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| Section | Objectives |
|---|---|
| Neonatal Physiology and Pathophysiology | - Respiratory adaptation and disorders - Thermoregulation, metabolism, and fluid balance - Cardiovascular adaptation and congenital conditions |
| Neonatal Health Assessment | - Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn |
| High-Risk Neonatal Management | - Respiratory distress and ventilation management - Prematurity-related complications - Infectious diseases in neonates |
| Neonatal Pharmacology and Therapeutics | - Drug safety, dosing considerations, and pharmacokinetics - Medication administration in neonates |
| Family-Centered Care and Ethics | - Ethical and legal considerations in neonatal care - Parent education and communication |
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NEW QUESTION # 175
A pediatric patient in the NICU is receiving an infusion of dopamine. Once it is completed, the effects from the medication should be gone
Answer: A
Explanation:
The half-life of dopamine is less than 2 minutes, so the total time in which the effects from the medication are seen is around 10 minutes. Dopamine is used to improve heart function, increase blood pressure, and increase renal perfusion.
NEW QUESTION # 176
A neonate suffered perinatal asphyxia and developed moderate hypoxic ischemic encephalopathy (HIE) with neurological dysfunction. The treatment that is LEAST likely to be utilized to treat this condition is
Answer: C
Explanation:
With advancing implementation of therapeutic hypothermia, this method oftreatment has become the first line approach in treating moderate to severe HIE with the target temperature dependent upon the severity of the encephalopathy. Additional treatments include phenobarbital for seizures treatment and/or prevention. Fluid resuscitation is not indicated in HIE; in fact it is common to apply a fluid restriction to a neonate with HIE to control additional swelling. HIE results when oxygen supply to the brain is impaired. HIE is classified as mild, moderate, or severe, depending on the degree of ischemia and symptoms. Mild HIE usually resolves in 3-4 days and moderate HIE in 1-2 weeks, but permanent brain damage can occur with severe HIE.
NEW QUESTION # 177
What is the most common cause of respiratory distress in the newborn?
Answer: B
Explanation:
Transient tachypnea of the newborn is the most common cause of respiratory distress in the newborn. It is triggered by excessive fluid in the lungs and usually resolves on its own. It occurs shortly after delivery. Supportive care with oxygen or CPAP may be necessary until the symptoms resolve. It is most common in babies born via Cesarean section.
NEW QUESTION # 178
What is the purpose for CCHD screening in newborns?
Answer: C
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 # 179
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: A
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 # 180
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