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| Section | Objectives |
|---|---|
| Neonatal Health Assessment | - Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn |
| High-Risk Neonatal Management | - Prematurity-related complications - Infectious diseases in neonates - Respiratory distress and ventilation management |
| Neonatal Pharmacology and Therapeutics | - Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics |
| Neonatal Physiology and Pathophysiology | - Cardiovascular adaptation and congenital conditions - Thermoregulation, metabolism, and fluid balance - Respiratory adaptation and disorders |
| Family-Centered Care and Ethics | - Ethical and legal considerations in neonatal care - Parent education and communication |
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NEW QUESTION # 36
The NP is talking to new parents whose child was born with a cleft lip and palate due to amniotic band syndrome. They are concerned that this may happen to any more children they have in the future. The best response to this is
Answer: C
Explanation:
There is no known genetic risk for developing amniotic band syndrome. There are also no known behaviors during pregnancy that increase the risk for this condition. It occurs when thick, fibrous bands within the amniotic fluid wrap around the limb or face of the fetus in utero. It can cut off the blood supply to the affected area and result in amputation or deformity of the affected limb.
If the bands wrap around the face, it can result in cleft lip and palate. There is a greater than 30% chance that amniotic band syndrome will cause a club foot deformity.
NEW QUESTION # 37
The NP has an order to give dobutamine intravenously. She knows that
Answer: B
Explanation:
Whenever possible, dobutamine should be given through a central line because it is caustic to the body's tissues. This medication is primarily used to improve the effectiveness of the heart to work as a pump and, to a lesser degree, can help with hypotension.
NEW QUESTION # 38
Insensible water loss in neonates includes
Answer: C
Explanation:
Insensible water losses (IWL) occur as water evaporates from the skin (2/3) or the respiratory tract (1/3). IWL cannot be directly measured. Premature neonates have thin skin that allows for increased amounts of evaporative water loss. As the skin matures and the stratum corneum develops (around 31 weeks of gestation) less water is lost through the skin. A full-term neonate will have an IWL of 12/ml/kg/24 hours at 50% humidity. Factors that increase IWL include prematurity, radiant warmers, phototherapy, fever, low humidity, and tachypnea. Sensible water losses occur via urination, stool, and gastric drainage and can be accurately measured.
NEW QUESTION # 39
A premature infant in the NICU has a G-tube and the NP is starting his scheduled feeding.
The formula is backing up in the tube and not flowing smoothly. The next intervention would be to
Answer: B
Explanation:
A G-tube should be flushed with warm water before and after all feedings to ensure patency and remove any build-up of formula within the tube itself. Neither air nor carbonated soft drink should be flushed into the tube.
NEW QUESTION # 40
The purpose of quality improvement is to
Answer: B
Explanation:
Quality improvement is instrumental in improving the way healthcare services are provided, while continually measuring the effect those changes have on the health status of the patients served. This is often measured through patient satisfaction information.
NEW QUESTION # 41
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