Nokea
Important components that mobilize brown fat in neonates to produce heat are
- A. Respiration and activity
- B. Oxygen and protein
- C. Calcium and glucose
- D. Oxygen and glucose
Correct Answer: D
Rationale: Oxygen and glucose are critical for brown fat mobilization and thermogenesis in neonates.
You may also like to solve these questions
M. R. is a 52-year-old female who presents complaining of significant abdominal pain, which she rates as 8 to 9 on a 1 to 10 scale. The pain has been going on for a matter of hours, and she is afraid it wont go away on its own. She denies any nausea or vomiting, and she cannot remember precisely when her last bowel movement occurred probably it was a few days ago. She reports that she is always constipated. On physical examination, she is tachycardic but otherwise has normal vital signs her abdomen is tensely rigid, but no point tenderness to palpation is appreciated. The entire abdomen percusses as tympanicthere is no distinct dullness over the upper quadrants. Bowel sounds are present but hypoactive and intermittent. There is rebound tenderness to palpation. The AGACNP suspects
- A. Perforated bowel
- B. Peritonitis
- C. Ischemic bowel
- D. Intestinal abscess
Correct Answer: B
Rationale: The patient's presentation with significant abdominal pain, tachycardia, tensely rigid abdomen, rebound tenderness, hypoactive and intermittent bowel sounds, and tympanic percussion of the entire abdomen is concerning for peritonitis. Peritonitis is inflammation of the peritoneum, which is the lining of the abdominal cavity. It is often caused by an infection or irritation, such as from a perforated bowel, which can lead to the leakage of bowel contents into the peritoneal cavity. The presentation of peritonitis includes severe abdominal pain, guarding, rebound tenderness, abdominal distension, and signs of systemic inflammation like tachycardia and fever. In this case, the lack of point tenderness to palpation and the absence of dullness over the upper quadrants make perforated bowel less likely, while the tense rigidity of the abdomen and rebound tenderness are more suggestive of diffuse peritonitis. Ischem
When counseling a patient about his surgical options for an ulcer that has been refractory to medical therapy, the AGACNP advises the patient that he will need
- A. Lifelong vitamin D replacement
- B. Excision of the ulcer, which produces an 80% cure rate
- C. To eat much smaller, more frequent meals
- D. Some form of vagotomy
Correct Answer: C
Rationale: When counseling a patient about surgical options for an ulcer that has been refractory to medical therapy, advising the patient that he will need some form of vagotomy is important. Vagotomy is a surgical procedure in which the vagus nerve is partially or completely severed. This procedure is commonly performed for patients with ulcers that have not responded to medical treatment. Vagotomy reduces the acid secretion in the stomach, which can help in the healing of the ulcer and prevent recurrence. It is an effective option for treating ulcers that have not responded to conservative medical management.
A Para 3+0 client who was scheduled for the fourth cesarean section comes in active labor. The MAIN complication of concern in this case is
- A. Placenta abruption
- B. Rupture of the uterus
- C. Prolonged labor
- D. Precipitate labor
Correct Answer: B
Rationale: The main concern for a woman with multiple previous cesarean sections is uterine rupture.
The gradual rewarming process in the management of hypothermia neonatorum is aimed at
- A. Providing energy
- B. Providing comfort
- C. Preventing shock
- D. Preventing burns
Correct Answer: C
Rationale: The primary goal of gradual rewarming is to prevent shock and stabilize the neonate's condition.
Homeopathy, music therapy, and hydrotherapy are among the
- A. Systemic methods of pain relief
- B. Regional analgesia methods of pain relief
- C. Inhalational analgesia methods of pain relief
- D. Non-pharmacological methods of pain relief
Correct Answer: D
Rationale: Homeopathy, music therapy, and hydrotherapy are non-pharmacological methods.