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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: Neonatal Health Assessment | - Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn |
| Topic 3: Neonatal Physiology and Pathophysiology | - Cardiovascular adaptation and congenital conditions - Respiratory adaptation and disorders - Thermoregulation, metabolism, and fluid balance |
| Topic 4: High-Risk Neonatal Management | - Prematurity-related complications - Infectious diseases in neonates - Respiratory distress and ventilation management |
| Topic 5: Neonatal Pharmacology and Therapeutics | - Drug safety, dosing considerations, and pharmacokinetics - Medication administration in neonates |
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NEW QUESTION # 115
While assessing a newborn in the NICU, the NP notices that he has pitting edema on the right side of his scalp. The next step should be to
Answer: C
Explanation:
Pitting edema in the soft tissues of the scalp is not uncommon after birth, due to trauma on the baby/s scalp while moving through the birth canal. This condition is called caput succedaneum and is most evident immediately after birth. It usually resolves rather quickly over the first 24-48 hours following birth and just needs to be monitored for any changes.
NEW QUESTION # 116
A mother delivers a child with sickle cell disease, an autosomal recessive disorder. The recurrence risk for subsequent children being born with the disorder is
Answer: B
Explanation:
Autosomal recessive: Recurrence is 25% for each pregnancy and 50% risk of the child becoming a carrier. Autosomal dominant: Recurrence risk is 50%, but there is no carrier state. X- linked recessive: Recurrence risk is 50% for affected sons and 50% risk of daughters becoming carriers. Affected sons do not pass the disorder to sons, but all daughters become carriers. X-Iinked dominant: Father passes the disorder to 100% of daughters but no sons. Mother passes the trait to
50% of sons and 50% of daughters, but daughters are usually unaffected.
NEW QUESTION # 117
An infant with a known congenital diaphragmatic hernia is born at 38 weeks gestation.
He requires resuscitation shortly after delivery due to the weakening of the diaphragm from the herni a. Generally speaking, survival rate for this infant is
Answer: A
Explanation:
With a diaphragmatic hernia, the diaphragm becomes weakened and this can result in the stomach and other abdominal contents expending into the chest cavity. This, along with the weakened diaphragm, can result in a decreased ability to breathe. If detected in the prenatal period, assistance can standby during delivery to begin resuscitative measures promptly and improve the chances for survival.
NEW QUESTION # 118
When treating a neonate for hypothermia, the air temperature should be increased by approximately
Answer: C
Explanation:
Steps in treatment of hypothermia:
*Increase the air temperature by approximately I 'C every hour until the infant's
*temperature is normal and stable.
*Determine if the cause of hypothermia is from an abnormal physiological process in the infant or from environmental conditions.
*Avoid rewarming the infant too rapidly because rapid rewarming may result in apnea or hypotension. Maintain the ambient temperature at 1-1.5'C higher than the infant's temperature.
*Warm IV fluids with a blood-warming device prior to infusion.
*Closely monitor the infants blood glucose levels, vital signs, and urinary output.
NEW QUESTION # 119
A full-term neonate fails to pass meconium in the first 48 hours of life. The infant exhibits abdominal distension, poor feeding, and bilious vomiting. An x-ray of the abdomen shows dilated loops of bowel. The diagnostic procedure used both to confirm a diagnosis of meconium plug syndrome and to direct treatment is
Answer: C
Explanation:
A contrast enema is used to confirm a diagnosis of meconium plug syndrome and helps differentiate that from other causes of intestinal obstruction. The contrast enema also is often therapeutic and helps the plug to pass. Meconium plug syndrome usually occurs in full-term infants, infants of diabetic mothers, or infants with hypermagnesemia. A small percentage of infants initially identified as having meconium plug syndrome (5-10%) have Hirschsprung disease. The cause of meconium plug syndrome is thought to be immaturity of the ganglion cells of the colon.
NEW QUESTION # 120
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