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| Section | Weight | Objectives |
|---|---|---|
| Pharmacology | 9% | - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Common medications and dosages |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Genetics and congenital anomalies - Hematopoietic and immune system - Neurological system - Musculoskeletal and integumentary system - Gastrointestinal system - Renal and genitourinary system - Eyes, ears, nose and throat - Metabolic and endocrine system - Respiratory system - Infectious diseases - Cardiovascular system |
| General Management | 19% | - Nutrition and growth support - Pain management and sedation - Fluids, electrolytes and acid-base balance - Resuscitation and stabilization - Care coordination and family education - Thermoregulation |
| Professional Issues | 3% | - Scope and standards of practice - Interprofessional collaboration - Quality improvement and patient safety - Ethics and legal aspects |
| General Assessment | 15% | - Systematic physical assessment - Growth and development assessment - Interpretation of diagnostic data - Perinatal history collection |
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NEW QUESTION # 11
A premature infant in the NICU has a nasogastric drain. The results ofher arterial blood gases are as follows:
*ph -7.5
*HCOs - 29
*pC02 - 37
Based on these values, which acid-base disorder has this infant developed?
Answer: A
Explanation:
Metabolic alkalosis will cause the arterial blood pH and bicarbonate levels to increase.
Conversely, metabolic acidosis will cause arterial pH and bicarbonate levels to decrease.
Respiratory acidosis will increase the arterial carbon dioxide level while decreasing the PH, and respiratory alkalosis will have the opposite results with a decrease in carbon dioxide level and an increased PH.
NEW QUESTION # 12
The parents of a neonate are considering genetic testing for their son because the father was recently diagnosed with Huntington's disease. They ask the NP's opinion. The most appropriate response is
Answer: A
Explanation:
The information derived from testing for Huntington's disease cannot be used for health promotion or disease prevention, so the parents should be counseled to wait until the child is at the age to make an informed decision about whether to have testing. This type of information can be devastating to young people who are not provided adequate support and counseling prior to testing. Some people with adult-onset diseases choose not to be tested, and childhood testing robs them of this choice.
NEW QUESTION # 13
A neonate exhibits the following:
*Long narrow torso with short arms and legs.
*Proximal segment of the limbs (upper arms and thighs) disproportionately short.
*Head large with frontal bossing and midface hypoplasia.
These characteristics are consistent with
Answer: B
Explanation:
Achondroplasia is the most common cause of dwarfism. Bone growth is inhibited as the result of an abnormal gene on chromosome 4. Achondroplasia can be inherited in an autosomal dominant fashion, but the majority of cases (75-80%) occur with spontaneous mutations. Clinical features apparent at birth include a long narrow torso with short arms and legs. The proximal segment of the limbs (upper arms and thighs) is disproportionately short. The head is large, with frontal bossing and midface hypoplasia. A small hump (gibbus) may be present in the mid-to-lower back. Mild, generalized hypotonia may be present.
NEW QUESTION # 14
A child with late congenital syphilis will generally show symptoms
Answer: A
Explanation:
Late congenital syphilis will reveal symptoms after a child is at least 2 -years-old. This is transmitted to the newborn by a mother with syphilis. Early onset of the disease (less than 2 years of age), may cause a chronic runny nose, enlarged liver or spleen, skeletal abnormalities, or a bullous skin condition. Late onset can cause eye and ear problems, and skeletal abnormalities.
NEW QUESTION # 15
The parents of a newborn with strabismus express concern about how this is going to be treated. The most appropriate response is
Answer: C
Explanation:
Strabismus is a misalignment of the eyes, usually from a weak or defective eye muscle. As the child becomes older, patching and eyeglasses can help with strengthening the weak muscle to help align the gaze of the eyes. If left untreated or in the rare cases that patching and eyeglasses are not affective, strabismus can become severe and result in a full cross-eyed appearance. Occasionally surgery will need to be performed to correct the misalignment.
NEW QUESTION # 16
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