Pharmacology & Treatment Protocols Flashcards
7 cards from real Low Risk Neonatal Nurse Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pharmacology & Treatment Protocols flashcards as text
What is the usual loading dose of caffeine citrate for apnea of prematurity?
Answer: 20 mg/kg
Caffeine citrate is typically loaded at 20 mg/kg followed by 5 to 10 mg/kg/day maintenance.
Which adverse effect should the nurse monitor for when giving indomethacin to close a patent ductus arteriosus?
Answer: Decreased urine output
Indomethacin reduces renal prostaglandins, causing oliguria, so urine output and creatinine must be monitored.
Prostaglandin E1 is infused for an infant with a ductal-dependent heart lesion. Which side effect is most concerning?
Answer: Apnea
Prostaglandin E1 commonly causes apnea, especially in infants under 2 kg, so ventilatory support must be ready.
After surfactant administration, which finding requires immediate nursing action?
Answer: Persistent bradycardia with desaturation and endotracheal tube obstruction
Transient bradycardia and desaturation can occur, but persistent changes may signal tube blockage or pulmonary hemorrhage.
Antenatal betamethasone is given to mothers at risk of preterm delivery to do what?
Answer: Accelerate fetal lung maturity
Antenatal corticosteroids stimulate fetal surfactant production and reduce respiratory distress syndrome.
Why is ceftriaxone avoided in hyperbilirubinemic neonates?
Answer: It displaces bilirubin from albumin
Ceftriaxone displaces bilirubin from albumin, raising kernicterus risk, and it can precipitate with IV calcium.
Which condition is associated with chloramphenicol use in neonates?
Answer: Gray baby syndrome
Neonates cannot glucuronidate chloramphenicol, so toxic levels cause cyanosis, hypotension, and circulatory collapse.
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