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| Section | Objectives |
|---|---|
| Neonatal Health Assessment | - Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn |
| High-Risk Neonatal Management | - Prematurity-related complications - Infectious diseases in neonates - Respiratory distress and ventilation management |
| Neonatal Pharmacology and Therapeutics | - Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics |
| Neonatal Physiology and Pathophysiology | - Cardiovascular adaptation and congenital conditions - Respiratory adaptation and disorders - Thermoregulation, metabolism, and fluid balance |
| Family-Centered Care and Ethics | - Parent education and communication - Ethical and legal considerations in neonatal care |
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NEW QUESTION # 86
What condition can occur in the newborn as a result of Rh incompatibility?
Answer: A
Explanation:
Hydrops fetalis occurs as a result of Rh incompatibility between the newborn and the mother. The Rh incompatibility results in a large number of red blood cells in the infant to be destroyed. This causes severe edema. Approximately half of newborns with hydrops fetalis will not survive. This can be prevented if prenatal testing is done on the mother to determine her Rh status.
If she is Rh negative, an injection can be given during the first trimester of her pregnancy to prevent this reaction from occurring.
NEW QUESTION # 87
The major route in a full-term neonate for rapidly increasing body temperature in response to cold stress is
Answer: A
Explanation:
Non-shivering thermogenesis (NST) is the major route of rapid increase of body temperature in response to cold stress in the term neonate. NST is the oxidation of brown fat to create heat.
Brown adipose tissue contains a high concentration of stored triglycerides, a rich capillary network, and is controlled by the sympathetic nervous system. When brown fat is metabolized, heat is created. When a cold body temperature is detected, the posterior hypothalamus responds by triggering the adrenal glands to release norepinephrine and the pituitary gland to release thyroxine. Both stimulate NST.
NEW QUESTION # 88
How does the protein content in colostrum compare to the protein content in mature human milk?
Answer: A
Explanation:
The first form of human milk that can be expressed is called colostrum. This is produced for the first few days, up to a week following delivery. It has a higher protein content than mature human milk. Colostrum can contain up to 17% protein, while mature human milk contains only about 1% protein.
NEW QUESTION # 89
The NP is talking to new parents whose child was born with a cleft lip and palate due to amniotic band syndrome. They are concerned that this may happen to any more children they have in the future. The best response to this is
Answer: A
Explanation:
There is no known genetic risk for developing amniotic band syndrome. There are also no known behaviors during pregnancy that increase the risk for this condition. It occurs when thick, fibrous bands within the amniotic fluid wrap around the limb or face of the fetus in utero. It can cut off the blood supply to the affected area and result in amputation or deformity of the affected limb.
If the bands wrap around the face, it can result in cleft lip and palate. There is a greater than 30% chance that amniotic band syndrome will cause a club foot deformity.
NEW QUESTION # 90
What is a major risk factor for chorioamnionitis?
Answer: C
Explanation:
Chorioamnionitis is an acute infection and inflammation of the membranes and is commonly caused by a premature rupture of the membranes. This eliminates the protective barrier surrounding the fetus and increases the risk for pathogens to ascend into the uterus. Less commonly, chorioamnionitis can occur in the absence of membrane rupture. Long-term effects of this condition to the neonate include stillbirtw premature birth, sepsis, chronic lung disease, and brain injury or cerebral palsy. The mother can develop postpartum infections and sepsis.
NEW QUESTION # 91
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