Neonatal Nursing Certification Review: Cardiac Section 14.1 – CHD: Long-Term Considerations (1/2)

🚨 MASTER the long-term outcomes and lifelong considerations of congenital heart disease for certification and advanced NICU counseling. This presentation emphasizes the continuum of care—from neonatal stabilization to adulthood—highlighting medical, neurodevelopmental, and psychosocial sequelae that shape lifelong outcomes.

👶 This module explores the chronic implications of repaired and unrepaired CHD, including conduit failure, arrhythmias, endocarditis risk, and neurodevelopmental impacts. It integrates the NICU provider’s role in early identification, prevention, and family education to optimize lifelong quality of life for survivors of congenital heart surgery.

🎯 HIGH-YIELD EXAM CONTENT
✅ Lifelong CHD trajectory – from NICU stabilization to adulthood
✅ Surgical and medical sequelae – conduit failure, regurgitation, outflow obstruction
✅ Progressive ventricular dysfunction – systemic right and single ventricle physiology
✅ Arrhythmia risk and sudden cardiac death in repaired CHD
✅ Infective endocarditis risk, prevention, and prophylaxis criteria
✅ Neurodevelopmental outcomes – executive dysfunction, academic challenges, ADHD
✅ Impact of perioperative factors: CPB time, hypothermia, chronic hypoxemia
✅ Psychosocial issues – anxiety, depression, PTSD, and social integration barriers
✅ Early screening, developmental follow-up, and family support interventions

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