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| Section | Objectives |
|---|---|
| Neonatal Physiology and Pathophysiology | - Thermoregulation, metabolism, and fluid balance - Cardiovascular adaptation and congenital conditions - Respiratory adaptation and disorders |
| High-Risk Neonatal Management | - Infectious diseases in neonates - Prematurity-related complications - Respiratory distress and ventilation management |
| Neonatal Health Assessment | - Physical and neurological assessment of the newborn - Identification of normal vs abnormal findings |
| Family-Centered Care and Ethics | - Ethical and legal considerations in neonatal care - Parent education and communication |
| Neonatal Pharmacology and Therapeutics | - Drug safety, dosing considerations, and pharmacokinetics - Medication administration in neonates |
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NEW QUESTION # 102
What is the ideal timeframe in which surfactant should be given to the newborn with respiratory distress?
Answer: A
Explanation:
Surfactant should be given as soon as the diagnosis of respiratory distress syndrome is made, preferably within 1 hour of birth. A repeat dose is then given 4-12 hours after birth as long as the infant is still intubated and requiring 30-40% oxygen. Surfactant is administered through the endotracheal tube over the course of a few minutes.
NEW QUESTION # 103
A newborn with congenital cytomegalovirus infection is being treated with IV ganciclovir. W'hen giving this intravenously, over what time period should it be infused?
Answer: C
Explanation:
Ganciclovir should be given over a 60 minute time period when given intravenously. It is used primarily for immunodeficient patients with CMV retinitis. It is a very cytotoxic drug and its cytotoxic effects are increased if given over a shorter period of time than 60 minutes. These adverse effects include thrombocytopenia, granulocytopenia, and anemia. In male patients, it may cause aspermatogenesis.
NEW QUESTION # 104
The mechanism of action of surfactant is to
Answer: B
Explanation:
The inside of the alveoli in the lungs are wet and can easily stick together when air is exhaled. Surfactant decreases the surface tension within the alveoli so they can easily expand when a breath is taken, making it easier to breath. The human body produces surfactant on its own, buT not until after 36 weeks gestation. Sometimes it is necessary to administer surfactant directly into the lungs through the endotracheal tube.
NEW QUESTION # 105
A neonate delivered by Cesarean to a mother who smokes exhibits dyspnea, mild sternal retraction, expiratory grunt, nasal flaring, and poor feeding. ABGs show mild hypoxemia.
The most likely cause is
Answer: A
Explanation:
Transient tachypnea of newborn CT TN) occurs when fluid in the lungs is not adequately absorbed after birth. The neonate usually exhibits symptoms within 36 hours of birth and the condition typically resolves within 3 days. T TN is most common in infants delivered by Cesarean section, but premature birth and mothers who smoke or have diabetes increase risk to infant.
Symptoms include:
*Dyspnea (>60/min).
*Sternal retraction (mild).
*Expiratory grunt.
*Nasal flaring.
*Poor feeding (because of increased respiratory rate).
NEW QUESTION # 106
With which genetic condition is the NP likely to see an atrioventricular septal defect, or a ventricular septal defect in less severe cases?
Answer: A
Explanation:
Approximately one-half of all children born with Down syndrome have a heart defect. The most common type of heart defect in these children is an atrioventricular septal defect, or a ventricular septal defect in less severe cases. This occurs when the septum betv:een either the atria and ventricles, or just the ventricles, is not fully formed. This allows oxygenated blood and deoxygenated blood to mix, which can cause the heart to work harder to transport oxygenated blood throughout the body.
NEW QUESTION # 107
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