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| Section | Objectives |
|---|---|
| Neonatal Health Assessment | - Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn |
| High-Risk Neonatal Management | - Prematurity-related complications - Infectious diseases in neonates - Respiratory distress and ventilation management |
| Neonatal Pharmacology and Therapeutics | - Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics |
| Family-Centered Care and Ethics | - Parent education and communication - Ethical and legal considerations in neonatal care |
| Neonatal Physiology and Pathophysiology | - Respiratory adaptation and disorders - Thermoregulation, metabolism, and fluid balance - Cardiovascular adaptation and congenital conditions |
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NEW QUESTION # 172
While assessing a newborn in the NICU, the NP notices that he has pitting edema on the right side of his scalp. The next step should be to
Answer: B
Explanation:
Pitting edema in the soft tissues of the scalp is not uncommon after birth, due to trauma on the baby/s scalp while moving through the birth canal. This condition is called caput succedaneum and is most evident immediately after birth. It usually resolves rather quickly over the first 24-48 hours following birth and just needs to be monitored for any changes.
NEW QUESTION # 173
A 64-year-old female has been told that her husband has terminal, metastatic cancer and life expectancy is most likely less than 6 months. She is feeling very anxious, depressed, and moody since he received this diagnosis. These emotions are part of
Answer: C
Explanation:
Anticipatory grief is the period that some people go through when it is learned that a loved one's death is eminent. Not everyone experiences this, but it can help a person to accept the impending death of their family member or friend. During this time, people often feel depressed or anxious, they may begin plans for the changes that will come when the person has passed, or they may take that time to share feelings and emotions with the loved one they are preparing to lose. If a person experiences anticipatory grief, it may help them to adjust to the changes that will occur once the person has died.
NEW QUESTION # 174
An infant in the Neonatal Intensive Care Unit is being treated for meningitis with ampicillin. The dosage is 400 mg/kg/day divided over every 8 hours. The infant being cared for weighs 6 pounds 8 ounces. How many milligrams should be given with each dose?
Answer: B
Explanation:
To calculate the correct dosage, the first step will be to convert the weight to kilograms. 6 pounds 8 ounces, or 6.5 pounds, is divided by 2.2 to convert the weight to 2.95 kg. The dosage is
400 mg/kg/day so in a full day, the infant should receive 1,180 mg (400 x 2.95 = 1,180). The dosage is spaced three times a day, every 8 hours, so each dosage should be 393 mg (1,180/3 = 393).
NEW QUESTION # 175
Which of the following routes is NOT recommended when administering naloxone (Narcan) to infants?
Answer: B
Explanation:
When given, the preferred route for administering Narcan in the infant is IV or 1M. It should not be given via endotracheal administration. Narcan is not used as a first line drug in the infant with respiratory depression. Normal color and pulse must first be present before it is considered. It may cause seizures if given to the infant of an opioid-addicted mother.
NEW QUESTION # 176
A neonate exhibits the following:
*Long narrow torso with short arms and legs.
*Proximal segment of the limbs (upper arms and thighs) disproportionately short.
*Head large with frontal bossing and midface hypoplasia.
These characteristics are consistent with
Answer: C
Explanation:
Achondroplasia is the most common cause of dwarfism. Bone growth is inhibited as the result of an abnormal gene on chromosome 4. Achondroplasia can be inherited in an autosomal dominant fashion, but the majority of cases (75-80%) occur with spontaneous mutations. Clinical features apparent at birth include a long narrow torso with short arms and legs. The proximal segment of the limbs (upper arms and thighs) is disproportionately short. The head is large, with frontal bossing and midface hypoplasia. A small hump (gibbus) may be present in the mid-to-lower back. Mild, generalized hypotonia may be present.
NEW QUESTION # 177
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