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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Renal and genitourinary
|
| Topic 2: General Management | 19% | - Growth and nutrition
|
| Topic 3: General Assessment | 15% | - Discharge planning and follow-up care
|
| Topic 4: Professional Issues | 3% | - Legal and ethical principles
|
| Topic 5: Pharmacology | 9% | - Common drug therapies
|
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NEW QUESTION # 152
A premature infant in the NICU has a G-tube and the NP is starting his scheduled feeding.
The formula is backing up in the tube and not flowing smoothly. The next intervention would be to
Answer: B
Explanation:
A G-tube should be flushed with warm water before and after all feedings to ensure patency and remove any build-up of formula within the tube itself. Neither air nor carbonated soft drink should be flushed into the tube.
NEW QUESTION # 153
To ingest 120 calories/kg/day, an infant breastfeeding or receiving unfortified formula needs to ingest
Answer: A
Explanation:
Unfortified formulas (and most human milk) supply 20 calories per ounce. To ingest 120 cal/kg/day, an infant needs to ingest 6 ounces/kg/day of unfortified formula or human milk. The general requirements for adequate growth include:
*Full-term infants: 100-120 cal/kg/day
*Premature infants: 110-160 cal/kg/day
*Infants who are recovering from surgery or have a chronic illness, such as bronchopulmonary dysplasia (BPD): =180 cal/kg/day The caloric needs of a neonate (preterm or term) depend on postnatal age, activity, current weight, growth rate, thermal environment, and route of nutritional intake. Cold stress increases caloric requirements.
NEW QUESTION # 154
A premature infant with apnea of prematurity (AOP) exhibits periods of apnea lasting seconds in which the child has no airflow or effort to breathe. This type of apnea is classified as
Answer: C
Explanation:
Premature infants (especially those <34 weeks) often exhibit apnea of prematurity (AOP).
AOP begins at birth and is believed caused by immaturity of the nervous system, improving as the brain matures. It may persist for 4-8 weeks. There are 3 types of apnea:
*Central: no airflow or effort to breathe.
*Obstructive: no airflow, but effort to breathe.
Mixed: both central and obstructive elements (75% of AOP).
AOP symptoms include swallowing during apneic periods, apnea seconds, apnea <20 seconds with bradycardia 30 beats below normal, oxygen saturation <85% persisting 25 seconds, and cyanosis.
NEW QUESTION # 155
Periventricular leukomalacia is often the cause of which chronic condition?
Answer: C
Explanation:
Periventricular leukomalacia often causes cerebral palsy in the affected child. It has also been associated with an increased chance of epilepsy. Periventricular leukomalacia occurs when there is necrosis of the white matter in the brain near the lateral ventricles. Premature infants are at greatest risk for developing this condition due to the risk of neonatal encephalopathy.
NEW QUESTION # 156
What is the purpose for CCHD screening in newborns?
Answer: A
Explanation:
The CCHD screening identifies those infants who may have a critical congenital heart defect that requires early surgical intervention. This screening is performed using pulse oximetry in the newborn nursery to measure the oxygen saturation in the blood of infants. This screening decreases the risk of overlooking a critical congenital heart defect that may require early intervention.
NEW QUESTION # 157
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