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| Section | Objectives |
|---|---|
| Topic 1: Neonatal Physiology and Pathophysiology | - Respiratory adaptation and disorders - Cardiovascular adaptation and congenital conditions - Thermoregulation, metabolism, and fluid balance |
| Topic 2: High-Risk Neonatal Management | - Respiratory distress and ventilation management - Prematurity-related complications - Infectious diseases in neonates |
| Topic 3: Neonatal Pharmacology and Therapeutics | - Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics |
| Topic 4: Family-Centered Care and Ethics | - Ethical and legal considerations in neonatal care - Parent education and communication |
| Topic 5: Neonatal Health Assessment | - Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn |
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NEW QUESTION # 108
Which of the following is an indication for parenteral nutrition in the premature infant?
Answer: A
Explanation:
Parenteral nutrition is given via intravenous route. It is used when enteral feeding via a tube directly in the GI tract is not possible. This is most often due to a very low birth weight, less than
1500 g. Enteral feedings are delayed in these infants due to immature lung function requiring intubation, hypotension, hypothermia, and infection risk. Also, the GI tract in these infants may not tolerate feedings that require digestion by normal means.
NEW QUESTION # 109
To ingest 120 calories/kg/day, an infant breastfeeding or receiving unfortified formula needs to ingest
Answer: B
Explanation:
Unfortified formulas (and most human milk) supply 20 calories per ounce. To ingest 120 cal/kg/day, an infant needs to ingest 6 ounces/kg/day of unfortified formula or human milk. The general requirements for adequate growth include:
*Full-term infants: 100-120 cal/kg/day
*Premature infants: 110-160 cal/kg/day
*Infants who are recovering from surgery or have a chronic illness, such as bronchopulmonary dysplasia (BPD): =180 cal/kg/day The caloric needs of a neonate (preterm or term) depend on postnatal age, activity, current weight, growth rate, thermal environment, and route of nutritional intake. Cold stress increases caloric requirements.
NEW QUESTION # 110
On the APGAR scale, a good score is
Answer: A
Explanation:
A total score of 27 is a sign of good health with a perfect score being 10. APGAR is a quick evaluation of a newborn's physical condition to determine if emergency medical care is needed and is administered 1 minute and 5 minutes after birth.
NEW QUESTION # 111
What are the most common symptoms of sudden withdrawal of a beta blocker medication?
Answer: C
Explanation:
Therapeutic drugs can cause withdrawal symptoms when they are stopped suddenly, especially if the patient has been taking them for a long period of time. The primary mechanism of action of beta blockers is to decrease heart rate, thereby decreasing blood pressure, and decreasing the risk of developing a cardiac dysrhythmia. When the medication is stopped suddenly, the opposite effect is seen with a significant response. This includes high blood pressure, elevated heart rate, and risk of cardiac dysrhythmias, tremors, and sweating.
NEW QUESTION # 112
The feces of house cats can cause a parasitic infection called
Answer: A
Explanation:
Cat feces can contain a parasite called toxoplasmosis. A pregnant woman may contract this parasite and then pass it onto the fetus through the placenta. For this reason, pregnant women should avoid contact with cat feces, such as when cleaning a litter box. Most pregnant women who become infected will not be aware of the infection. It can cause prematurity in about half of those infants who contract the parasite in utero. The infection can cause damage to the eyes, ears, nervous system, and skin in infants,
NEW QUESTION # 113
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