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| Section | Objectives |
|---|---|
| Neonatal Health Assessment | - Physical and neurological assessment of the newborn - Identification of normal vs abnormal findings |
| High-Risk Neonatal Management | - Prematurity-related complications - Respiratory distress and ventilation management - Infectious diseases in neonates |
| Neonatal Pharmacology and Therapeutics | - Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics |
| Family-Centered Care and Ethics | - Parent education and communication - Ethical and legal considerations in neonatal care |
| Neonatal Physiology and Pathophysiology | - Respiratory adaptation and disorders - Cardiovascular adaptation and congenital conditions - Thermoregulation, metabolism, and fluid balance |
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NEW QUESTION # 85
The newborn with hypothermia has an increased risk of developing
Answer: B
Explanation:
Persistent hypothermia can lead to hypoglycemia. There may be a period of transient hyperglycemia when glycogen stores are used to increase glucose levels, but this is followed by hypoglycemia as energy demands exceed glucose supply. This can lead to metabolic acidosis, not alkalosis.
NEW QUESTION # 86
In the 1940s and 1950s, the leading cause of blindness in children in the United States was retinopathy of prematurity caused by
Answer: C
Explanation:
Retinopathy of prematurity was a leading cause of blindness in children in the 1940s and
1950s due to high levels of oxygen given to premature infants in incubators. This condition occurs in premature infants, usually those at less than 31 weeks gestation. The eye, optic nerve, and blood vessels begin to develop around the 16th week of pregnancy. The last 12 weeks of pregnancy sees a rapid development in the blood vessels. Children before that gestation time often do not fully develop the blood vessels to the retina, causing retinopathy and possibly blindness.
NEW QUESTION # 87
After a neonate is resuscitated using a bag and mask and stabilized, the infant then requires
Answer: C
Explanation:
When an infant is resuscitated using a bag and mask, air is inadvertently pumped into the stomach as it is being pumped into the lungs, so gastric suctioning is necessary. Once respirations have been stabilized either spontaneously or with mechanical ventilation, the stomach should be aspirated to remove any air pumped into it. If the air is left in the abdomen, it causes an upward pressure on the lungs from the distended abdomen. This compromises lung capacity and breathing effort.
NEW QUESTION # 88
The parents of a neonate are considering genetic testing for their son because the father was recently diagnosed with Huntington's disease. They ask the NP's opinion. The most appropriate response is
Answer: B
Explanation:
The information derived from testing for Huntington's disease cannot be used for health promotion or disease prevention, so the parents should be counseled to wait until the child is at the age to make an informed decision about whether to have testing. This type of information can be devastating to young people who are not provided adequate support and counseling prior to testing. Some people with adult-onset diseases choose not to be tested, and childhood testing robs them of this choice.
NEW QUESTION # 89
The NP accidentally administers the wrong dosage of medication to an infant in the NICU, resulting in a poor outcome. This is an example of
Answer: A
Explanation:
Medical negligence is any action that results in a bad outcome for a patient as a result of carelessness or medical error. This is not an intentional act, but occurs as a result of the actions of the healthcare provider. On the other hand, medical malpractice occurs when the standard norms or accepted standards of practice are not followed, resulting in an injury or bad outcome for the patient.
NEW QUESTION # 90
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