Neonatal Pharmacology Flashcards
6 cards from real RNC-NIC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Neonatal Pharmacology flashcards as text
When giving ampicillin and gentamicin together for neonatal sepsis, they should be administered:
Answer: At least 1 hour apart through separate IV lines or sites
Ampicillin and gentamicin are chemically incompatible and inactivate each other when mixed, requiring separate administration.
A neonatal nurse is administering a loading dose of phenobarbital 20 mg/kg IV. The maximum infusion rate should be no faster than:
Answer: 1 mg/kg/min
Phenobarbital must be infused slowly at no more than 1 mg/kg/min to prevent respiratory depression and cardiovascular collapse.
Neonatal abstinence syndrome (NAS) is most commonly assessed using the:
Answer: Finnegan Neonatal Abstinence Scoring Tool
The Finnegan tool scores 21 signs of neonatal withdrawal to guide pharmacological treatment decisions for NAS.
The antifungal medication fluconazole is used prophylactically in the NICU for:
Answer: Preterm infants under 1000g to prevent invasive candidiasis
ELBW infants (<1000g) are at highest risk for invasive Candida infections; fluconazole prophylaxis reduces this risk in high-risk NICUs.
Total parenteral nutrition (TPN) in neonates should be infused through:
Answer: A central venous catheter when concentrations exceed 12.5% dextrose
Hyperosmolar TPN solutions exceeding 12.5% dextrose require central venous access to prevent peripheral vein damage and infiltration.
A neonate is prescribed erythromycin ophthalmic ointment at birth. This is given to prevent:
Answer: Ophthalmia neonatorum (gonorrheal conjunctivitis)
Erythromycin ophthalmic prophylaxis is required by law in most US states to prevent gonococcal and chlamydial ophthalmia neonatorum.