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| Section | Objectives |
|---|---|
| Family-Centered Care and Ethics | - Ethical and legal considerations in neonatal care - Parent education and communication |
| High-Risk Neonatal Management | - Infectious diseases in neonates - Respiratory distress and ventilation management - Prematurity-related complications |
| Neonatal Physiology and Pathophysiology | - Respiratory adaptation and disorders - Cardiovascular adaptation and congenital conditions - Thermoregulation, metabolism, and fluid balance |
| Neonatal Health Assessment | - Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn |
| Neonatal Pharmacology and Therapeutics | - Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics |
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NEW QUESTION # 146
The NP is checking the blood pressure of a newborn. It is 64/40. What should the next step be?
Answer: A
Explanation:
A normal newborn blood pressure is 64/41. This usually rises to 95/58 around the first month of age. Premature infants will have even lower blood pressures unless their medical condition results in an elevation in blood pressure. In this situation, the NP should record the reading and continue with the newborn assessment.
NEW QUESTION # 147
A neonate born to an HIV-infected mother should receive the first dose of antiretroviral medication within
Answer: B
Explanation:
Antiretroviral medications should be given to the neonate for the first 6 weeks of life with the first dose given within the first 6-12 hours after delivery. The perinatal transmission rate is
30% in untreated HIV positive mothers, usually acquired during delivery; however, optimal treatment reduces perinatal transmission rate to as low as 1-2%. Preventive treatment includes:
*Antiviral therapy during pregnancy: A reduced viral load in the mother lessens the
*likelihood of prenatal transmission.
*Elective Cesarean before the amniotic membranes rupture.
*Avoidance of breastfeeding: The risk of HIV transmission with breastfeeding is 0.7% per month of breastfeeding.
NEW QUESTION # 148
A female neonate is found to have an imperforate anus with no external opening or dimple on initial physical exam. The abdomen is slightly distended, but the neonate passes some meconium at 24 hours. The type of anomaly this suggests is a
Answer: A
Explanation:
In a high anomaly, the rectum ends above the puborectalis muscles, and internal sphincter is absent. Frequently, there is a rectourethral fistula in males or a rectovaginal fistula in females, allowing passage of some meconium. There may be fistulas to the bladder or perineum. Low anomalies have no external opening, but rectum is otherwise in normal position through the puborectalis muscle, with normal function, and no connection to the genitourinary tract.
Intermediate anomalies have rectum at or below the level of puborectalis muscle and an anal dimple. The external sphincter is in normal position.
NEW QUESTION # 149
During the first few months of life, the newborn is only able to digest those proteins found in
Answer: A
Explanation:
The digestive system of the newborn begins maturing soon after birth. For the first few months, however, the only proteins it is able to digest are those found in formula or human milk.
That is why it is advised that cow's milk not be begin to babies within the first year of life. The GI tract has also not fully matured with the necessary microorganisms that aide in digestion.
Development and maturation of the GI tract continues for the first 2 years of life.
NEW QUESTION # 150
The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to
Answer: B
Explanation:
The first step should be to assess the rest of the infant to see ifthis is truly cyanosis. It is not uncommon for the face to undergo some trauma while passing through the birth canal, which can cause areas of bruising. It can be differentiated from cyanosis by assessing whether it is present in the distal extremities or if the infant is showing any signs of respiratory distress. Facial bruising may take several days to gradually fade.
NEW QUESTION # 151
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