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| Section | Weight | Objectives |
|---|---|---|
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Musculoskeletal and integumentary system - Gastrointestinal system - Infectious diseases - Eyes, ears, nose and throat - Neurological system - Respiratory system - Cardiovascular system - Genetics and congenital anomalies - Metabolic and endocrine system - Renal and genitourinary system - Hematopoietic and immune system |
| Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Adverse effects and interactions - Common medications and dosages - Safe administration principles |
| General Assessment | 15% | - Interpretation of diagnostic data - Perinatal history collection - Systematic physical assessment - Growth and development assessment |
| Professional Issues | 3% | - Quality improvement and patient safety - Scope and standards of practice - Ethics and legal aspects - Interprofessional collaboration |
| General Management | 19% | - Thermoregulation - Resuscitation and stabilization - Pain management and sedation - Care coordination and family education - Nutrition and growth support - Fluids, electrolytes and acid-base balance |
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NEW QUESTION # 24
The most common cause of ambiguous genitalia in a genetic female newborn is
Answer: B
Explanation:
In newborns that are genetically female, the most common cause of ambiguous genitalia is congenital adrenal hyperplasia. Ambiguous genitalia result in genital characteristics that are not wholly female or wholly male. There can be features of both, externally and internally. Congenital adrenal hyperplasia results in the overproduction of male hormones, which causes the genitalia to take on both male and female features during development. This condition can result in a great deal of stress for the parents. Genetic testing is usually done to determine if the infant is genetically a male or female.
NEW QUESTION # 25
A neonate is 40 weeks gestation and nursing well but has onset of jaundice at 36 hours.
Total serum bilirubin is 12 mg/dL At this time, treatment should include
Answer: A
Explanation:
While the neonate's bilirubin is elevated (normal range 3.4-11.5 mg/dL at 1-2 days), only continued observation and jaundice assessment is indicated at this time. Physiologic hyperbilirubinemia is common in newborns and usually benign, resulting from immature hepatic function and increased RBC hemolysis. Infants have larger red blood cells with a shorter life than adults, leading to more RBC destruction and resulting in an increased load of serum bilirubin, which the liver of the newborn cannot handle. Onset is usually within 24-48 hours, peaking in 72 hours for full term or 5 days for preterm infants and declining within a week. Phototherapy is the indicated treatment for total serum bilirubin 218 mg/dL for those at medium risk.
NEW QUESTION # 26
An intestinal disorder that can occur as a result of malrotation is
Answer: C
Explanation:
A volvulus can occur as a result of malrotation. Around the 10th week of gestation, the intestines are forming and settle within the abdominal cavity. As the large intestine begins to further develop, it repositions itself above and on either side of the small intestine, which is centrally located in the abdomen. With malrotation, the large intestine remains positioned on the left side of the abdomen and the small intestine remains on the right. This can result in a tv,'isting of the intestine, or a volvulus, which can cause ischemia of the area affected and even result in death if not treated. Surgical intervention is often necessary to correct this condition.
NEW QUESTION # 27
What condition can occur in the newborn as a result of Rh incompatibility?
Answer: C
Explanation:
Hydrops fetalis occurs as a result of Rh incompatibility between the newborn and the mother. The Rh incompatibility results in a large number of red blood cells in the infant to be destroyed. This causes severe edema. Approximately half of newborns with hydrops fetalis will not survive. This can be prevented if prenatal testing is done on the mother to determine her Rh status.
If she is Rh negative, an injection can be given during the first trimester of her pregnancy to prevent this reaction from occurring.
NEW QUESTION # 28
An infant in the Neonatal Intensive Care Unit is receiving carbamazepine (Tegretol) for seizure control. When would be the best time to obtain a blood sample to check a drug level?
Answer: C
Explanation:
There are some medications that require drug levels be drawn to ensure the drug concentration is at a therapeutic level and not too high or too low. For carbamazepine (Tegretol), the best time to check the drug level is just prior to giving a dose. The therapeutic drug level for this medication is 4-12 mg/L.
NEW QUESTION # 29
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