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| Section | Objectives |
|---|---|
| Topic 1: Neonatal Health Assessment | - Physical and neurological assessment of the newborn - Identification of normal vs abnormal findings |
| Topic 2: Neonatal Physiology and Pathophysiology | - Cardiovascular adaptation and congenital conditions - Thermoregulation, metabolism, and fluid balance - Respiratory adaptation and disorders |
| Topic 3: Neonatal Pharmacology and Therapeutics | - Drug safety, dosing considerations, and pharmacokinetics - Medication administration in neonates |
| Topic 4: Family-Centered Care and Ethics | - Ethical and legal considerations in neonatal care - Parent education and communication |
| Topic 5: High-Risk Neonatal Management | - Respiratory distress and ventilation management - Prematurity-related complications - Infectious diseases in neonates |
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NEW QUESTION # 43
What is measured with the quad screen test?
Answer: B
Explanation:
The quad screen is performed at 15-20 weeks of pregnancy via a blood test. It measures alpha-fetoprotein, human chorionic gonadotropin, estriol, and inhibin-A. Alpha-fetoprotein is made in the liver of the fetus and elevated levels may indicate a neural tube defect such as spina bifida.
Human chorionic gonadotropin is made by the placenta and levels vary during pregnancy. Estriol is a form of estrogen made by the placenta and levels increase during pregnancy. Inhibin-A is a hormone produced by the fetus and the placenta and abnormal levels may indicate the presence of Down syndrome.
NEW QUESTION # 44
Early-onset sepsis (S72 hours) in the neonate most often presents as
Answer: C
Explanation:
Early onset sepsis most often presents as pneumonia and late onset as bacteremia and/or meningitis. Neonatal sepsis is a particular risk for preterm infants <IOOO g and may be associated with a wide range of pathogens, both bacterial and viral. Early onset (02 hours) is usually related to maternal transmission and late onset (4-90 days) to invasive devices. Septic pneumonia usually presents with tachypnea, sternal retraction, grunting respirations, cyanosis, and apneic periods.
NEW QUESTION # 45
An infant with fetal alcohol syndrome may also have a facial deformity known as
Answer: C
Explanation:
Micrognathia, or an underdeveloped jaw, may occur with fetal alcohol syndrome. It can also be seen with trisomy 13 and progeria. The underdeveloped jaw will often resolve on its own as the child grows. In severe cases, it can cause breathing and feeding problems. Microcephaly, not macrocephaly, is also typically seen with fetal alcohol syndrome.
NEW QUESTION # 46
What method should be used to feed the preterm infant with a weak sucking reflex?
Answer: C
Explanation:
Gavage feeding is used to provide nutrition to the infant with a poor sucking reflex, tachypnea, respiratory distress, impaired swallowing, or apneic spells. A nasogastric tube is placed and formula or human milk is slowly fed through the tube with a syringe. Often, the baby will be soothed or gently touched during the feeding to promote positive reinforcement with sucking. The feeding should be stopped if the baby exhibits signs of gasping or choking.
NEW QUESTION # 47
If a mother suffers from pregnancy-induced hypertension (preeclampsia) during pregnancy, the primary detrimental effect on the fetus is
Answer: B
Explanation:
Preeclampsia is a disorder that develops in approximately 5% of all pregnancies. Its main feature is new onset elevated blood pressure that develops around 20 weeks of gestation.
Proteinuria is no longer a diagnostic requirement, but is a common feature accompanying the hypertension. The main detrimental effect on the fetus occurs because of longstanding hypertension that leads to utero-placental vascular insufficiency, which impairs the transfer of nutrients and oxygen to the fetus, resulting in intra-uterine growth restriction (IUGR). The IUGR is usually asymmetric (fetal head size is normal for gestational age). Placental abruption occurrence is also more common in fetuses exposed to longstanding hypertension, but not as common as IUGR.
NEW QUESTION # 48
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