CCRN Neonatal case studies

CCRN Neonatal · Put your knowledge to work in context.

The CCRN Neonatal (often shortened to CCRN-N) is the neonatal subspecialty credential in the CCRN family of certifications administered by the American Association of Critical-Care Nurses (AACN). It is aimed at registered nurses who already manage critically ill and premature newborns - typically in level III and level IV NICUs - and who want their bedside expertise validated beyond unit orientation and competency checklists. The CCRN Neonatal case studies are 5 cases and about 4,278 words.

Day-5 Preterm Infant With a Murmur, Rising FiO2, and a Rising Creatinine

A 26 2/7-week, 780-g infant is on day 5 of life. Over the past 12 hours FiO2 has risen from 0.30 to 0.45 on high-frequency oscillatory ventilation with MAP 12 cm H2O.

834 words, about 4 min 2

Term Infant With Meconium Aspiration, iNO Nonresponse, and a Failing Left Ventricle

A 40 2/7-week, 3.4-kg infant with thick meconium was intubated at 3 minutes and is now 14 hours old on high-frequency oscillatory ventilation: MAP 15 cm H2O, amplitude 34, frequency 8 Hz, FiO2 1.0. ABG: pH 7.28, PaCO2 44, PaO2 48.

801 words, about 4 min 3

Infant of a Diabetic Mother With Hypoglycemia That Will Not Correct

A 38 4/7-week, 4.2-kg infant of a mother with poorly controlled gestational diabetes has a glucose of 24 mg/dL at 30 minutes of life. He is fed 15 mL of formula and rechecked at 60 minutes: 26 mg/dL.

800 words, about 4 min 4

Outborn Infant With HIE Arriving After the Cooling Window

A 40 1/7-week, 3.6-kg infant is transferred at 8 hours 15 minutes of life after a vaginal delivery complicated by shoulder dystocia and thick meconium. Apgar scores were 1, 4, and 6, and the first spontaneous breath came at 9 minutes.

830 words, about 4 min 5

Day 24 in a 23-Week Infant: Parents Who Want Opposite Things

An infant born at 23 6/7 weeks and 640 g is now on day 24. He is on high-frequency oscillatory ventilation at MAP 11 and FiO2 0.30, has had a grade III intraventricular hemorrhage with a ventricular index that has increased on the last two cranial ultrasounds, and had medically managed necrotizing enterocolitis that has resolved on TPN.

1,013 words, about 5 min