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| Section | Objectives |
|---|---|
| High-Risk Neonatal Management | - Infectious diseases in neonates - Respiratory distress and ventilation management - Prematurity-related complications |
| Neonatal Physiology and Pathophysiology | - Thermoregulation, metabolism, and fluid balance - Cardiovascular adaptation and congenital conditions - Respiratory adaptation and disorders |
| Neonatal Pharmacology and Therapeutics | - Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics |
| Neonatal Health Assessment | - Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn |
| Family-Centered Care and Ethics | - Ethical and legal considerations in neonatal care - Parent education and communication |
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NEW QUESTION # 164
The mildest form of an intraventricular hemorrhage of the brain in a newborn is also called
Answer: C
Explanation:
An intraventricular hemorrhage in a newborn is classified into grades, depending upon the severity of the bleeding. Grade l, the mildest form, is also called a germinal matrix hemorrhage.
Those infants most at risk for developing an intraventricular hemorrhage are those who are premature, at least 10 weeks preterm. This occurs because the blood vessels in the brain are very weak in the premature infant and can easily rupture, causing a brain bleed. Less than half of infants with a mild bleed will have long-term effects from it. Up to one-third of those with severe bleeds may die.
NEW QUESTION # 165
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 # 166
Onset of drug withdrawal symptoms for a neonate whose mother used heroin during pregnancy is
Answer: C
Explanation:
The onset of withdrawal symptoms in a neonate varies depending on the mother's type of drug use, but the onset of symptoms of narcotics, such as heroin or methadone, is longer than for other drugs, ranging from 48-72 hours for most but can be up to one month, so many of these neonates may be discharged prior to onset of symptoms. Mothers should be carefully screened to try to identify infants at risk.
NEW QUESTION # 167
The parents of a neonate are considering genetic testing for their son because the father was recently diagnosed with Huntington's disease. They ask the NP's opinion. The most appropriate response is
Answer: B
Explanation:
The information derived from testing for Huntington's disease cannot be used for health promotion or disease prevention, so the parents should be counseled to wait until the child is at the age to make an informed decision about whether to have testing. This type of information can be devastating to young people who are not provided adequate support and counseling prior to testing. Some people with adult-onset diseases choose not to be tested, and childhood testing robs them of this choice.
NEW QUESTION # 168
The neural tube defect in which there is failure of the vertebral column to close, but no herniation through the opening is
Answer: A
Explanation:
Spina bifida occulta is the failure of the vertebral column to close, but no herniation through the opening so the defect may not be obvious. Spina bifida is a defect in which the vertebral column is not closed with varying degrees of herniation through the opening. Spina bifida cystica is a defect in closure with external sac-like protrusion with varying degrees of nerve involvement.
Meningocele is spina bifida cystica with meningeal sac filled with spinal fluid. Myelomeningocele is spina bifida cystica with meningeal sac containing spinal fluid and part of the spinal cord and nerves.
NEW QUESTION # 169
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