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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Cardiovascular system - Respiratory system - Hematopoietic and immune system - Gastrointestinal system - Neurological system - Genetics and congenital anomalies - Renal and genitourinary system - Metabolic and endocrine system - Eyes, ears, nose and throat - Infectious diseases - Musculoskeletal and integumentary system |
| Topic 2: Pharmacology | 9% | - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Common medications and dosages |
| Topic 3: Professional Issues | 3% | - Quality improvement and patient safety - Interprofessional collaboration - Ethics and legal aspects - Scope and standards of practice |
| Topic 4: General Assessment | 15% | - Systematic physical assessment - Growth and development assessment - Interpretation of diagnostic data - Perinatal history collection |
| Topic 5: General Management | 19% | - Pain management and sedation - Care coordination and family education - Resuscitation and stabilization - Nutrition and growth support - Thermoregulation - Fluids, electrolytes and acid-base balance |
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NEW QUESTION # 148
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 # 149
To promote family integration, the best time for siblings to visit the mother and neonate is
Answer: A
Explanation:
Children should visit the mother and infant as soon after delivery as possible. Preparation of siblings prior to the birth can decrease anxiety and sibling rivalry by helping the children feel as though they are participants and are valued. Children should be prepared for physical changes in the mother, changing family dynamics, and infant care. A parent/teacher may use dolls to demonstrate childcare and allow the children to practice holding and caring for the baby. When possible, children should have contact with an infant, such as that of a friend or family member.
NEW QUESTION # 150
The NP is administering blood to a premature infant who is anemic. A possible transfusion reaction may be occurring if the patient develops
Answer: C
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 # 151
An infant has been identified as having galactosemi
a. The mother wants to know if she
can still breastfeed him. The best response is
Answer: A
Explanation:
Infants with galactosemia are not able to be breastfed at all and must be bottle-fed with a galactose-free formula. Galactosemia is a hereditary condition in which the infant is deficient in the enzyme that breaks down galactose, the sugar found in milk. Those infants affected will begin with vomiting and diarrhea shortly after ingesting any milk containing this sugar. It can go on to affect the brain, eyes, liver, and kidneys.
NEW QUESTION # 152
A premature infant is in distress and has not responded to resuscitative measures. A volume expander is indicated at this time. What is the risk of giving this type of medication too quickly?
Answer: B
Explanation:
Acute volume expansion in the neonate can be accomplished with an isotonic crystalloid solution, such as lactated Ringer's solution. This increases the pressure in the intravascular space, which causes water to move from the interstitial to intravascular spaces, which increases the circulating blood volume. Crystalloids have a half-life benveen 30 and 60 minutes and must be given in amounts three times the volume lost If too much is given too quickly, however, fluid overload with intraventricular hemorrhage and pulmonary edema can result
NEW QUESTION # 153
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