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| Section | Weight | Objectives |
|---|---|---|
| General Assessment | 15% | - Discharge planning and follow-up care
|
| Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Infectious diseases
|
| Professional Issues | 3% | - Evidence-based practice
|
| Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics
|
| General Management | 19% | - Growth and nutrition
|
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NEW QUESTION # 148
When treating a neonate for hypothermia, the air temperature should be increased by approximately
Answer: B
Explanation:
Steps in treatment of hypothermia:
*Increase the air temperature by approximately I 'C every hour until the infant's
*temperature is normal and stable.
*Determine if the cause of hypothermia is from an abnormal physiological process in the infant or from environmental conditions.
*Avoid rewarming the infant too rapidly because rapid rewarming may result in apnea or hypotension. Maintain the ambient temperature at 1-1.5'C higher than the infant's temperature.
*Warm IV fluids with a blood-warming device prior to infusion.
*Closely monitor the infants blood glucose levels, vital signs, and urinary output.
NEW QUESTION # 149
When conducting research, the type of bias that occurs when there is an error in classification is
Answer: C
Explanation:
Information bias occurs with errors in classification, so an estimate of association is incorrect. Non-differential misclassification occurs when there is similar misclassification of disease or exposure among both those who are diseased/exposed and those who are not. Differential misclassification occurs when there is a differing misclassification of disease or exposure among both those who are diseased/exposed and those who are not. Selection bias occurs when the method of selecting subjects results in a cohort that is not representative of the target population because of inherent error in design. Indication bias occurs when factors prevent differentiating between cause and effect.
NEW QUESTION # 150
What injection do newborns receive at birth to decrease the risk of hemorrhage?
Answer: B
Explanation:
At birth, newborns are given an injection of vitamin K to prevent hemorrhage. Infants are borne with a deficient amount of vitamin K, which can cause a condition known as vitamin K deficiency bleeding, or VKDB. Internal bleeding can be difficult in the newborn until serious complications are developing. so a routine injection of vitamin K is given at birth to decrease the risk of bleeding. Erythromycin ointment is applied to the eyes of the newborn to prevent neonatal gonococcal ophthalmia.
NEW QUESTION # 151
In what order should resuscitative efforts in the premature infant with hydrops fetalis and bilateral pleural effusions be performed?
Answer: B
Explanation:
Hydrops fetalis is a potentially life-threatening condition in which accumulating fluid is present in at least Nzo body cavities (abdomen, pleura, or pericardium). Traditionally, this has been treated through removal of the fluid after the umbilical cord has been cut and resuscitative measures started. It has recently been found that the prognosis is improved if the neonate remains attached to the placenta via the umbilical cord so they continue to receive oxygenated blood from the mother. The fluid can be drawn off and then the cord can be clamped before resuscitative measures are started.
NEW QUESTION # 152
Early-onset sepsis (S72 hours) in the neonate most often presents as
Answer: A
Explanation:
Early onset sepsis most often presents as pneumonia and late onset as bacteremia and/or meningitis. Neonatal sepsis is a particular risk for preterm infants <IOOO g and may be associated with a wide range of pathogens, both bacterial and viral. Early onset (02 hours) is usually related to maternal transmission and late onset (4-90 days) to invasive devices. Septic pneumonia usually presents with tachypnea, sternal retraction, grunting respirations, cyanosis, and apneic periods.
NEW QUESTION # 153
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