hurley N421 exam Questions SOLVED 100%
CORRECT!!!
____: any agent that can harm an embryo or fetus
teratogen
examples of teratogens:
____: seriously affects development of baby's brain
____: can result in malformed hearts
____: ex. cytomegalovirus
____: is a vasoconstrictor, prevents blood to baby
____: accutane, devastates liver development
____: can result in fetus not being perfused
alcohol, pesticides, infection, nicotine, retinoids, antihypertensives
problems premature infants
poor ____ ____: cannot sweat or shiver, lack adipose tissue or thick dermis
immature CNS: cannot regulate ____ or ____
immature ____: can result in rapid sepsis
immature cardiopulmonary system: cannot maintain proper ____ ____
____: liver's inability to regulate
____ instability: pancreas secretes too (much/little) insulin
thermal regulation, HR, RR, immunity, gas exchange, jaundice, glucose, much
IVH: ____ ____
strong risk factors:
- extreme ____
,- birth ____
- mechanical ____
- sudden change in ____
brain suffers ____ --> results in ____ --> results in ____
intraventricular hemorrhage, prematurity, asphyxia, ventilation, BP, asphyxiation, vasodilation,
hemorrhage
respiratory system in premature babies
only babies get ____ ____ ____ (RDS)
____ deficiency
____ often occurs
management:
- ____, CPAP, oxygen
- ____ replacement therapy
- ECMO
- continuous monitoring: ____ ____, BP, ABGs
respiratory distress system, surfactant, atelectasis, intubation, surfactant, pulse ox
____ ____ (NEC)
portion of ____ undergoes ____
T/F most common GI disorder in premature infants
can lead to ____ ____ ____
necrotizing enterocolitis, bowel, necrosis, t, short bowel syndrome
clinical presentation of NEC
,____ distention
visible bowel loops
____ stool
feeding intolerance
(increased/decreased) residual
____
apnea, bradycardia, oxygen desaturation
____ ____ instability
____ instability
abdominal, bloody, increased, lethargy, blood glucose, temperature
management of NEC
T/F NG feedings used to increase nutrition
aggressive IV ____ and ____ replacement
NG ____ is critical
____ ____ antibiotics
____ control and minimal handling
____
f, fluid, electrolyte, decompression, broad spectrum, pain, surgery
newborn screening
____ (PKU)
congenital ____
____
____ defects
phenylketonuria, hypothyroidism, galactosemia, hemoglobin
, ____ (PKU)
(genetic/environmental) disorder
cannot metabolize the amino acid ____ --> found in ____, dairy, artificial sweeteners
accumulation leads to ____ impairment
testing is done at birth to ____ parents on avoiding specific foods
phenylketonuria, genetic, phenylalanine, milk, cognitive, educate
____ ____: low t4 and TSH
(loud/quiet) baby
prolonged ____
____, (increased/decreased) appetite, (increased/decreased) VS, ____ (enlarged tongue)
management:
- treatment immediately: ____ replacement
- prolonging treatment results in major ____ issues
congenital hypothyroidism, quiet, jaundice, lethargy, decreased, decreased, macroglossia,
hormone, development
galactosemia: deficiency in enzymes involved in conversion of ____ to ____
(excess/insufficient) weight gain
T/F s/sx seen immediately at birth
galactose, glucose, insufficient, f
hemoglobin defects: ____ ____ ____ (SCA)
screening is (optional/mandatory)
*____ and ____ are top triggers
CORRECT!!!
____: any agent that can harm an embryo or fetus
teratogen
examples of teratogens:
____: seriously affects development of baby's brain
____: can result in malformed hearts
____: ex. cytomegalovirus
____: is a vasoconstrictor, prevents blood to baby
____: accutane, devastates liver development
____: can result in fetus not being perfused
alcohol, pesticides, infection, nicotine, retinoids, antihypertensives
problems premature infants
poor ____ ____: cannot sweat or shiver, lack adipose tissue or thick dermis
immature CNS: cannot regulate ____ or ____
immature ____: can result in rapid sepsis
immature cardiopulmonary system: cannot maintain proper ____ ____
____: liver's inability to regulate
____ instability: pancreas secretes too (much/little) insulin
thermal regulation, HR, RR, immunity, gas exchange, jaundice, glucose, much
IVH: ____ ____
strong risk factors:
- extreme ____
,- birth ____
- mechanical ____
- sudden change in ____
brain suffers ____ --> results in ____ --> results in ____
intraventricular hemorrhage, prematurity, asphyxia, ventilation, BP, asphyxiation, vasodilation,
hemorrhage
respiratory system in premature babies
only babies get ____ ____ ____ (RDS)
____ deficiency
____ often occurs
management:
- ____, CPAP, oxygen
- ____ replacement therapy
- ECMO
- continuous monitoring: ____ ____, BP, ABGs
respiratory distress system, surfactant, atelectasis, intubation, surfactant, pulse ox
____ ____ (NEC)
portion of ____ undergoes ____
T/F most common GI disorder in premature infants
can lead to ____ ____ ____
necrotizing enterocolitis, bowel, necrosis, t, short bowel syndrome
clinical presentation of NEC
,____ distention
visible bowel loops
____ stool
feeding intolerance
(increased/decreased) residual
____
apnea, bradycardia, oxygen desaturation
____ ____ instability
____ instability
abdominal, bloody, increased, lethargy, blood glucose, temperature
management of NEC
T/F NG feedings used to increase nutrition
aggressive IV ____ and ____ replacement
NG ____ is critical
____ ____ antibiotics
____ control and minimal handling
____
f, fluid, electrolyte, decompression, broad spectrum, pain, surgery
newborn screening
____ (PKU)
congenital ____
____
____ defects
phenylketonuria, hypothyroidism, galactosemia, hemoglobin
, ____ (PKU)
(genetic/environmental) disorder
cannot metabolize the amino acid ____ --> found in ____, dairy, artificial sweeteners
accumulation leads to ____ impairment
testing is done at birth to ____ parents on avoiding specific foods
phenylketonuria, genetic, phenylalanine, milk, cognitive, educate
____ ____: low t4 and TSH
(loud/quiet) baby
prolonged ____
____, (increased/decreased) appetite, (increased/decreased) VS, ____ (enlarged tongue)
management:
- treatment immediately: ____ replacement
- prolonging treatment results in major ____ issues
congenital hypothyroidism, quiet, jaundice, lethargy, decreased, decreased, macroglossia,
hormone, development
galactosemia: deficiency in enzymes involved in conversion of ____ to ____
(excess/insufficient) weight gain
T/F s/sx seen immediately at birth
galactose, glucose, insufficient, f
hemoglobin defects: ____ ____ ____ (SCA)
screening is (optional/mandatory)
*____ and ____ are top triggers
