant pharmacology

-Implications of system failure on other systems

Inborn errors of metabolism / Newborn screening

Infants of diabetic mothers

Hypoglycemia/hyperglycemia

Hypocalcemia/hypercalcemia

Rickets

Hypothyroidism/hyperthyroidism

Chapter 16. Hematologic Disorders (17)

System wide knowledge (assessment and monitoring)

-Anatomy and physiology

-Maturational anatomy and physiology

-Invasive, non-invasive diagnostic studies

-Relevant pharmacology

-Implications of system failure on other systems

Hyperbilirubinemia

DIC

Idiopathic thrombocytopenia purpura

Rh incompatibilities/ABO incompatibilities

Anemia

Polycythemia/hyperviscosity

Hydrops fetalis

Chapter 17. Neurologic Disorders (22)

System wide knowledge (assessment and monitoring)

-Anatomy and physiology

-Maturational anatomy and physiology

-Invasive, non-invasive diagnostic studies

-Relevant pharmacology

-Implications of system failure on other systems

-Signs of increased ICP

-Ventricular reservoirs/shunt

Birth injuries

Hydrocephalus

Intracranial hemorrhage

Periventricular leukomalacia

Hypoxic ischemic encephalopathy

Neural tube defects

Seizures

Chapter 18. Renal and Genitourinary Disorders (10)

System wide knowledge (assessment and monitoring)

-Anatomy and physiology

-Maturational anatomy and physiology

-Invasive, non-invasive diagnostic studies

-Relevant pharmacology

-Implications of system failure on other systems

Acute renal failure

Ambiguous genitalia

Inguinal hernia

Hydrocele

Congenital renal abnormalities (polycystic kidneys, exstrophy of bladder, Potter's syndrome)

Urinary tract infection

Chapter 19. Genetics (10)

Mendelian inheritance patterns

Chromosomal anomalies and diseases

Multifactorial diseases

Chapter 20. Immunological Disorders and Infections (17)

Laboratory values

-WBC

-CSF

Immature host defenses

Neonatal sepsis/meningitis

Viral/fungal infections

Specific bacterial infections

-Chlamydia

-E. coli

-Group B streptococcal infection

-Staphylococcal infection

Infection control procedures

Chapter 21. Dermatologic Disorders (6)

Care of newborn's skin

Common skin lesions

Chapter 22. Auditory and Opthalmologic Disorders (5)

Hearing screening

Eye prophylaxis

Retinopathy of prematurity

Section III: Multisystem

Chapter 23. Maternal-Fetal Complications (20)

Effects of maternal medical complications

-Hematologic (thrombocytopenia, anemia)

-Hypertension (PIH, HELLP)

-Infections

-Renal disease

Problems associated with amniotic fluid and membranes

-Amniotic bands

-Oligohydramnios

-Polyhydramnios

-PROM and chorioamnionitis

Problems in labor

-Breech and other abnormal presentations

-Maternal hemorrhage

Obstetric emergencies

-Abruptio placenta

-Cord prolapse

-Placenta previa

Chapter 24. Pain (11)

Assessment

Management strategies

Chapter 25. Substance Abuse (7)

Fetal alcohol syndrome

Neonatal abstinence syndrome

Cocaine

Laboratory testing

Chapter 26. Care of the Extremely Low Birth Weight Infant (5)

Delivery room management

Speci...

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Dati bibliografici

Titolo: Certification and Core Review for Neonatal ...
Casa editrice: Elsevier - Health Sciences Division
Data di pubblicazione: 2007
Legatura: Brossura
Condizione: Very Good
Edizione: terza edizione

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