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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages - Adverse effects and interactions - Safe administration principles |
| Topic 2: General Assessment | 15% | - Systematic physical assessment - Perinatal history collection - Growth and development assessment - Interpretation of diagnostic data |
| Topic 3: Professional Issues | 3% | - Interprofessional collaboration - Scope and standards of practice - Quality improvement and patient safety - Ethics and legal aspects |
| Topic 4: General Management | 19% | - Nutrition and growth support - Resuscitation and stabilization - Thermoregulation - Fluids, electrolytes and acid-base balance - Care coordination and family education - Pain management and sedation |
| Topic 5: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Cardiovascular system - Hematopoietic and immune system - Respiratory system - Metabolic and endocrine system - Infectious diseases - Genetics and congenital anomalies - Renal and genitourinary system - Eyes, ears, nose and throat - Gastrointestinal system - Neurological system - Musculoskeletal and integumentary system |
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NEW QUESTION # 117
The NP is caring for a child with end stage renal disease. A sign that he may be in fluid overload is
Answer: A
Explanation:
Some of the signs of fluid overload include increased blood pressure, swelling in the extremities and face, abdominal bloating, shortness of breath, and tachycardia. The NP will monitor the patient regularly for any of these symptoms. If the patient will be discharged home, the parents and/or caregivers will also need to be educated on these symptoms.
NEW QUESTION # 118
Oral sucrose is given to infants
Answer: C
Explanation:
Oral sucrose has been used in infants as a mild analgesic. It is given before minor procedures to help relax the infant and provide pain relief. The sucrose solution activates the body's mechanism to produce natural opioid-like substances, such as endorphins. Oral sucrose is not indicated in hypoglycemia or for heart rate and blood pressure control.
NEW QUESTION # 119
The neural tube defect in which there is failure of the vertebral column to close, but no herniation through the opening is
Answer: A
Explanation:
Spina bifida occulta is the failure of the vertebral column to close, but no herniation through the opening so the defect may not be obvious. Spina bifida is a defect in which the vertebral column is not closed with varying degrees of herniation through the opening. Spina bifida cystica is a defect in closure with external sac-like protrusion with varying degrees of nerve involvement.
Meningocele is spina bifida cystica with meningeal sac filled with spinal fluid. Myelomeningocele is spina bifida cystica with meningeal sac containing spinal fluid and part of the spinal cord and nerves.
NEW QUESTION # 120
While assessing a newborn in the NICU, the NP notices that he has pitting edema on the right side of his scalp. The next step should be to
Answer: B
Explanation:
Pitting edema in the soft tissues of the scalp is not uncommon after birth, due to trauma on the baby/s scalp while moving through the birth canal. This condition is called caput succedaneum and is most evident immediately after birth. It usually resolves rather quickly over the first 24-48 hours following birth and just needs to be monitored for any changes.
NEW QUESTION # 121
A woman who is known to have hepatitis B is delivering her first baby. Treatment of the infant should include
Answer: C
Explanation:
It is imperative to administer the hepatitis B vaccine and hepatitis B immunoglobulin to these infants within 12 hours of birth. Hepatitis B is transmitted from the mother to the fetus during pregnancy. Approximately 40% of infants of hepatitis B positive women will develop the disease, and up to 25% ofthose will die from chronic liver disease. Routine vaccination of all infants is usually given within 24 hours of birth.
NEW QUESTION # 122
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