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| Section | Objectives |
|---|---|
| Neonatal Pharmacology and Therapeutics | - Drug safety, dosing considerations, and pharmacokinetics - Medication administration in neonates |
| High-Risk Neonatal Management | - Respiratory distress and ventilation management - Infectious diseases in neonates - Prematurity-related complications |
| Family-Centered Care and Ethics | - Parent education and communication - Ethical and legal considerations in neonatal care |
| Neonatal Physiology and Pathophysiology | - Thermoregulation, metabolism, and fluid balance - Cardiovascular adaptation and congenital conditions - Respiratory adaptation and disorders |
| Neonatal Health Assessment | - Physical and neurological assessment of the newborn - Identification of normal vs abnormal findings |
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NEW QUESTION # 87
A condition that prevents a newborn from being able to pass air to breathe after birth is
Answer: A
Explanation:
Bilateral choanal atresia occurs when the back of the nasal passages are blocked, preventing a newborn from being able to breathe. This occurs due to a bony or soft tissue abnormality during development in utero. The back of the nasal passages fail to open, resulting in the inability to pass air. Infants are obligatory nasal breathers and immediate airway assistance is usually necessary at birth. This condition can be surgically corrected, but may require additional surgeries to widen the opening as the child matures. Neither meconium aspiration nor pneumonia affect the neonate's ability to pass air through the lungs, though both can also lead to respiratory distress.
NEW QUESTION # 88
The syndrome affecting almost half of the infants of diabetic mothers is
Answer: A
Explanation:
Fetal macrosomia occurs in up to 45% of infants of diabetic mothers. They are large babies that weigh more than 4000 g at term birth. These infants are puffy, fat, ruddy, and often hypotonic.
These infants are also more likely to have periods of hypoglycemia shortly after birth and during the first few days of life.
NEW QUESTION # 89
A newborn in the NICU has been receiving gentamicin and ampicillin for the treatment of gram negative sepsis. He is on a fairly high dose of gentamicin and has been for the past 3 days. In addition to the risk of developing renal impairment from the medication, he is also at risk for
Answer: B
Explanation:
When gentamicin is given for more than 2 days, there is an increased risk of hearing loss. In order to decrease this risk, drug levels are measured at the point at which the drug level is highest and again when it is at its lowest (a peak and trough). This is to ensure the antibiotic remains at a therapeutic level rather than a toxic level.
NEW QUESTION # 90
The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to
Answer: C
Explanation:
The first step should be to assess the rest of the infant to see ifthis is truly cyanosis. It is not uncommon for the face to undergo some trauma while passing through the birth canal, which can cause areas of bruising. It can be differentiated from cyanosis by assessing whether it is present in the distal extremities or if the infant is showing any signs of respiratory distress. Facial bruising may take several days to gradually fade.
NEW QUESTION # 91
Placing a neonate on a cold scale may decrease body temperature through
Answer: C
Explanation:
Conduction is the transfer of heat between solid objects of different temperatures in contact with each other. Heat is transferred from the body of the infant to a cold surface it may come into contact with, such as a scale. Convection is the transfer of heat through air currents to the air moving around and across an infant's body. Evaporation is the loss of heat occurring when moisture evaporates from the surface of the skin. Radiation is when heat is transferred between two objects not in contact with each other. This is the transfer of heat through emission of infrared rays, such as with radiant warming beds.
NEW QUESTION # 92
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