NCMA219 Midterm Reviewer Nursing Informatics

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Questions and Answers

What is the purpose of administering antibiotics like Ampicillin, Gentamycin, and Amikacin in cases of respiratory distress?

  • To reduce nasal flaring
  • To support breathing functionality
  • To treat bacterial infections (correct)
  • To relieve chest pain

What is the significance of ECMO (Extracorporeal Membrane Oxygenation) in severe cases of tachypnea?

  • To assist in nebulizer treatments
  • To remove excess carbon dioxide from the blood
  • To provide oxygen support directly to the lungs (correct)
  • To measure pulmonary function

What can the presence of meconium-stained nails, skin, and umbilical cord indicate?

  • Possible meconium aspiration syndrome (correct)
  • An increase in respiratory rate
  • Improved oxygen saturation levels
  • A need for phototherapy

In what scenario would a newborn baby require suctioning immediately after birth?

<p>If meconium is present in the amniotic fluid (C)</p> Signup and view all the answers

How does fetal distress contribute to the risk of meconium aspiration syndrome?

<p>By reducing oxygen supply to the fetus (D)</p> Signup and view all the answers

What is the main characteristic of neonatal sepsis?

<p>Bacterial infection in the bloodstream (C)</p> Signup and view all the answers

What is a common characteristic associated with a baby experiencing failure to thrive?

<p>Lethargy with poor muscle tone (A)</p> Signup and view all the answers

How does failure to thrive affect a baby's subcutaneous fat?

<p>It causes a loss of subcutaneous fat (A)</p> Signup and view all the answers

Which behavior is not typically associated with babies experiencing failure to thrive?

<p>Reaching for toys eagerly (B)</p> Signup and view all the answers

Why might a baby with advanced failure to thrive be near acidosis from starvation?

<p>The nutritional status being extremely poor (B)</p> Signup and view all the answers

What is a concerning sign regarding speech development in babies experiencing failure to thrive?

<p>Markedly delayed or absent speech (A)</p> Signup and view all the answers

Which of the following is not a common characteristic of a baby with failure to thrive?

<p>Achievement of developmental milestones (A)</p> Signup and view all the answers

What defines a high-risk newborn according to the text?

<p>A newborn with a greater than average chance of morbidity or mortality due to conditions related to birth. (D)</p> Signup and view all the answers

Why is screening pregnant women for risk factors important according to the text?

<p>To predict any high-risk newborns accurately during pregnancy. (B)</p> Signup and view all the answers

What is the significance of identifying high-risk newborns during pregnancy?

<p>It allows for the prediction of morbidity or mortality in newborns. (B)</p> Signup and view all the answers

Why is predicting high-risk newborns challenging according to the text?

<p>Because not all high-risk cases can be predicted during pregnancy. (B)</p> Signup and view all the answers

What is the main purpose of screening pregnant women for high-risk factors?

<p>To identify infants who may need extra care at birth. (A)</p> Signup and view all the answers

How does identifying high-risk newborns during pregnancy impact their postnatal care?

<p>It allows for tailored care for those infants requiring extra attention. (B)</p> Signup and view all the answers

What is the consequence of premature birth on retinal vascular maturation?

<p>Normal growth is stopped (D)</p> Signup and view all the answers

How does exposure to high oxygen concentrations affect retinal vascular development in premature infants?

<p>Down regulates retinal endothelial growth factor (B)</p> Signup and view all the answers

What is Hyperoxia vasocessation referring to in the context of premature infants?

<p>Delayed growth of blood vessels (D)</p> Signup and view all the answers

Which stage of retinopathy of prematurity is characterized by a widening demarcation line that thickens to form a ridge?

<p>Stage 2 (C)</p> Signup and view all the answers

What happens in Stage 3 of retinopathy of prematurity?

<p>Abnormal growth of blood vessels occurs (D)</p> Signup and view all the answers

Why do babies in Stage 1 of retinopathy of prematurity usually not require treatment?

<p>The condition doesn't progress at this stage (A)</p> Signup and view all the answers

What is the definition of apnea in a term infant?

<p>Pauses of less than 20 seconds accompanied by pallor, cyanosis, bradycardia, or hypotension (D)</p> Signup and view all the answers

What distinguishes premature apnea from term infant apnea?

<p>Presence of bradycardia, hypotension, cyanosis, and pallor in term infant apnea (A)</p> Signup and view all the answers

Which of the following is NOT a cause of apnea in newborns?

<p>Hypercapnia (C)</p> Signup and view all the answers

What is a common treatment for apnea in newborns?

<p>Continuous positive airway pressure (CPAP) therapy (D)</p> Signup and view all the answers

Which symptom combination is indicative of apnea in newborns?

<p>Apnea + color change + choking (D)</p> Signup and view all the answers

Which factor characterizes premature infants' response to apnea?

<p>Stress due to procedures or physical effort (D)</p> Signup and view all the answers

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