Neonatal Nurse Practitioner Flashcards

The pistol is an electromagnetically operated device that activates both inspiration and expiration.

Answer: HFOV

High-Frequency Oscillatory Ventilation (HFOV) utilizes a piston or diaphragm, often referred to as a 'pistol,' to generate rapid, small tidal volumes. Unlike conventional ventilators, HFOV actively drives both inspiration and expiration. This unique mechanism allows for very high respiratory rates and low tidal volumes, providing gentle ventilation and minimizing lung injury.

>1.5 mg/dL or increase >0.2 mg/dL/day

Answer: Creatinine dysfunction level

The specified creatinine levels (>1.5 mg/dL or an increase >0.2 mg/dL/day) are commonly used diagnostic criteria for acute kidney injury (AKI) or renal dysfunction. Creatinine is a waste product filtered by the kidneys, and elevated levels indicate that the kidneys are not functioning effectively. These thresholds are particularly relevant in neonates, where kidney function is still maturing.

Hydrogen ions and Potassium.

Answer: Aldosterone excretes

Aldosterone is a hormone produced by the adrenal glands that plays a crucial role in regulating electrolyte balance and blood pressure. It acts on the distal convoluted tubules and collecting ducts of the kidneys, promoting the reabsorption of sodium and water while simultaneously stimulating the excretion of potassium and hydrogen ions. This action helps maintain the body's acid-base balance and fluid volume.

Angiotensin II levels to rise or intravascular volume to decrease.

Answer: ADH is released

Antidiuretic Hormone (ADH), also known as vasopressin, is released from the posterior pituitary gland in response to various stimuli, including increased plasma osmolality (often due to decreased intravascular volume) and the presence of Angiotensin II. ADH acts on the kidneys to increase water reabsorption, thereby conserving body fluid and helping to restore blood volume and pressure.

A nurse whose practice closely matches that of a doctor is known as a nurse practitioner. They must get advanced degrees, such as a Ph.D. in nursing or a master's degree in nursing. While some states permit nurse practitioners to work autonomously, others demand that they do so under a doctor's supervision. They are employed by medical practices, hospitals, community health centers, educational institutions, and home health care companies.

Answer: Nurse Practitioner (NP's)

The provided text offers a comprehensive description of a Nurse Practitioner (NP), detailing their role, advanced educational requirements (Ph.D. or Master's in nursing), varying degrees of autonomy across states, and typical employment settings. This information collectively defines the profession of a Nurse Practitioner. The other options represent specific facets rather than the overarching definition.

As a result of another disorder that reduces calcium levels, the parathyroid gland produces excessive amounts of PTH. Etiology: Severe Ca or Vit D deficiency, CKD

Answer: Secondary hyperparathyroidism etiology

Secondary hyperparathyroidism occurs when the parathyroid glands produce excessive amounts of parathyroid hormone (PTH) in response to a chronic condition that causes persistent low calcium levels. The description accurately identifies this condition, stating it results from another disorder that reduces calcium levels, and lists common etiologies such as severe calcium or vitamin D deficiency and chronic kidney disease (CKD).

Batter Syndrome, Pyloric Stenosis, Cystic Fibrosis, and Correction of Chronic Respiratory Acidosis. Answer: Metabolic Alkalosis Causes

Answer: TRUE

The statement is TRUE because all listed conditions can indeed lead to metabolic alkalosis. Bartter syndrome causes renal salt wasting and subsequent alkalosis, pyloric stenosis results in loss of gastric acid through vomiting, and cystic fibrosis can lead to electrolyte imbalances contributing to alkalosis. Additionally, the correction of chronic respiratory acidosis can cause a post-hypercapnic metabolic alkalosis as the kidneys excrete less bicarbonate.