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| Section | Objectives |
|---|---|
| Neonatal Physiology and Pathophysiology | - Respiratory adaptation and disorders - Cardiovascular adaptation and congenital conditions - Thermoregulation, metabolism, and fluid balance |
| Family-Centered Care and Ethics | - Parent education and communication - Ethical and legal considerations in neonatal care |
| Neonatal Pharmacology and Therapeutics | - Drug safety, dosing considerations, and pharmacokinetics - Medication administration in neonates |
| High-Risk Neonatal Management | - Prematurity-related complications - Infectious diseases in neonates - Respiratory distress and ventilation management |
| Neonatal Health Assessment | - Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn |
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NEW QUESTION # 159
A neonate born to an HIV-infected mother should receive the first dose of antiretroviral medication within
Answer: B
Explanation:
Antiretroviral medications should be given to the neonate for the first 6 weeks of life with the first dose given within the first 6-12 hours after delivery. The perinatal transmission rate is
30% in untreated HIV positive mothers, usually acquired during delivery; however, optimal treatment reduces perinatal transmission rate to as low as 1-2%. Preventive treatment includes:
*Antiviral therapy during pregnancy: A reduced viral load in the mother lessens the
*likelihood of prenatal transmission.
*Elective Cesarean before the amniotic membranes rupture.
*Avoidance of breastfeeding: The risk of HIV transmission with breastfeeding is 0.7% per month of breastfeeding.
NEW QUESTION # 160
Which of the following infants is most likely to develop necrotizing enterocolitis?
Answer: B
Explanation:
Necrotizing enterocolitis is most common in premature infants who are being formula fed rather than breastfed. With lung prematurity in the premature infant, there is an increased risk of decreased oxygenation to the lining of the intestines. Formula fed infants are not receiving any of the immune mediators that are helpful in fighting infection and which help to build up the normal protective microorganisms in the intestines. This can result in a necrotizing infection in the intestines that can lead to intestinal rupture and even death. This condition affects 10% of premature infants, but is rare in full-term infants.
NEW QUESTION # 161
When the NP is assessing a newborn's respiratory status, which would indicate the newborn is developing respiratory distress?
Answer: C
Explanation:
Nasal flaring is seen in newborns as an attempt to widen the nares and take in more oxygen.
Other signs of respiratory distress include retractions, tachypnea, grunting, and abnormal breath sounds. Pink skin color is reflective of a health newborn with good perfusion. A respiratory rate of
40 breaths per minute is within the normal range for a newborn.
NEW QUESTION # 162
What substance helps to keep the amniotic sac intact within the uterus?
Answer: C
Explanation:
Fetal fibronectin is a protein that helps to keep the amniotic sac adhered to the wall of the uterus. This substance begins to break down towards the end of the pregnancy. If there is suspicion that preterm labor may be imminent, a swab may be done of the secretions on the cervix. If fetal fibronectin is present, it can be a sign that there is an increased risk for preterm labor.
NEW QUESTION # 163
A nevus flammeus is commonly known as
Answer: A
Explanation:
A nevus flammeus, or port wine stain, is a birth mark that results from a malformation of capillaries. Though they appear pink at birth, they will become a darker reddish or purplish color in adulthood. Port wine stains are not inherited genetically and they have no known cause. Laser treatments may help to lighten these birth marks, especially if they are done while the child is young and the lesion is lighter in color.
NEW QUESTION # 164
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