A Newborn Boy Is Evaluated for Tachypnea, Immediately After Birth

question 184

Multiple Choice

A newborn boy is evaluated for tachypnea, immediately after birth. He was delivered at 31 weeks' gestation via spontaneous vaginal delivery. She did not receive prenatal care. She has a poor controlled hypertension and takes multiple medications. Examination of the infant shows an intubated and sedated boy whose weight is at the third percentile.  The temporal, occipital, and parietal bones are underdeveloped, and the right lower limb is shortened and contracted.  Which of the following mechanisms is the most likely cause of this neonate's abnormalities?

• A)Alpha-2 adrenergic agonism
• B)Beta-adrenergic receptor blockade
• C)Cellular damage from free radicals
• D)Impaired metabolism of angiotensin I
• E)Impaired oxygen delivery
• F)Impaired prostaglandin metabolism

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Definitions:

Decertification

The process by which a labor union is removed as the bargaining representative of a group of employees, typically through a vote among the employees.

Certifying

The process of formally validating the qualifications, capabilities, or quality of an individual or entity.

NLRA

Stands for the National Labor Relations Act, which is legislation enacted in 1935 in the United States to protect the rights of employees and employers, to encourage collective bargaining, and to curtail certain private sector labor and management practices.

Recognition Strikes

Work stoppages by employees aimed at forcing an employer to recognize their union as the official bargaining agent for the workforce.