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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Eyes, ears, nose, mouth and throat
|
| Topic 2: Professional Issues | 3% | - Evidence-based practice
|
| Topic 3: General Assessment | 15% | - Maternal history affecting the newborn
|
| Topic 4: Pharmacology | 9% | - Common drug therapies
|
| Topic 5: General Management | 19% | - Thermoregulation
|
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NEW QUESTION # 118
The NP has received a lab report on the CSF of a newborn who underwent a lumbar puncture. The lab report shows the glucose level in the sample is 100 mg/dL. This value is interpreted to mean
Answer: B
Explanation:
The normal glucose level in cerebrospinal fluid in a newborn is 35-120 mg/dL A value of 100 would be normal for this infant. Diabetes mellitus may cause CSF glucose levels to be elevated.
Meningitis can cause CSF glucose to be normal with viral meningitis, low with bacterial meningitis, and normal to low in fungal meningitis.
NEW QUESTION # 119
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: A
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 # 120
A premature infant with apnea of prematurity (AOP) exhibits periods of apnea lasting seconds in which the child has no airflow or effort to breathe. This type of apnea is classified as
Answer: A
Explanation:
Premature infants (especially those <34 weeks) often exhibit apnea of prematurity (AOP).
AOP begins at birth and is believed caused by immaturity of the nervous system, improving as the brain matures. It may persist for 4-8 weeks. There are 3 types of apnea:
*Central: no airflow or effort to breathe.
*Obstructive: no airflow, but effort to breathe.
Mixed: both central and obstructive elements (75% of AOP).
AOP symptoms include swallowing during apneic periods, apnea seconds, apnea <20 seconds with bradycardia 30 beats below normal, oxygen saturation <85% persisting 25 seconds, and cyanosis.
NEW QUESTION # 121
The mechanism of action of surfactant is to
Answer: C
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 # 122
A medical emergency that can lead to hypovolemic shock in the newborn is
Answer: C
Explanation:
A subgaleal hemorrhage can be massive and may lead to hypovolemic shock. This condition occurs when there is bleeding in the loose connective tissue of the subgaleal space. The subgaleal space is composed of loose connective tissue that allows the scalp to slide easily on the cranium.
There is an increased risk of a subgaleal hemorrhage with vacuum and forceps use during delivery.
The trauma to the scalp results in rupture of the blood vessels in this space. This usually develops over several hours to several days with the first clinical sign being an increase in head circumference.
NEW QUESTION # 123
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