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| Section | Objectives |
|---|---|
| High-Risk Neonatal Management | - Infectious diseases in neonates - Respiratory distress and ventilation management - Prematurity-related complications |
| Neonatal Health Assessment | - Physical and neurological assessment of the newborn - Identification of normal vs abnormal findings |
| Family-Centered Care and Ethics | - Ethical and legal considerations in neonatal care - Parent education and communication |
| Neonatal Pharmacology and Therapeutics | - Drug safety, dosing considerations, and pharmacokinetics - Medication administration in neonates |
| Neonatal Physiology and Pathophysiology | - Thermoregulation, metabolism, and fluid balance - Cardiovascular adaptation and congenital conditions - Respiratory adaptation and disorders |
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問題 #153
The NP is administering blood to a premature infant who is anemic. A possible transfusion reaction may be occurring if the patient develops
答案：C
解題說明：
One of the first signs that an acute intravascular hemolytic reaction is occurring is pain at the IV site. Other early signs include fever, chills, elevated heart rate, nausea, and dyspnea. This potentially life-threatening reaction usually occurs within 10 minutes of the beginning of the infusion of blood or blood products.
問題 #154
When monitoring the fetal heart rate during labor, which of the following is most likely to be most dangerous to the fetus?
答案：A
解題說明：
Late decelerations present as smooth decreases in heart rate that begin at the peak of a contraction. When late decelerations occur along with tachycardia and without an acceleration, or a return to normal heart rate range, it can be a sign that the fetus is not getting enough oxygen. Early decelerations begin before the contraction peaks and usually occur as the fetus passes through the birth canal and the skull is compressed. They are generally not harmful. Variable decelerations occur when the umbilical cord is temporarily compressed and are very common during labor. They are usually not harmful when they occur later in labor and are followed by an acceleration. When variable decelerations occur early in labor and are severe, emergent delivery of the baby may be necessary.
問題 #155
To promote family integration, the best time for siblings to visit the mother and neonate is
答案：A
解題說明：
Children should visit the mother and infant as soon after delivery as possible. Preparation of siblings prior to the birth can decrease anxiety and sibling rivalry by helping the children feel as though they are participants and are valued. Children should be prepared for physical changes in the mother, changing family dynamics, and infant care. A parent/teacher may use dolls to demonstrate childcare and allow the children to practice holding and caring for the baby. When possible, children should have contact with an infant, such as that of a friend or family member.
問題 #156
The NP has received a lab report on the CSF of a newborn who underwent a lumbar puncture. The lab report shows the glucose level in the sample is 100 mg/dL. This value is interpreted to mean
答案：A
解題說明：
The normal glucose level in cerebrospinal fluid in a newborn is 35-120 mg/dL A value of 100 would be normal for this infant. Diabetes mellitus may cause CSF glucose levels to be elevated.
Meningitis can cause CSF glucose to be normal with viral meningitis, low with bacterial meningitis, and normal to low in fungal meningitis.
問題 #157
Which of the following routes is NOT recommended when administering naloxone (Narcan) to infants?
答案：A
解題說明：
When given, the preferred route for administering Narcan in the infant is IV or 1M. It should not be given via endotracheal administration. Narcan is not used as a first line drug in the infant with respiratory depression. Normal color and pulse must first be present before it is considered. It may cause seizures if given to the infant of an opioid-addicted mother.
問題 #158
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