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| Section | Objectives |
|---|---|
| Family-Centered Care and Ethics | - Parent education and communication - Ethical and legal considerations in neonatal care |
| Neonatal Health Assessment | - Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn |
| High-Risk Neonatal Management | - Prematurity-related complications - Infectious diseases in neonates - Respiratory distress and ventilation management |
| Neonatal Pharmacology and Therapeutics | - Drug safety, dosing considerations, and pharmacokinetics - Medication administration in neonates |
| Neonatal Physiology and Pathophysiology | - Cardiovascular adaptation and congenital conditions - Respiratory adaptation and disorders - Thermoregulation, metabolism, and fluid balance |
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NEW QUESTION # 83
The NP is caring for an infant in the NICU. The newborn has not had a bowel movement in the first 48 hours of his life and has vomited whenever oral feedings are attempted. What is one of the problems that may be present?
Answer: C
Explanation:
Hirschsprungs disease is a congenital condition in which nerve cells are absent from the lower part of the GI tract. This prevents the normal peristaltic movement to occur in the intestines, which pushes waste material through, resulting in a BM. The infant will usually have a distended abdomen and vomiting with this disease. It is treated with surgery to remove the affected part of the colon.
NEW QUESTION # 84
The parents of a newborn ask the NP about the white bumps they have noticed along their baby's upper gum line. The best response is that
Answer: C
Explanation:
Vvhitish bumps, or cysts, along the gum or roof of the mouth are called Epstein's pearls. They are very common and occur in about 80% of newborns. These will resolve on their own within the first couple of weeks of life and do not require any treatment.
NEW QUESTION # 85
With which genetic condition is the NP likely to see an atrioventricular septal defect, or a ventricular septal defect in less severe cases?
Answer: A
Explanation:
Approximately one-half of all children born with Down syndrome have a heart defect. The most common type of heart defect in these children is an atrioventricular septal defect, or a ventricular septal defect in less severe cases. This occurs when the septum betv:een either the atria and ventricles, or just the ventricles, is not fully formed. This allows oxygenated blood and deoxygenated blood to mix, which can cause the heart to work harder to transport oxygenated blood throughout the body.
NEW QUESTION # 86
Which of the following medications is NOT indicated for use in the infant in respiratory distress?
Answer: B
Explanation:
Perforomist, a formoterol inhalation treatment, is not indicated for use in children. It is indicated for treatment of COPD symptoms in adults. Albuterol is a beta-2 agonist that works to relieve respiratory symptoms by dilating the airway. Dexamethasone is a steroid that can decrease inflammation within the airway.
NEW QUESTION # 87
What are the most common symptoms of sudden withdrawal of a beta blocker medication?
Answer: B
Explanation:
Therapeutic drugs can cause withdrawal symptoms when they are stopped suddenly, especially if the patient has been taking them for a long period of time. The primary mechanism of action of beta blockers is to decrease heart rate, thereby decreasing blood pressure, and decreasing the risk of developing a cardiac dysrhythmia. When the medication is stopped suddenly, the opposite effect is seen with a significant response. This includes high blood pressure, elevated heart rate, and risk of cardiac dysrhythmias, tremors, and sweating.
NEW QUESTION # 88
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