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
Special considerations for ELBW (e.g., skin care, fluid and electrolytes, thermoregulation)
Section IV: Professional Caring and Ethical Practice
Chapter 27. Research (10)
Understanding/using research findings in clinical practice
Evidence based practice
Chapter 28. Legal Issues (10)
Documentation
Informed consent
Standard of care
Chapter 29. Ethical Issues (10)
Bioethical decision making process
Role of nurse in ethical decision making situations
Chapter 30. Families in Crisis (10)
Parent-infant attachment behaviors
Parental stress responses
Barriers to parent infant interaction
Specific circumstances
-Adolescent parents
-Long distance nurturing
-Sibling responses
Chapter 31. Discharge Planning and Transition to Home Care (10)
CPR
Feeding
Acute life threatening events
Car seats
Immunizations
Discharge planning and parent teaching for infants with special needs
Chapter 32. Synergy Model (10) |