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| Section | Objectives |
|---|---|
| Topic 1: Family-Centered Care and Ethics | - Ethical and legal considerations in neonatal care - Parent education and communication |
| Topic 2: Neonatal Health Assessment | - Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn |
| Topic 3: Neonatal Physiology and Pathophysiology | - Respiratory adaptation and disorders - Thermoregulation, metabolism, and fluid balance - Cardiovascular adaptation and congenital conditions |
| Topic 4: Neonatal Pharmacology and Therapeutics | - Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics |
| Topic 5: High-Risk Neonatal Management | - Respiratory distress and ventilation management - Prematurity-related complications - Infectious diseases in neonates |
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질문 # 127
A neonate at 37 weeks gestation is born to a mother who has abused cocaine throughout pregnancy. The neonate exhibits persistent hypertonia, startles easily, and shows signs of distress at any disturbance. The most appropriate treatment is
정답:A
설명:
Swaddling a neonate exposed to cocaine and eliminating as much environmental noise and excessive light as possible can reduce stimulation and relieve symptoms. Medications are rarely required to control symptoms. Hypertonia may last s2 years. Head circumference may be smaller for the first 2 years as well although the infant usually attains normal weight and height by the end of the first year.
질문 # 128
The feces of house cats can cause a parasitic infection called
정답:C
설명:
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,
질문 # 129
The initial treatment for patent ductus arteriosus (PDA) for a preterm neonate is usually
정답:C
설명:
Patent ductus arteriosus (PDA) is failure of the ductus arteriosus that connects the pulmonary artery and aorta to close after birth, resulting in left to right shunting of blood from the aorta back to the pulmonary artery. This increases the blood flow to the lung and causes an increase in pulmonary hypertension that can result in damage to the lung tissue. Treatment for PDA:
*Indomethacin (Indocin@) or ibuprofen lysine given within 10 days of birth is successful in closing about 80% of defects.
*Surgical repair with ligation of the patent vessel if conservative treatment is unsuccessful.
질문 # 130
What method should be used to feed the preterm infant with a weak sucking reflex?
정답:B
설명:
Gavage feeding is used to provide nutrition to the infant with a poor sucking reflex, tachypnea, respiratory distress, impaired swallowing, or apneic spells. A nasogastric tube is placed and formula or human milk is slowly fed through the tube with a syringe. Often, the baby will be soothed or gently touched during the feeding to promote positive reinforcement with sucking. The feeding should be stopped if the baby exhibits signs of gasping or choking.
질문 # 131
When administering blood or blood products
정답:A
설명:
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.
질문 # 132
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