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
Which is the safest way to write a 0.5 mg dose on a neonatal medication order?
Answer: 0.5 mg
A leading zero prevents decimal misreading, and trailing zeros are avoided to prevent tenfold errors.
Which medications typically require an independent double check by two nurses in the NICU?
Answer: Insulin, heparin, opioids, and digoxin
These are high-alert medications where errors can cause severe harm in small infants.
What is the first-line approach for managing mild neonatal abstinence syndrome?
Answer: Nonpharmacologic care such as swaddling, low stimulation, and rooming-in
Supportive nonpharmacologic care is first-line, with morphine reserved for infants who do not respond.
Which complication should the nurse watch for with morphine in a neonate?
Answer: Respiratory depression
Opioids depress respiratory drive, so continuous monitoring is required, along with watching for urinary retention.
Heparin in low concentrations is added to umbilical arterial catheter fluids to do what?
Answer: Maintain catheter patency
Heparin at about 0.25 to 1 unit/mL helps keep the catheter patent and reduces thrombosis.
An infant is born to an HBsAg-positive mother. What is the appropriate intervention?
Answer: Give hepatitis B vaccine and HBIG within 12 hours of birth
Both vaccine and immune globulin within 12 hours greatly reduce perinatal hepatitis B transmission.
What is the preferred site for intramuscular injections in a newborn?
Answer: Vastus lateralis
The vastus lateralis has the greatest muscle mass and avoids sciatic nerve injury, with a volume limit of about 0.5 mL.
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