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| Section | Objectives |
|---|---|
| Topic 1: Neonatal Pharmacology and Therapeutics | - Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics |
| Topic 2: Family-Centered Care and Ethics | - Ethical and legal considerations in neonatal care - Parent education and communication |
| Topic 3: Neonatal Health Assessment | - Physical and neurological assessment of the newborn - Identification of normal vs abnormal findings |
| Topic 4: Neonatal Physiology and Pathophysiology | - Cardiovascular adaptation and congenital conditions - Respiratory adaptation and disorders - Thermoregulation, metabolism, and fluid balance |
| Topic 5: High-Risk Neonatal Management | - Respiratory distress and ventilation management - Infectious diseases in neonates - Prematurity-related complications |
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NEW QUESTION # 101
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 # 102
The mineral that is often very low after the administration of intravenous Lasix is
Answer: C
Explanation:
Calcium excretion is increased when a person receives Lasix. In the newborn, this can affect bone formation and maturation. Calcium levels should be monitored when a newborn is on Lasix, and supplementation administered if necessary.
NEW QUESTION # 103
Which of the following potential side effects can occur as a result of forceps being used during delivery?
Answer: C
Explanation:
There is a risk of facial palsy (usually temporary) and minor facial or external eye injury with forceps use. Forceps may be used during delivery to assist the neonate's passage through the birth canal, especially if the mother or infant are in distress. Rarely, a skull fracture or bleeding within the brain can occur.
NEW QUESTION # 104
Which of the following medications may be given to slow down preterm labor contractions?
Answer: C
Explanation:
Tocolytics are drugs that are given to slow down or stop preterm labor. They are generally not used before 23-24 weeks of pregnancy and may be used as late as 36 weeks of pregnancy.
Terbutaline is in a class of drugs called beta-mimetics. It is used to decrease uterine contractions by relaxing the uterine musculature. It can cause nervousness, tremors, headache, and tachycardia.
Cytotec is given as a pill or vaginal suppository to help soften the cervix to induce labor. Pitocin is used to increase uterine contractions and cervical dilation to induce labor.
NEW QUESTION # 105
How does the protein content in colostrum compare to the protein content in mature human milk?
Answer: B
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 # 106
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