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| Section | Objectives |
|---|---|
| Topic 1: High-Risk Neonatal Management | - Prematurity-related complications - Infectious diseases in neonates - Respiratory distress and ventilation management |
| Topic 2: Neonatal Physiology and Pathophysiology | - Cardiovascular adaptation and congenital conditions - Respiratory adaptation and disorders - Thermoregulation, metabolism, and fluid balance |
| Topic 3: Neonatal Health Assessment | - Physical and neurological assessment of the newborn - Identification of normal vs abnormal findings |
| Topic 4: Neonatal Pharmacology and Therapeutics | - Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics |
| Topic 5: Family-Centered Care and Ethics | - Parent education and communication - Ethical and legal considerations in neonatal care |
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NEW QUESTION # 168
Which of the following is a defect in chromosome 22?
Answer: B
Explanation:
DiGeorge syndrome occurs when there is a mutation to chromosome 22 during fetal development. It results in an immunodeficiency disorder that affects the thymus gland and the production of T -lymphocyte cells. This results in frequent infections, congenital heart defects, and hypocalcemia. This syndrome also causes characteristic facial features with an underdeveloped chin, heavy eye lids, ears that are rotated back and small upper ear lobes.
NEW QUESTION # 169
The major route in a full-term neonate for rapidly increasing body temperature in response to cold stress is
Answer: A
Explanation:
Non-shivering thermogenesis (NST) is the major route of rapid increase of body temperature in response to cold stress in the term neonate. NST is the oxidation of brown fat to create heat.
Brown adipose tissue contains a high concentration of stored triglycerides, a rich capillary network, and is controlled by the sympathetic nervous system. When brown fat is metabolized, heat is created. When a cold body temperature is detected, the posterior hypothalamus responds by triggering the adrenal glands to release norepinephrine and the pituitary gland to release thyroxine. Both stimulate NST.
NEW QUESTION # 170
A premature infant is in distress and has not responded to resuscitative measures. A volume expander is indicated at this time. What is the risk of giving this type of medication too quickly?
Answer: B
Explanation:
Acute volume expansion in the neonate can be accomplished with an isotonic crystalloid solution, such as lactated Ringer's solution. This increases the pressure in the intravascular space, which causes water to move from the interstitial to intravascular spaces, which increases the circulating blood volume. Crystalloids have a half-life benveen 30 and 60 minutes and must be given in amounts three times the volume lost If too much is given too quickly, however, fluid overload with intraventricular hemorrhage and pulmonary edema can result
NEW QUESTION # 171
During pregnancy, a suspicious finding on ultrasound that may indicate an esophageal atresia is
Answer: A
Explanation:
Polyhydramnios is an abnormal finding on ultrasound that may indicate the presence of esophageal atresia. During normal development, the esophagus and trachea form side by side. An abnormality in development in utero may result in the esophagus not fully developing all the way to the stomach. This results in a closed-ended esophagus. The fetus drinks amniotic fluid while in the womb, so if they are not able to do this, polyhydramnios, or an increased volume of amniotic fluid, can occur. Occasionally, a fistula may form betv:een the esophagus and the trachea, resulting in any intake of liquids being bypassed directly into the trachea and lungs.
NEW QUESTION # 172
A neonate develops tremors of the chin and extremities with the following observations:
*Lack of ocular deviations or other abnormalities.
*Gentle restraint halts tremors.
*Stimulation elicits tremors.
*Clonic jerking has both fast and slow elements.
*Autonomic changes involving the heart rate, respirations, and blood pressure are not present.
*EEG is normal.
The most likely cause is
Answer: A
Explanation:
Jitteriness is distinct from shuddering, a 10-15 second period of fast tremors that may recur SIOO times daily. Both jitteriness and shuddering are benign findings. Seizures indicate that there is an abnormality of the central nervous system and are differentiated by their associated abnormal movements:
*Subtle: Feet pedaling, chewing, apnea, eye movements, or blank stare.
*Tonic: Tonic flexion or extension of the limbs, focal (one limb) or generalized.
*Clonic: Slow, clonic movements (1-3 per second), often in one extremity or one side of the body.
*Myoclonic: Focal, multi-focal, or generalized, with rapid jerking movements of the extremities.
NEW QUESTION # 173
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