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| Section | Objectives |
|---|---|
| Family-Centered Care and Ethics | - Parent education and communication - Ethical and legal considerations in neonatal care |
| Neonatal Physiology and Pathophysiology | - Thermoregulation, metabolism, and fluid balance - Cardiovascular adaptation and congenital conditions - Respiratory adaptation and disorders |
| Neonatal Health Assessment | - Physical and neurological assessment of the newborn - Identification of normal vs abnormal findings |
| Neonatal Pharmacology and Therapeutics | - Drug safety, dosing considerations, and pharmacokinetics - Medication administration in neonates |
| High-Risk Neonatal Management | - Infectious diseases in neonates - Respiratory distress and ventilation management - Prematurity-related complications |
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NEW QUESTION # 128
Which of the following heart conditions will cause weak peripheral pulses and cool extremities?
Answer: B
Explanation:
Hypoplastic left heart syndrome can cause decreased peripheral pulses due to left ventricular dysfunction. It is a congenital heart defect that results in the left side of the heart being smaller than normal. This decreases the amount of oxygenated blood that can be delivered through the body. Peripheral cyanosis will also occur due to the decrease in oxygen being sent to the extremities. Patent ductus arteriosus and pulmonary stenosis do not result in peripheral cyanosis.
NEW QUESTION # 129
A condition that prevents a newborn from being able to pass air to breathe after birth is
Answer: A
Explanation:
Bilateral choanal atresia occurs when the back of the nasal passages are blocked, preventing a newborn from being able to breathe. This occurs due to a bony or soft tissue abnormality during development in utero. The back of the nasal passages fail to open, resulting in the inability to pass air. Infants are obligatory nasal breathers and immediate airway assistance is usually necessary at birth. This condition can be surgically corrected, but may require additional surgeries to widen the opening as the child matures. Neither meconium aspiration nor pneumonia affect the neonate's ability to pass air through the lungs, though both can also lead to respiratory distress.
NEW QUESTION # 130
Which of the following is a potential risk when using an extracorporeal membrane oxygenation (ECMO) device?
Answer: C
Explanation:
An extracorporeal membrane oxygenation (ECMO) device is used in infants who are not able to breath or pump blood on their own. It is a type of heart-lung bypass machine that circulates blood from the infant. through an artificial lung to oxygenate the blood, and then back into the infant to circulate through the body. Some of the potential risks include the formation of blood clots, bleeding, or infection. Blindness (specifically, retinopathy of prematurity) was a common complication of excessive supplemental oxygen in the 1940's prior to advances and research in oxygen administration. Generally, electrolyte levels are not impacted by ECMO.
NEW QUESTION # 131
Do more males or females develop Turner's syndrome?
Answer: C
Explanation:
Turner's syndrome affects females only. It occurs as a result of a genetic mutation in which the female receives only one X chromosome. This results in females who are short in stature, have delayed puberty, often suffer from infertility problems, and may have learning disabilities. In some cases, it may cause heart defects. Women who want to become pregnant will need to take hormone treatments, but are often unsuccessful at conceiving.
NEW QUESTION # 132
The most common cause of ambiguous genitalia in a genetic female newborn is
Answer: C
Explanation:
In newborns that are genetically female, the most common cause of ambiguous genitalia is congenital adrenal hyperplasia. Ambiguous genitalia result in genital characteristics that are not wholly female or wholly male. There can be features of both, externally and internally. Congenital adrenal hyperplasia results in the overproduction of male hormones, which causes the genitalia to take on both male and female features during development. This condition can result in a great deal of stress for the parents. Genetic testing is usually done to determine if the infant is genetically a male or female.
NEW QUESTION # 133
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