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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professional Issues | 3% | - Scope and standards of practice - Quality improvement and patient safety - Ethics and legal aspects - Interprofessional collaboration |
| Topic 2: General Assessment | 15% | - Interpretation of diagnostic data - Growth and development assessment - Systematic physical assessment - Perinatal history collection |
| Topic 3: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Musculoskeletal and integumentary system - Metabolic and endocrine system - Neurological system - Gastrointestinal system - Renal and genitourinary system - Respiratory system - Cardiovascular system - Eyes, ears, nose and throat - Hematopoietic and immune system - Infectious diseases - Genetics and congenital anomalies |
| Topic 4: General Management | 19% | - Nutrition and growth support - Pain management and sedation - Fluids, electrolytes and acid-base balance - Resuscitation and stabilization - Thermoregulation - Care coordination and family education |
| Topic 5: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Adverse effects and interactions - Common medications and dosages - Safe administration principles |
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NEW QUESTION # 68
What is a major risk factor for chorioamnionitis?
Answer: A
Explanation:
Chorioamnionitis is an acute infection and inflammation of the membranes and is commonly caused by a premature rupture of the membranes. This eliminates the protective barrier surrounding the fetus and increases the risk for pathogens to ascend into the uterus. Less commonly, chorioamnionitis can occur in the absence of membrane rupture. Long-term effects of this condition to the neonate include stillbirtw premature birth, sepsis, chronic lung disease, and brain injury or cerebral palsy. The mother can develop postpartum infections and sepsis.
NEW QUESTION # 69
A neonate develops early-onset bacterial meningitis. Typical early symptoms include
Answer: A
Explanation:
Meningitis is often difficult to diagnose in the neonate because it has early nonspecific clinical findings of irritability, lethargv, poor feeding, temperature instability, and hypotension. The more specific neurological symptoms of seizures or bulging fontanels are seen in late onset infection.
Nuchal rigidity does not usually occur with neonates. Bacterial infections usually arise from spread of distant infections but can enter the CNS from surgical wounds, invasive devices, or nasal colonization. CSF findings suggestive of bacterial meningitis include:
*Decreased glucose.
*Elevated protein.
*White blood cell values in CSF greater than 100 WBC/dL
NEW QUESTION # 70
Parents of a newborn in the NICU are concerned about their baby having an IV placed in their scalp. To reassure them, the NP explains that
Answer: A
Explanation:
Though not the first choice for an IV site, the scalp is used once other sites in the hands and feet have already been used. The scalp is a good site because there is very little fat under the skin so the veins are easily visible.
NEW QUESTION # 71
The following drug(s) should always be included with infant resuscitation equipment
Answer: B
Explanation:
Medications that should always be included as part of the minimum neonatal resuscitation equipment include epinephrine and naloxone. Epinephrine is the AHA recommended pharmacologic intervention in the case of ineffective CPR in neonatal resuscitation. Naloxone is indicated in the case of respiratory distress in infants with opioid withdraw after the administrations of opioids as pain control in the labor process. Surfactant (indicated in respiratory distress, particularly in preterm neonates) and prostaglandins (indicated for cyanotic congenital heart defects) are useful in specific cases, but are not part of the minimum resuscitation equipment.
NEW QUESTION # 72
Transposition of the great vessels can involve the superior and inferior vena cavas, the pulmonary artery and pulmonary veins, or the
Answer: C
Explanation:
Transposition of the great vessels can involve any of the great vessels of the body: the superior or inferior vena cava, the pulmonary artery or pulmonary veins, or the aorta. It usually involves a "swap" between the locations of the vessels and can result in poorly oxygenated blood or poor delivery of blood to the body. If the pulmonary artery and aorta are involved, the condition is called a transposition of the great arteries.
NEW QUESTION # 73
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