| 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) |
