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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Assessment | 15% | - Interpretation of diagnostic data - Systematic physical assessment - Perinatal history collection - Growth and development assessment |
| Topic 2: Pharmacology | 9% | - Safe administration principles - Pharmacokinetics and pharmacodynamics in neonates - Adverse effects and interactions - Common medications and dosages |
| 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% | - Care coordination and family education - Thermoregulation - Fluids, electrolytes and acid-base balance - Pain management and sedation - Resuscitation and stabilization - Nutrition and growth support |
| Topic 5: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Genetics and congenital anomalies - Metabolic and endocrine system - Gastrointestinal system - Infectious diseases - Musculoskeletal and integumentary system - Renal and genitourinary system - Respiratory system - Cardiovascular system - Neurological system - Hematopoietic and immune system - Eyes, ears, nose and throat |
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NEW QUESTION # 14
A 6-day-old newborn develops signs of congestive heart failure with tachypnea, heart rate 175 at rest, fine pulmonary rales, and difficulty feeding. The most likely underlying cause is
Answer: B
Explanation:
Onset of symptoms varies with different structural defects, and symptoms of congestive heart failure within the first week may be caused by patent ductus arteriosus as well as transposition of the great vessels and total anomalous pulmonary return with pulmonary venous obstruction. Hypoplastic left heart syndrome is evident at birth. Coarctation of the aorta and pulmonary stenosis are usually evident between one and four weeks after birth.
NEW QUESTION # 15
Transient neonatal strabismus usually clears by the age of
Answer: C
Explanation:
Because oculomotor control is poor in the neonate, transient neonatal strabismus involving intermittent exotropia or esotropia is common and usually clears by about 4 months without treatment. Strabismus occurs when the muscles of the eyes are not coordinated so that one eye deviates from the axis of the other. Deviations include:
*Tropia, which is consistent or intermittent deviation in which the child is unable to maintain alignment of the eyes.
*Esotropia, in which both eyes turning inwards (cross eyes) and exotropia is both eyes turning outward (wall eyes).
NEW QUESTION # 16
The new parents of a child with Down syndrome tell the NP that they want to have more child in the future, but they are concerned about the risk of having another child with this condition. The most appropriate response is
Answer: A
Explanation:
The risk of having a child with Down's syndrome is approximately 1 in 100 pregnancies.
Advanced maternal age is more of a risk factor for having the genetic mutation that causes this condition. Having one child with this condition does not increase the chances that any future children will also have Down's syndrome.
NEW QUESTION # 17
Which of the following is used to test for congenital cytomegalovirus infection?
Answer: A
Explanation:
A congenital cytomegalovirus (CMU infection can be diagnosed using saliva, urine, or blood specimens. Testing must be done within the first 2-3 weeks following birth. A mother who has CMV can pass this infection to the fetus through the placenta. Most infants will never develop any symptoms from the virus, but approximately 20% can develop hearing loss, vision loss, intellectual disabilities, seizures, or muscle weakness.
NEW QUESTION # 18
The NP is administering blood to a premature infant who is anemic. A possible transfusion reaction may be occurring if the patient develops
Answer: A
Explanation:
One of the first signs that an acute intravascular hemolytic reaction is occurring is pain at the IV site. Other early signs include fever, chills, elevated heart rate, nausea, and dyspnea. This potentially life-threatening reaction usually occurs within 10 minutes of the beginning of the infusion of blood or blood products.
NEW QUESTION # 19
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