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| Section | Objectives |
|---|---|
| Topic 1: High-Risk Neonatal Management | - Prematurity-related complications - Respiratory distress and ventilation management - Infectious diseases in neonates |
| Topic 2: Family-Centered Care and Ethics | - Parent education and communication - Ethical and legal considerations in neonatal care |
| Topic 3: Neonatal Health Assessment | - Physical and neurological assessment of the newborn - Identification of normal vs abnormal findings |
| Topic 4: Neonatal Pharmacology and Therapeutics | - Drug safety, dosing considerations, and pharmacokinetics - Medication administration in neonates |
| Topic 5: Neonatal Physiology and Pathophysiology | - Respiratory adaptation and disorders - Thermoregulation, metabolism, and fluid balance - Cardiovascular adaptation and congenital conditions |
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NEW QUESTION # 62
A neonate exhibits the following:
*Long narrow torso with short arms and legs.
*Proximal segment of the limbs (upper arms and thighs) disproportionately short.
*Head large with frontal bossing and midface hypoplasia.
These characteristics are consistent with
Answer: A
Explanation:
Achondroplasia is the most common cause of dwarfism. Bone growth is inhibited as the result of an abnormal gene on chromosome 4. Achondroplasia can be inherited in an autosomal dominant fashion, but the majority of cases (75-80%) occur with spontaneous mutations. Clinical features apparent at birth include a long narrow torso with short arms and legs. The proximal segment of the limbs (upper arms and thighs) is disproportionately short. The head is large, with frontal bossing and midface hypoplasia. A small hump (gibbus) may be present in the mid-to-lower back. Mild, generalized hypotonia may be present.
NEW QUESTION # 63
A premature infant with apnea of prematurity (AOP) exhibits periods of apnea lasting seconds in which the child has no airflow or effort to breathe. This type of apnea is classified as
Answer: B
Explanation:
Premature infants (especially those <34 weeks) often exhibit apnea of prematurity (AOP).
AOP begins at birth and is believed caused by immaturity of the nervous system, improving as the brain matures. It may persist for 4-8 weeks. There are 3 types of apnea:
*Central: no airflow or effort to breathe.
*Obstructive: no airflow, but effort to breathe.
Mixed: both central and obstructive elements (75% of AOP).
AOP symptoms include swallowing during apneic periods, apnea seconds, apnea <20 seconds with bradycardia 30 beats below normal, oxygen saturation <85% persisting 25 seconds, and cyanosis.
NEW QUESTION # 64
Which breech presentation at birth presents with the buttocks only passing through the birth canal first?
Answer: B
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 # 65
A neonate delivered by Cesarean to a mother who smokes exhibits dyspnea, mild sternal retraction, expiratory grunt, nasal flaring, and poor feeding. ABGs show mild hypoxemia.
The most likely cause is
Answer: C
Explanation:
Transient tachypnea of newborn CT TN) occurs when fluid in the lungs is not adequately absorbed after birth. The neonate usually exhibits symptoms within 36 hours of birth and the condition typically resolves within 3 days. T TN is most common in infants delivered by Cesarean section, but premature birth and mothers who smoke or have diabetes increase risk to infant.
Symptoms include:
*Dyspnea (>60/min).
*Sternal retraction (mild).
*Expiratory grunt.
*Nasal flaring.
*Poor feeding (because of increased respiratory rate).
NEW QUESTION # 66
The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to
Answer: B
NEW QUESTION # 67
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