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| Section | Objectives |
|---|---|
| Topic 1: Family-Centered Care and Ethics | - Parent education and communication - Ethical and legal considerations in neonatal care |
| Topic 2: Neonatal Health Assessment | - Physical and neurological assessment of the newborn - Identification of normal vs abnormal findings |
| Topic 3: High-Risk Neonatal Management | - Respiratory distress and ventilation management - Prematurity-related complications - Infectious diseases in neonates |
| Topic 4: Neonatal Physiology and Pathophysiology | - Cardiovascular adaptation and congenital conditions - Respiratory adaptation and disorders - Thermoregulation, metabolism, and fluid balance |
| Topic 5: Neonatal Pharmacology and Therapeutics | - Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics |
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NEW QUESTION # 128
Which breech presentation at birth presents with the buttocks only passing through the birth canal first?
Answer: C
Explanation:
A frank breech presentation is one in which the legs of the fetus are extended upward so that the feet are near the head. This results in the buttocks passing through the birth canal first. A complete breech occurs when the knees of the fetus are bent so that the feet are near the buttocks.
A footling breech occurs when the fetus is foot down and one or both feet present first through the birth canal.
NEW QUESTION # 129
The most common craniosynostosis syndrome is
Answer: C
Explanation:
Crouzon syndrome is the most common type of craniosynostosis syndrome. It causes fusion of the skull bones prematurely, which results in decreased space where the brain can expand and grow. The fusion of the skull bones also causes wide set, bulging eyes with vision problems due to shallow eye sockets. The nose is beaked and the jaw is under developed in those suffering from this condition. It is an autosomal dominant disease.
NEW QUESTION # 130
Which of the following infections is the most common in the newborn?
Answer: A
Explanation:
Enterovirus is a very common cause of infections. It often creates no symptoms in the infant, but can be very serious if it occurs in the first 2 weeks of life. Enterovirus infections are usually transmitted from the mother to the infant. They can cause cold symptoms, or be so severe that sepsis, meningitis, or respiratory failure develop. Enterovirus infections are most common in the summer and fall.
NEW QUESTION # 131
A neonate is 40 weeks gestation and nursing well but has onset of jaundice at 36 hours.
Total serum bilirubin is 12 mg/dL At this time, treatment should include
Answer: B
Explanation:
While the neonate's bilirubin is elevated (normal range 3.4-11.5 mg/dL at 1-2 days), only continued observation and jaundice assessment is indicated at this time. Physiologic hyperbilirubinemia is common in newborns and usually benign, resulting from immature hepatic function and increased RBC hemolysis. Infants have larger red blood cells with a shorter life than adults, leading to more RBC destruction and resulting in an increased load of serum bilirubin, which the liver of the newborn cannot handle. Onset is usually within 24-48 hours, peaking in 72 hours for full term or 5 days for preterm infants and declining within a week. Phototherapy is the indicated treatment for total serum bilirubin 218 mg/dL for those at medium risk.
NEW QUESTION # 132
A condition that prevents a newborn from being able to pass air to breathe after birth is
Answer: B
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 # 133
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