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| Section | Objectives |
|---|---|
| Family-Centered Care and Ethics | - Ethical and legal considerations in neonatal care - Parent education and communication |
| High-Risk Neonatal Management | - Prematurity-related complications - Respiratory distress and ventilation management - Infectious diseases in neonates |
| Neonatal Physiology and Pathophysiology | - Thermoregulation, metabolism, and fluid balance - Cardiovascular adaptation and congenital conditions - Respiratory adaptation and disorders |
| Neonatal Pharmacology and Therapeutics | - Drug safety, dosing considerations, and pharmacokinetics - Medication administration in neonates |
| Neonatal Health Assessment | - Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn |
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NEW QUESTION # 14
A premature infant in the NICU has a G-tube and the NP is starting his scheduled feeding.
The formula is backing up in the tube and not flowing smoothly. The next intervention would be to
Answer: C
Explanation:
A G-tube should be flushed with warm water before and after all feedings to ensure patency and remove any build-up of formula within the tube itself. Neither air nor carbonated soft drink should be flushed into the tube.
NEW QUESTION # 15
The most immediate concern for fetuses of mothers who have used cocaine during their pregnancy is
Answer: C
Explanation:
The immediate concerns for babies born to mothers who use cocaine is premature delivery with associated low birth weight. The majority of the problems these children develop are evident later in childhood with cognitive development, behavior problems, and learning disabilities.
NEW QUESTION # 16
A medical emergency that can lead to hypovolemic shock in the newborn is
Answer: C
Explanation:
A subgaleal hemorrhage can be massive and may lead to hypovolemic shock. This condition occurs when there is bleeding in the loose connective tissue of the subgaleal space. The subgaleal space is composed of loose connective tissue that allows the scalp to slide easily on the cranium.
There is an increased risk of a subgaleal hemorrhage with vacuum and forceps use during delivery.
The trauma to the scalp results in rupture of the blood vessels in this space. This usually develops over several hours to several days with the first clinical sign being an increase in head circumference.
NEW QUESTION # 17
A full-term neonate fails to pass meconium in the first 48 hours of life. The infant exhibits abdominal distension, poor feeding, and bilious vomiting. An x-ray of the abdomen shows dilated loops of bowel. The diagnostic procedure used both to confirm a diagnosis of meconium plug syndrome and to direct treatment is
Answer: C
Explanation:
A contrast enema is used to confirm a diagnosis of meconium plug syndrome and helps differentiate that from other causes of intestinal obstruction. The contrast enema also is often therapeutic and helps the plug to pass. Meconium plug syndrome usually occurs in full-term infants, infants of diabetic mothers, or infants with hypermagnesemia. A small percentage of infants initially identified as having meconium plug syndrome (5-10%) have Hirschsprung disease. The cause of meconium plug syndrome is thought to be immaturity of the ganglion cells of the colon.
NEW QUESTION # 18
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: C
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 # 19
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