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| Section | Objectives |
|---|---|
| Neonatal Pharmacology and Therapeutics | - Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics |
| High-Risk Neonatal Management | - Respiratory distress and ventilation management - Infectious diseases in neonates - Prematurity-related complications |
| Neonatal Health Assessment | - Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn |
| Family-Centered Care and Ethics | - Ethical and legal considerations in neonatal care - Parent education and communication |
| Neonatal Physiology and Pathophysiology | - Cardiovascular adaptation and congenital conditions - Thermoregulation, metabolism, and fluid balance - Respiratory adaptation and disorders |
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NEW QUESTION # 27
An infant with ABO incompatibility with the mother develops hyperbilirubinemia after birth. The neonate should be monitored for a few weeks after birth for
Answer: A
Explanation:
Anemia may develop in the weeks after delivery because of increased rate of RBC breakdown, so the neonate should be monitored with blood counts. About 20-25% of pregnancies involve ABO incompatibility, usually with the mother type O and the fetus A or B. There are rarely serious complications for the fetus although the neonate may develop hyperbilirubinemia, so the child should be observed carefully. Only in severe cases of hemolysis (rare), does the child require exchange transfusions.
NEW QUESTION # 28
When evaluating cord blood values 30 minutes after birth, the following arterial POZ is within normal limits
Answer: C
Explanation:
Umbilical cord blood gas testing, preferably arterial, should be done minutes after birth for infants who are at risk or depressed to determine pH and acid-base balance. Testing is most applicable to infants with low APGAR scores (0-3) persisting for 25 minutes. Normal values:
NEW QUESTION # 29
What is a patent ductus arteriosus?
Answer: C
Explanation:
PDA is an opening betvveen the pulmonary and aortic arteries. Before a baby is born, its blood is oxygenated by the mother through the placenta. A vessel is formed connecting the pulmonary and aortic arteries, the ductus arteriosus. Shortly after birth, this vessel closes off so that the infants blood can then receive oxygen from its own lungs. With a PDA the ductus arteriosus remains open and oxygen-rich blood from the aorta mixes with the blood lacking oxygen from the pulmonary artery. If the rest of the heart is functioning normal, the baby is monitored and the PDA is allowed to repair itself. If this does not happen, the defect can be surgically corrected.
NEW QUESTION # 30
Early onset group B strep infection in the newborn is most likely to cause
Answer: B
Explanation:
Early onset group B strep infection in the newborn is most likely to cause sepsis. It can also cause pneumonia. Meningitis can occur with early onset group B strep, but it is not as common as sepsis. Meningitis is more likely to occur with late onset of the infection. Group B strep infection is passed from the mother to the fetus. Screening pregnant women for group B strep is routine so that it can be treated with antibiotics to prevent transmission during pregnancy and birth.
NEW QUESTION # 31
The parents of a newborn with strabismus express concern about how this is going to be treated. The most appropriate response is
Answer: C
Explanation:
Strabismus is a misalignment of the eyes, usually from a weak or defective eye muscle. As the child becomes older, patching and eyeglasses can help with strengthening the weak muscle to help align the gaze of the eyes. If left untreated or in the rare cases that patching and eyeglasses are not affective, strabismus can become severe and result in a full cross-eyed appearance. Occasionally surgery will need to be performed to correct the misalignment.
NEW QUESTION # 32
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