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| Section | Objectives |
|---|---|
| High-Risk Neonatal Management | - Infectious diseases in neonates - Prematurity-related complications - Respiratory distress and ventilation management |
| Neonatal Pharmacology and Therapeutics | - Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics |
| Neonatal Health Assessment | - Physical and neurological assessment of the newborn - Identification of normal vs abnormal findings |
| Family-Centered Care and Ethics | - Ethical and legal considerations in neonatal care - Parent education and communication |
| Neonatal Physiology and Pathophysiology | - Respiratory adaptation and disorders - Cardiovascular adaptation and congenital conditions - Thermoregulation, metabolism, and fluid balance |
>> Valid NCC-NNP Test Objectives <<
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NEW QUESTION # 173
A term neonate is diagnosed at birth with osteogenesis imperfecta (01) type 1. The information that the parents should receive before taking the infant home includes
Answer: A
Explanation:
The parents of an infant with 01 type 1 should receive information about methods of handling, bathing, and placing their child in the crib to minimize trauma and avoid fractures. 01 is a genetic disorder of collagen synthesis that results in brittle, easily fractured bones. Common features of 01 include brittle bones, bowing of long bones, shortened limbs, blue sclera, skeletal deformities (including scoliosis), respiratory difficulties, and weak muscles. Type I is non-lethal and the mildest of 4 types of 01.01 type 2 causes severe breathing problems that often prevent the neonate's survival. 01 infants do not generally require feeding tubes or have aspiration risks. 01 is usually inherited in a dominant fashion, but a new mutation may cause the disorder in approximately 25% of cases.
NEW QUESTION # 174
A child with late congenital syphilis will generally show symptoms
Answer: B
Explanation:
Late congenital syphilis will reveal symptoms after a child is at least 2 -years-old. This is transmitted to the newborn by a mother with syphilis. Early onset of the disease (less than 2 years of age), may cause a chronic runny nose, enlarged liver or spleen, skeletal abnormalities, or a bullous skin condition. Late onset can cause eye and ear problems, and skeletal abnormalities.
NEW QUESTION # 175
The major route in a full-term neonate for rapidly increasing body temperature in response to cold stress is
Answer: B
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 # 176
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: C
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 # 177
A neonate who was exposed to maternal herpes virus should be treated with
Answer: B
Explanation:
Intravenous acyclovir is given to infants exposed to herpes virus. Most vertical transmissions occur when the neonate travels through a colonized birth canal. The transmission rate from women with a primary HSV infection is approximately 50%, while the transmission rate is 1-2% if the infection is a recurrence of HSV. Signs of a neonatal infection with HSV include:
*Skin, eye, and mucous membrane blistering at 10-12 days of life.
*Disseminated disease may spread to multiple organs, leading to pneumonitis, hepatitis, and intravascular coagulation.
*Encephalitis may be the only presentation, with signs of lethargv, irritability, poor feeding.
and seizures.
NEW QUESTION # 178
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