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| Section | Objectives |
|---|---|
| Topic 1: Family-Centered Care and Ethics | - Parent education and communication - Ethical and legal considerations in neonatal care |
| Topic 2: High-Risk Neonatal Management | - Prematurity-related complications - Infectious diseases in neonates - Respiratory distress and ventilation management |
| Topic 3: Neonatal Pharmacology and Therapeutics | - Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics |
| Topic 4: Neonatal Health Assessment | - Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn |
| Topic 5: Neonatal Physiology and Pathophysiology | - Cardiovascular adaptation and congenital conditions - Thermoregulation, metabolism, and fluid balance - Respiratory adaptation and disorders |
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144. Frage
Parents of a newborn have opted to not have their son circumcised. When providing them with care instructions, they will need to know
Antwort: B
Begründung:
It is recommended that the newborn's foreskin be gently retracted as much as it will naturally allow during baths and diaper changes, but that cleansing the area beneath the foreskin not be done until the foreskin has fully retracted naturally. Forceful retraction should be avoided as it may cause irritation, bleeding, or fibrosis, and should be avoided for that reason. Bacteria, fungus, and moisture can be trapped within the foreskin, which can lead to a painful infection. Infections can become severe enough to cause significant swelling of the foreskin, which can prevent it from being able to be retracted down over the penis.
145. Frage
An intestinal disorder that can occur as a result of malrotation is
Antwort: B
Begründung:
A volvulus can occur as a result of malrotation. Around the 10th week of gestation, the intestines are forming and settle within the abdominal cavity. As the large intestine begins to further develop, it repositions itself above and on either side of the small intestine, which is centrally located in the abdomen. With malrotation, the large intestine remains positioned on the left side of the abdomen and the small intestine remains on the right. This can result in a tv,'isting of the intestine, or a volvulus, which can cause ischemia of the area affected and even result in death if not treated. Surgical intervention is often necessary to correct this condition.
146. Frage
How many calories does a preterm infant require per day?
Antwort: A
Begründung:
The preterm infant needs 100-150 kcal/kg/day in order to complete development and gain weight. A term infant generally needs 100-120 kcal/kg/day for normal growth and development Adequate nutrition to meet the nutritional needs of the preterm infant can help to prevent poor outcomes and help to improve adequate nervous system development.
147. Frage
An example of an autosomal recessive disease is
Antwort: B
Begründung:
An autosomal recessive disease is one that requires 2 copies of the gene in order for the disease or trait to occur. For example, both the mother and father of an infant would need to pass on a copy of the gene for cystic fibrosis in order for their child to develop the disease. Down's syndrome and Edward's syndrome are both genetic mutations that occur during fetal development and are not genetically inherited conditions.
148. Frage
The new parents of a child with Down syndrome tell the NP that they want to have more child in the future, but they are concerned about the risk of having another child with this condition. The most appropriate response is
Antwort: C
Begründung:
The risk of having a child with Down's syndrome is approximately 1 in 100 pregnancies.
Advanced maternal age is more of a risk factor for having the genetic mutation that causes this condition. Having one child with this condition does not increase the chances that any future children will also have Down's syndrome.
149. Frage
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