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| Section | Objectives |
|---|---|
| Neonatal Health Assessment | - Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn |
| Family-Centered Care and Ethics | - Ethical and legal considerations in neonatal care - Parent education and communication |
| Neonatal Physiology and Pathophysiology | - Respiratory adaptation and disorders - Thermoregulation, metabolism, and fluid balance - Cardiovascular adaptation and congenital conditions |
| Neonatal Pharmacology and Therapeutics | - Drug safety, dosing considerations, and pharmacokinetics - Medication administration in neonates |
| High-Risk Neonatal Management | - Infectious diseases in neonates - Prematurity-related complications - Respiratory distress and ventilation management |
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NEW QUESTION # 79
Early-onset sepsis (S72 hours) in the neonate most often presents as
Answer: B
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 # 80
A congenital diaphragmatic eventration is as associated finding with
Answer: A
Explanation:
Congenital diaphragmatic eventration is associated with Horner's syndrome. It occurs as a result of a congenital thinning of the diaphragm or because of underdevelopment of the phrenic nerve. This results in an abnormally high portion of the diaphragm and causes dyspnea, cyanosis, and tachypnea. Surgical correction is usually necessary.
NEW QUESTION # 81
How does the protein content in colostrum compare to the protein content in mature human milk?
Answer: C
Explanation:
The first form of human milk that can be expressed is called colostrum. This is produced for the first few days, up to a week following delivery. It has a higher protein content than mature human milk. Colostrum can contain up to 17% protein, while mature human milk contains only about 1% protein.
NEW QUESTION # 82
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: A
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 # 83
An infant with a known congenital diaphragmatic hernia is born at 38 weeks gestation.
He requires resuscitation shortly after delivery due to the weakening of the diaphragm from the herni a. Generally speaking, survival rate for this infant is
Answer: B
Explanation:
With a diaphragmatic hernia, the diaphragm becomes weakened and this can result in the stomach and other abdominal contents expending into the chest cavity. This, along with the weakened diaphragm, can result in a decreased ability to breathe. If detected in the prenatal period, assistance can standby during delivery to begin resuscitative measures promptly and improve the chances for survival.
NEW QUESTION # 84
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