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| Section | Objectives |
|---|---|
| Neonatal Pharmacology and Therapeutics | - Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics |
| High-Risk Neonatal Management | - Prematurity-related complications - Respiratory distress and ventilation management - Infectious diseases in neonates |
| Neonatal Health Assessment | - Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn |
| Neonatal Physiology and Pathophysiology | - Cardiovascular adaptation and congenital conditions - Thermoregulation, metabolism, and fluid balance - Respiratory adaptation and disorders |
| Family-Centered Care and Ethics | - Parent education and communication - Ethical and legal considerations in neonatal care |
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NEW QUESTION # 106
Onset of drug withdrawal symptoms for a neonate whose mother used heroin during pregnancy is
Answer: C
Explanation:
The onset of withdrawal symptoms in a neonate varies depending on the mother's type of drug use, but the onset of symptoms of narcotics, such as heroin or methadone, is longer than for other drugs, ranging from 48-72 hours for most but can be up to one month, so many of these neonates may be discharged prior to onset of symptoms. Mothers should be carefully screened to try to identify infants at risk.
NEW QUESTION # 107
A newborn has an NG tube in place due to an intestinal obstruction. In order to prevent aspiration of saliva, it is very important to
Answer: A
Explanation:
There is an increased risk of death by aspiration in newborns that have an NG tube. This is due to aspiration of saliva. Because ofthis, a drainage bag should be attached to accept the aspirate.
The stomach contents should also be aspirated at least every 30 minutes to decrease this risk.
NEW QUESTION # 108
On examining the neonate, the NP notes 9 cafe au lait spots with a diameter greater than
5 mm and freckles on the axilla and inguinal are
a. The infant should be tested for
Answer: A
Explanation:
Cafe au lait spots (CAL) are flat skin lesions with increased melanin content and regular or irregular borders. If the CAL spots are faint, one can use a Wood lamp to make them easier to see.
Fewer than 3 cafe au lait spots have no clinical significance. However, 6 or more cafe au lait spots with a diameter larger than 5 mm occur in 95% of patients with neurofibromatosis type 1 (NFI), a disorder of chromosome 17. Lisch nodules on the child's iris and Crowe's sign (freckles on the axilla and inguinal area) corroborate the diagnosis of NFI.
NEW QUESTION # 109
The mineral that is often very low after the administration of intravenous Lasix is
Answer: C
Explanation:
Calcium excretion is increased when a person receives Lasix. In the newborn, this can affect bone formation and maturation. Calcium levels should be monitored when a newborn is on Lasix, and supplementation administered if necessary.
NEW QUESTION # 110
The NP has received a lab report on the CSF of a newborn who underwent a lumbar puncture. The lab report shows the glucose level in the sample is 100 mg/dL. This value is interpreted to mean
Answer: A
Explanation:
The normal glucose level in cerebrospinal fluid in a newborn is 35-120 mg/dL A value of 100 would be normal for this infant. Diabetes mellitus may cause CSF glucose levels to be elevated.
Meningitis can cause CSF glucose to be normal with viral meningitis, low with bacterial meningitis, and normal to low in fungal meningitis.
NEW QUESTION # 111
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