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| Section | Objectives |
|---|---|
| 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 - Respiratory adaptation and disorders - Cardiovascular adaptation and congenital conditions |
| Neonatal Health Assessment | - Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn |
| High-Risk Neonatal Management | - Infectious diseases in neonates - Respiratory distress and ventilation management - Prematurity-related complications |
| Neonatal Pharmacology and Therapeutics | - Drug safety, dosing considerations, and pharmacokinetics - Medication administration in neonates |
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NEW QUESTION # 83
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 # 84
The initial treatment for patent ductus arteriosus (PDA) for a preterm neonate is usually
Answer: B
Explanation:
Patent ductus arteriosus (PDA) is failure of the ductus arteriosus that connects the pulmonary artery and aorta to close after birth, resulting in left to right shunting of blood from the aorta back to the pulmonary artery. This increases the blood flow to the lung and causes an increase in pulmonary hypertension that can result in damage to the lung tissue. Treatment for PDA:
*Indomethacin (Indocin@) or ibuprofen lysine given within 10 days of birth is successful in closing about 80% of defects.
*Surgical repair with ligation of the patent vessel if conservative treatment is unsuccessful.
NEW QUESTION # 85
The NP is evaluating a newborn. The infant is having retractions with respirations and a low grunting sound can be heard with his rapid breathing. The most likely diagnosis is
Answer: B
Explanation:
Meconium aspiration syndrome occurs when the infant inhales meconium during the labor and delivery process. It presents as labored or rapid breathing with retractions and grunting sounds with each breath. The infant may begin to appear cyanotic as this progresses. To treat this condition, surfactant may be given which has proven to be helpful. A laryngoscope may be inserted to perform suction below the level of the vocal cords. Mortality rates are higher for these infants than others and there may be some residual respiratory problems for the first 5-10 years of life.
NEW QUESTION # 86
When placing a temperature probe on a supine neonate to monitor thermoregulation, a good location for the probe is over the
Answer: C
Explanation:
A common probe placement for a supine infant is over the liver. The probe should not be placed over a bony area or an area with abundant brown adipose tissue, such as around the neck, the mid-scapular region of the back, the mediastinum, and organs in the thoracic cavity, kidneys, and adrenal glands. If the probe makes poor skin contact, it will indicate that the infant is cold, and the warmer will deliver increased amounts of heat, possibly causing hyperthermia. If the probe is underneath the infant, it may indicate an artificially warm temperature and decrease heat to the infant, causing hypothermia.
NEW QUESTION # 87
On the APGAR scale, a good score is
Answer: B
Explanation:
A total score of 27 is a sign of good health with a perfect score being 10. APGAR is a quick evaluation of a newborn's physical condition to determine if emergency medical care is needed and is administered 1 minute and 5 minutes after birth.
NEW QUESTION # 88
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