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| Section | Objectives |
|---|---|
| Neonatal Physiology and Pathophysiology | - Respiratory adaptation and disorders - Thermoregulation, metabolism, and fluid balance - Cardiovascular adaptation and congenital conditions |
| Neonatal Pharmacology and Therapeutics | - Drug safety, dosing considerations, and pharmacokinetics - Medication administration in neonates |
| Family-Centered Care and Ethics | - Ethical and legal considerations in neonatal care - Parent education and communication |
| High-Risk Neonatal Management | - Prematurity-related complications - Infectious diseases in neonates - Respiratory distress and ventilation management |
| Neonatal Health Assessment | - Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn |
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NEW QUESTION # 60
On examining the neonate, the NP notes 9 cafe au lait spots with a diameter greater than
5 mm and freckles on the axilla and inguinal are
a. The infant should be tested for
Answer: A
Explanation:
Cafe au lait spots (CAL) are flat skin lesions with increased melanin content and regular or irregular borders. If the CAL spots are faint, one can use a Wood lamp to make them easier to see.
Fewer than 3 cafe au lait spots have no clinical significance. However, 6 or more cafe au lait spots with a diameter larger than 5 mm occur in 95% of patients with neurofibromatosis type 1 (NFI), a disorder of chromosome 17. Lisch nodules on the child's iris and Crowe's sign (freckles on the axilla and inguinal area) corroborate the diagnosis of NFI.
NEW QUESTION # 61
Which of the following infections is the most common in the newborn?
Answer: B
Explanation:
Enterovirus is a very common cause of infections. It often creates no symptoms in the infant, but can be very serious if it occurs in the first 2 weeks of life. Enterovirus infections are usually transmitted from the mother to the infant. They can cause cold symptoms, or be so severe that sepsis, meningitis, or respiratory failure develop. Enterovirus infections are most common in the summer and fall.
NEW QUESTION # 62
What is a major risk factor for chorioamnionitis?
Answer: B
Explanation:
Chorioamnionitis is an acute infection and inflammation of the membranes and is commonly caused by a premature rupture of the membranes. This eliminates the protective barrier surrounding the fetus and increases the risk for pathogens to ascend into the uterus. Less commonly, chorioamnionitis can occur in the absence of membrane rupture. Long-term effects of this condition to the neonate include stillbirtw premature birth, sepsis, chronic lung disease, and brain injury or cerebral palsy. The mother can develop postpartum infections and sepsis.
NEW QUESTION # 63
What injection do newborns receive at birth to decrease the risk of hemorrhage?
Answer: C
Explanation:
At birth, newborns are given an injection of vitamin K to prevent hemorrhage. Infants are borne with a deficient amount of vitamin K, which can cause a condition known as vitamin K deficiency bleeding, or VKDB. Internal bleeding can be difficult in the newborn until serious complications are developing. so a routine injection of vitamin K is given at birth to decrease the risk of bleeding. Erythromycin ointment is applied to the eyes of the newborn to prevent neonatal gonococcal ophthalmia.
NEW QUESTION # 64
A mother delivers a child with sickle cell disease, an autosomal recessive disorder. The recurrence risk for subsequent children being born with the disorder is
Answer: C
Explanation:
Autosomal recessive: Recurrence is 25% for each pregnancy and 50% risk of the child becoming a carrier. Autosomal dominant: Recurrence risk is 50%, but there is no carrier state. X- linked recessive: Recurrence risk is 50% for affected sons and 50% risk of daughters becoming carriers. Affected sons do not pass the disorder to sons, but all daughters become carriers. X-Iinked dominant: Father passes the disorder to 100% of daughters but no sons. Mother passes the trait to
50% of sons and 50% of daughters, but daughters are usually unaffected.
NEW QUESTION # 65
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