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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 | - Physical and neurological assessment of the newborn - Identification of normal vs abnormal findings |
| High-Risk Neonatal Management | - Respiratory distress and ventilation management - Infectious diseases in neonates - Prematurity-related complications |
| Neonatal Physiology and Pathophysiology | - Respiratory adaptation and disorders - Thermoregulation, metabolism, and fluid balance - Cardiovascular adaptation and congenital conditions |
| Neonatal Pharmacology and Therapeutics | - Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics |
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NEW QUESTION # 77
Which of the following medications is NOT indicated for use in the infant in respiratory distress?
Answer: C
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 # 78
Early onset group B strep infection in the newborn is most likely to cause
Answer: A
Explanation:
Early onset group B strep infection in the newborn is most likely to cause sepsis. It can also cause pneumonia. Meningitis can occur with early onset group B strep, but it is not as common as sepsis. Meningitis is more likely to occur with late onset of the infection. Group B strep infection is passed from the mother to the fetus. Screening pregnant women for group B strep is routine so that it can be treated with antibiotics to prevent transmission during pregnancy and birth.
NEW QUESTION # 79
Which of the following is a potential risk when using an extracorporeal membrane oxygenation (ECMO) device?
Answer: B
Explanation:
An extracorporeal membrane oxygenation (ECMO) device is used in infants who are not able to breath or pump blood on their own. It is a type of heart-lung bypass machine that circulates blood from the infant. through an artificial lung to oxygenate the blood, and then back into the infant to circulate through the body. Some of the potential risks include the formation of blood clots, bleeding, or infection. Blindness (specifically, retinopathy of prematurity) was a common complication of excessive supplemental oxygen in the 1940's prior to advances and research in oxygen administration. Generally, electrolyte levels are not impacted by ECMO.
NEW QUESTION # 80
What is a patent ductus arteriosus?
Answer: B
Explanation:
PDA is an opening betvveen the pulmonary and aortic arteries. Before a baby is born, its blood is oxygenated by the mother through the placenta. A vessel is formed connecting the pulmonary and aortic arteries, the ductus arteriosus. Shortly after birth, this vessel closes off so that the infants blood can then receive oxygen from its own lungs. With a PDA the ductus arteriosus remains open and oxygen-rich blood from the aorta mixes with the blood lacking oxygen from the pulmonary artery. If the rest of the heart is functioning normal, the baby is monitored and the PDA is allowed to repair itself. If this does not happen, the defect can be surgically corrected.
NEW QUESTION # 81
A woman who is known to have hepatitis B is delivering her first baby. Treatment of the infant should include
Answer: C
Explanation:
It is imperative to administer the hepatitis B vaccine and hepatitis B immunoglobulin to these infants within 12 hours of birth. Hepatitis B is transmitted from the mother to the fetus during pregnancy. Approximately 40% of infants of hepatitis B positive women will develop the disease, and up to 25% ofthose will die from chronic liver disease. Routine vaccination of all infants is usually given within 24 hours of birth.
NEW QUESTION # 82
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