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| Section | Objectives |
|---|---|
| Neonatal Physiology and Pathophysiology | - Thermoregulation, metabolism, and fluid balance - Respiratory adaptation and disorders - Cardiovascular adaptation and congenital conditions |
| Neonatal Health Assessment | - Physical and neurological assessment of the newborn - Identification of normal vs abnormal findings |
| Family-Centered Care and Ethics | - Parent education and communication - Ethical and legal considerations in neonatal care |
| Neonatal Pharmacology and Therapeutics | - Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics |
| High-Risk Neonatal Management | - Infectious diseases in neonates - Respiratory distress and ventilation management - Prematurity-related complications |
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NEW QUESTION # 142
The NP is checking the blood pressure of a newborn. It is 64/40. What should the next step be?
Answer: A
Explanation:
A normal newborn blood pressure is 64/41. This usually rises to 95/58 around the first month of age. Premature infants will have even lower blood pressures unless their medical condition results in an elevation in blood pressure. In this situation, the NP should record the reading and continue with the newborn assessment.
NEW QUESTION # 143
W'hen do symptoms of biliary atresia develop in the newborn?
Answer: A
Explanation:
Symptoms of biliary atresia appear in the newborn approximately Ovo to eight weeks after birth. This condition occurs when the biliary system in the liver is not fully developed, resulting in obstruction of the flow of bile from the liver to the gallbladder for storage. It causes damage to the liver as the bile builds up, causing cirrhosis and eventually liver failure. It can be treated surgically.
NEW QUESTION # 144
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: B
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 # 145
Early-onset sepsis (S72 hours) in the neonate most often presents as
Answer: B
Explanation:
Early onset sepsis most often presents as pneumonia and late onset as bacteremia and/or meningitis. Neonatal sepsis is a particular risk for preterm infants <IOOO g and may be associated with a wide range of pathogens, both bacterial and viral. Early onset (02 hours) is usually related to maternal transmission and late onset (4-90 days) to invasive devices. Septic pneumonia usually presents with tachypnea, sternal retraction, grunting respirations, cyanosis, and apneic periods.
NEW QUESTION # 146
An infant in the Neonatal Intensive Care Unit is receiving carbamazepine (Tegretol) for seizure control. When would be the best time to obtain a blood sample to check a drug level?
Answer: C
Explanation:
There are some medications that require drug levels be drawn to ensure the drug concentration is at a therapeutic level and not too high or too low. For carbamazepine (Tegretol), the best time to check the drug level is just prior to giving a dose. The therapeutic drug level for this medication is 4-12 mg/L.
NEW QUESTION # 147
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