CCRN-K Neonatal case studies
CCRN-K Neonatal · Put your knowledge to work in context.
The CCRN-K Neonatal is a knowledge-focused certification for nurses who care for critically ill neonates but do not primarily provide direct bedside care. It is typically pursued by nurse educators, clinical nurse specialists, nurse managers, nurse practitioners, and other advanced or leadership roles whose work influences neonatal outcomes indirectly. The exam is designed to validate the specialized knowledge required to support this population across the continuum of critical neonatal care. The content is organized around two domains: Clinical Judgment and Professional Caring/Ethical Practice in Neonatal Critical Care, and Neonatal Systems and Pathophysiology. The CCRN-K Neonatal case studies are 5 cases and about 2,028 words.
1Therapeutic Hypothermia Window After Outborn Transport
At 39 2/7 weeks, a 3.6-kg infant is delivered by vacuum after shoulder dystocia at a community hospital. Apgar scores are 2, 5, and 6 at 1, 5, and 10 minutes.
436 words, about 2 min2Suboptimal Response to Inhaled Nitric Oxide
At 40 weeks, a 3.8-kg infant with meconium-stained fluid is admitted after emergency cesarean for a non-reassuring fetal heart tracing. He is ventilated for respiratory failure.
404 words, about 2 min3Escalation Requests at the Border of Viability
A 23 6/7-week, 560-g female infant is born after spontaneous preterm labor to a 19-year-old Spanish-speaking mother and 21-year-old father; no antenatal steroids were given. She is intubated in the delivery room and receives surfactant.
486 words, about 2 min4Feeding Intolerance or Early Necrotizing Enterocolitis?
A 27 3/7-week, 980-g infant is now 14 days old. She has been stable on high-flow nasal cannula at 3 L/min and receiving fortified human milk at 120 mL/kg/day by nasogastric tube.
352 words, about 2 min5Treating a Hemodynamically Significant PDA with Renal Impairment
A 25 6/7-week, 720-g infant is on day 6 of life, ventilated with FiO2 0.35 and mean airway pressure 9 cm H2O. Echocardiogram shows a 2.5-mm PDA with left-to-right flow, left atrial-to-aortic ratio 1.8, increased left ventricular output, and reversed diastolic flow in the descending aorta.
350 words, about 2 min