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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Assessment | 15% | - Neonatal assessment
|
| Topic 2: Professional Issues | 3% | - Quality improvement and patient safety
|
| Topic 3: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Infectious diseases
|
| Topic 4: General Management | 19% | - Growth and nutrition
|
| Topic 5: Pharmacology | 9% | - Common drug therapies
|
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NEW QUESTION # 111
A preterm infant in the NICU is receiving tube feedings until he is able to attempt oral feedings. What activity can help him with the transition from tube to oral feedings?
Answer: B
Explanation:
Non-nutritive sucking, such as that with a pacifier, is having an infant suck on something that does not give them milk. For infants who are tube fed, it can trigger an association with them between having a full stomach and sucking, which can help when transitioning to oral feedings. The sucking activity is also helpful in strengthening the oral muscles needed to suck, as well as being soothing and calming for the infant.
NEW QUESTION # 112
A neonate receiving mechanical ventilation has a PaC02 level of 33 mmHg with pH of 7.5 from a blood sample obtained from the umbilical artery. These values indicate
Answer: A
Explanation:
These values indicate respiratory alkalosis from hyperventilation associated with excessive mechanical ventilation, which decreases the level of carbon dioxide in the blood. Respiratory alkalosis occurs with PaC02 <35 mmHg and pH >7.45. Normal PaC02 is 35-45 mmHg and normal pH
7.35-7.45. Arterial blood gas (ABG) is the most informative measurement of blood gas status.
Venous blood gas (VBG) is easier to obtain if an arterial catheter is not in place. To compare the values in the VBG with an ABG, add 0.05 to the pH of the VBG. Subtract 5-10 mmHg from the PC02 of the VBG. Capillary blood gas (CBG) can be obtained with a heel stick, but the values obtained are the least accurate and rarely useful.
NEW QUESTION # 113
When administering blood or blood products
Answer: A
Explanation:
A person with AB+ blood is considered a universal recipient because they can receive blood or blood products of any type. A universal donor would be a person with type O- blood. The most restricted recipient blood type is O- because those patients can only receive O- blood or blood products.
NEW QUESTION # 114
Which vitamin should be given to infants at risk for bronchopulmonary dysplasia?
Answer: A
Explanation:
Very low birth weight infants are at risk for developing bronchopulmonary dysplasia.
Nutritional support can possibly help to decrease the development of this condition. Vitamin A helps with lung maturity, and supplementation with this vitamin may help to prevent this condition. Parenteral nutrition also helps with lung development to ensure the infant is receiving the proteins and lipids needed to help with lung maturity.
NEW QUESTION # 115
The NP is evaluating a newborn. The infant is having retractions with respirations and a low grunting sound can be heard with his rapid breathing. The most likely diagnosis is
Answer: A
Explanation:
Meconium aspiration syndrome occurs when the infant inhales meconium during the labor and delivery process. It presents as labored or rapid breathing with retractions and grunting sounds with each breath. The infant may begin to appear cyanotic as this progresses. To treat this condition, surfactant may be given which has proven to be helpful. A laryngoscope may be inserted to perform suction below the level of the vocal cords. Mortality rates are higher for these infants than others and there may be some residual respiratory problems for the first 5-10 years of life.
NEW QUESTION # 116
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