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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 | - Infectious diseases in neonates - Prematurity-related complications - Respiratory distress and ventilation management |
| Neonatal Physiology and Pathophysiology | - Cardiovascular adaptation and congenital conditions - Thermoregulation, metabolism, and fluid balance - Respiratory adaptation and disorders |
| Neonatal Health Assessment | - Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn |
| Neonatal Pharmacology and Therapeutics | - Drug safety, dosing considerations, and pharmacokinetics - Medication administration in neonates |
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NEW QUESTION # 48
According to the American Heart Association, when should chest compressions be started in the pediatric patient?
Answer: A
Explanation:
According to the American Heart Association, chest compressions should be started on the pediatric patient if the pulse is less than 60 beats per minute or if there are signs of poor perfusion.
If one person is performing CPR, the rate is 30 compressions followed by 2 breaths. If 2-person CPR is being performed, the cycle should be 15 compressions followed by 2 breaths.
NEW QUESTION # 49
When a neonate is diagnosed with a terminal disease, the mother cries inconsolably, but the father appears detached and calm. The father's reaction is probably an indication of
Answer: A
Explanation:
Incongruent grief occurs when the mother and the father are "out of sync" in their grieving process. It may be due to the differences in how men and women grieve, or it may be because the woman typically bonds with the infant during the pregnancy, while the father bonds after the child is born. Anticipatory grief occurs when a child is diagnosed with a terminal illness. The parent begins to mourn over the loss of the child before he or she expires. Delayed grief occurs when the grieving process is postponed months to years after the loss of a child.
NEW QUESTION # 50
The newborn with hypothermia has an increased risk of developing
Answer: C
Explanation:
Persistent hypothermia can lead to hypoglycemia. There may be a period of transient hyperglycemia when glycogen stores are used to increase glucose levels, but this is followed by hypoglycemia as energy demands exceed glucose supply. This can lead to metabolic acidosis, not alkalosis.
NEW QUESTION # 51
The following drug(s) should always be included with infant resuscitation equipment
Answer: A
Explanation:
Medications that should always be included as part of the minimum neonatal resuscitation equipment include epinephrine and naloxone. Epinephrine is the AHA recommended pharmacologic intervention in the case of ineffective CPR in neonatal resuscitation. Naloxone is indicated in the case of respiratory distress in infants with opioid withdraw after the administrations of opioids as pain control in the labor process. Surfactant (indicated in respiratory distress, particularly in preterm neonates) and prostaglandins (indicated for cyanotic congenital heart defects) are useful in specific cases, but are not part of the minimum resuscitation equipment.
NEW QUESTION # 52
What is the purpose for CCHD screening in newborns?
Answer: C
Explanation:
The CCHD screening identifies those infants who may have a critical congenital heart defect that requires early surgical intervention. This screening is performed using pulse oximetry in the newborn nursery to measure the oxygen saturation in the blood of infants. This screening decreases the risk of overlooking a critical congenital heart defect that may require early intervention.
NEW QUESTION # 53
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