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Questions and Answers
What is the potential consequence of fluid going to the pharynx-trachea when inhaling and swallowing milk simultaneously?
What is the potential consequence of fluid going to the pharynx-trachea when inhaling and swallowing milk simultaneously?
What is the possible result of a tracheoesophageal fistula in a newborn?
What is the possible result of a tracheoesophageal fistula in a newborn?
What can be inferred when a newborn exhibits bile-stained vomitus?
What can be inferred when a newborn exhibits bile-stained vomitus?
Why might a newborn with a neural tube defect exhibit sac or dimpling at the lower back?
Why might a newborn with a neural tube defect exhibit sac or dimpling at the lower back?
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What effect can occur in the colon due to aganglionic megacolon (Hirschsprung disease) in a newborn?
What effect can occur in the colon due to aganglionic megacolon (Hirschsprung disease) in a newborn?
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Why might a newborn with a tracheoesophageal fistula exhibit aspiration?
Why might a newborn with a tracheoesophageal fistula exhibit aspiration?
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Which of the following is a common symptom of infants with Expiratory grunting?
Which of the following is a common symptom of infants with Expiratory grunting?
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What is a key aspect of managing Expiratory grunting in babies?
What is a key aspect of managing Expiratory grunting in babies?
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What genetic disorder is commonly known as 'trisomy 21'?
What genetic disorder is commonly known as 'trisomy 21'?
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Approximately how common is Down syndrome among live births?
Approximately how common is Down syndrome among live births?
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What type of medication may be used for newborns with Expiratory grunting?
What type of medication may be used for newborns with Expiratory grunting?
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What is the definition of a high-risk newborn?
What is the definition of a high-risk newborn?
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Why is screening pregnant women for risk factors important?
Why is screening pregnant women for risk factors important?
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What can cause a newborn to be considered high risk?
What can cause a newborn to be considered high risk?
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Which condition makes a newborn high risk?
Which condition makes a newborn high risk?
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Why might a seemingly healthy infant require specialized care?
Why might a seemingly healthy infant require specialized care?
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What term refers to an infant who has a higher likelihood of morbidity or mortality?
What term refers to an infant who has a higher likelihood of morbidity or mortality?
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What is recommended for women diagnosed with high-risk pregnancies according to the text?
What is recommended for women diagnosed with high-risk pregnancies according to the text?
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How do most parents initially handle newborn babies, according to the text?
How do most parents initially handle newborn babies, according to the text?
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Why might parents take days or weeks to handle their ill newborn comfortably and confidently?
Why might parents take days or weeks to handle their ill newborn comfortably and confidently?
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What is emphasized regarding parents' time spent with their infant in the intensive care nursery?
What is emphasized regarding parents' time spent with their infant in the intensive care nursery?
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What should parents have access to after discharge to care confidently for the infant at home?
What should parents have access to after discharge to care confidently for the infant at home?
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What type of therapy is used for salt-wasting form in patients?
What type of therapy is used for salt-wasting form in patients?
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Which ocular disorders can patients receiving glucocorticoids develop?
Which ocular disorders can patients receiving glucocorticoids develop?
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What is the enzyme lacking in phenylketonuria (PKU)?
What is the enzyme lacking in phenylketonuria (PKU)?
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Which hormone is responsible for metabolism and reproduction in epinephrine and norepinephrine?
Which hormone is responsible for metabolism and reproduction in epinephrine and norepinephrine?
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What can high doses of glucocorticoids acting on mineralocorticoid receptors cause?
What can high doses of glucocorticoids acting on mineralocorticoid receptors cause?
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Which organ does cortisol act on when it functions as a glucocorticoid?
Which organ does cortisol act on when it functions as a glucocorticoid?
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Study Notes
Respiratory Distress
- Expiratory grunting, retractions, nasal flaring, and difficulty in feeding are signs of respiratory distress in newborns
- Chest radiograph or ultrasound may be necessary for diagnosis and management
- Close monitoring of respiratory status is crucial to prevent serious problems
- Oxygen therapy may be necessary depending on the oxygen level
- Fluid restriction until stable, and NPO (nothing by mouth) may be necessary if the baby has tachypnea
Down Syndrome
- Also known as Trisomy 21, a genetic disorder caused by extra genetic material from chromosome 21
- Most common genetic chromosomal disorder (1 in 691 to 1000 live births)
- Causes intellectual disability and developmental delay, varying in severity
- No known cause, but evidence suggests cytogenic and multiple causality factors
Tracheo-Esophageal Fistula
- Abnormal connection between the esophagus and trachea
- Air inhaled can enter the esophagus and stomach, causing abdominal distension
- Feeding is contraindicated due to risk of aspiration
- Sac or dimpling at the lower back may indicate neural tube defect (spina bifida)
Other Newborn Complications
- Absent or sluggish Moro reflex may indicate neurologic impairment
- Twitching, seizures, or tremors may be signs of brain damage
- Bile-stained vomitus may indicate aganglionic mega colon (Hirschsprung disease)
- Lethargy, failure to suck, and cyanosis are also potential complications in newborns
High-Risk Newborns
- Defined as newborns with a greater than average chance of morbidity or mortality
- Identification of high-risk newborns is crucial for specialized care
- Screening for risk factors during pregnancy is essential
Establishment of Infant-Parent Relationship
- Tour of the neonatal intensive care unit (NICU) during pregnancy can be helpful
- Parents should spend time with their infant in the intensive care nursery
- Continuing access to healthcare personnel after discharge is crucial for confident care at home
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Description
Prepare for your Bachelor of Science in Nursing 2nd year 2nd semester midterm exam with this quiz covering topics such as newborn care, high risk newborns, acute conditions, congenital heart defects, respiratory dysfunction, and more.
