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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Assessment | 15% | - Neonatal assessment
|
| Topic 2: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Hematopoietic
|
| Topic 3: Professional Issues | 3% | - Legal and ethical principles
|
| Topic 4: General Management | 19% | - Fluids and electrolytes
|
| Topic 5: Pharmacology | 9% | - Common drug therapies
|
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NEW QUESTION # 139
A preterm infant in the NICU is receiving tube feedings until he is able to attempt oral feedings. What activity can help him with the transition from tube to oral feedings?
Answer: B
Explanation:
Non-nutritive sucking, such as that with a pacifier, is having an infant suck on something that does not give them milk. For infants who are tube fed, it can trigger an association with them between having a full stomach and sucking, which can help when transitioning to oral feedings. The sucking activity is also helpful in strengthening the oral muscles needed to suck, as well as being soothing and calming for the infant.
NEW QUESTION # 140
When treating a neonate for hypothermia, the air temperature should be increased by approximately
Answer: B
Explanation:
Steps in treatment of hypothermia:
*Increase the air temperature by approximately I 'C every hour until the infant's
*temperature is normal and stable.
*Determine if the cause of hypothermia is from an abnormal physiological process in the infant or from environmental conditions.
*Avoid rewarming the infant too rapidly because rapid rewarming may result in apnea or hypotension. Maintain the ambient temperature at 1-1.5'C higher than the infant's temperature.
*Warm IV fluids with a blood-warming device prior to infusion.
*Closely monitor the infants blood glucose levels, vital signs, and urinary output.
NEW QUESTION # 141
A premature infant is in distress and has not responded to resuscitative measures. A volume expander is indicated at this time. What is the risk of giving this type of medication too quickly?
Answer: B
Explanation:
Acute volume expansion in the neonate can be accomplished with an isotonic crystalloid solution, such as lactated Ringer's solution. This increases the pressure in the intravascular space, which causes water to move from the interstitial to intravascular spaces, which increases the circulating blood volume. Crystalloids have a half-life benveen 30 and 60 minutes and must be given in amounts three times the volume lost If too much is given too quickly, however, fluid overload with intraventricular hemorrhage and pulmonary edema can result
NEW QUESTION # 142
The NP is caring for a child with end stage renal disease. A sign that he may be in fluid overload is
Answer: A
Explanation:
Some of the signs of fluid overload include increased blood pressure, swelling in the extremities and face, abdominal bloating, shortness of breath, and tachycardia. The NP will monitor the patient regularly for any of these symptoms. If the patient will be discharged home, the parents and/or caregivers will also need to be educated on these symptoms.
NEW QUESTION # 143
Which of the following conditions results from oligohydramnios?
Answer: C
Explanation:
Potter syndrome occurs due to oligohydramnios, or a reduced amount of amniotic fluid in utero. Any condition during development that results in decreased urine production by the fetus can result in a reduced amount of amniotic fluid being present. If the mother has prolonged rupture of the membranes, the amniotic fluid will be absent which could result in this condition. Amniotic fluid is essential for alveolar development in the lungs while in utero. If this is reduced or absent, the infant will suffer respiratory distress at birth.
NEW QUESTION # 144
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