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| Section | Weight | Objectives |
|---|---|---|
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Neurological system - Gastrointestinal system - Hematopoietic and immune system - Respiratory system - Renal and genitourinary system - Cardiovascular system - Musculoskeletal and integumentary system - Infectious diseases - Metabolic and endocrine system - Genetics and congenital anomalies - Eyes, ears, nose and throat |
| Pharmacology | 9% | - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages - Safe administration principles |
| General Management | 19% | - Pain management and sedation - Resuscitation and stabilization - Fluids, electrolytes and acid-base balance - Care coordination and family education - Nutrition and growth support - Thermoregulation |
| Professional Issues | 3% | - Interprofessional collaboration - Quality improvement and patient safety - Ethics and legal aspects - Scope and standards of practice |
| General Assessment | 15% | - Systematic physical assessment - Growth and development assessment - Interpretation of diagnostic data - Perinatal history collection |
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NEW QUESTION # 158
The major route in a full-term neonate for rapidly increasing body temperature in response to cold stress is
Answer: A
Explanation:
Non-shivering thermogenesis (NST) is the major route of rapid increase of body temperature in response to cold stress in the term neonate. NST is the oxidation of brown fat to create heat.
Brown adipose tissue contains a high concentration of stored triglycerides, a rich capillary network, and is controlled by the sympathetic nervous system. When brown fat is metabolized, heat is created. When a cold body temperature is detected, the posterior hypothalamus responds by triggering the adrenal glands to release norepinephrine and the pituitary gland to release thyroxine. Both stimulate NST.
NEW QUESTION # 159
The mineral that is often very low after the administration of intravenous Lasix is
Answer: A
Explanation:
Calcium excretion is increased when a person receives Lasix. In the newborn, this can affect bone formation and maturation. Calcium levels should be monitored when a newborn is on Lasix, and supplementation administered if necessary.
NEW QUESTION # 160
A newborn with congenital cytomegalovirus infection is being treated with IV ganciclovir. W'hen giving this intravenously, over what time period should it be infused?
Answer: A
Explanation:
Ganciclovir should be given over a 60 minute time period when given intravenously. It is used primarily for immunodeficient patients with CMV retinitis. It is a very cytotoxic drug and its cytotoxic effects are increased if given over a shorter period of time than 60 minutes. These adverse effects include thrombocytopenia, granulocytopenia, and anemia. In male patients, it may cause aspermatogenesis.
NEW QUESTION # 161
The feces of house cats can cause a parasitic infection called
Answer: B
Explanation:
Cat feces can contain a parasite called toxoplasmosis. A pregnant woman may contract this parasite and then pass it onto the fetus through the placenta. For this reason, pregnant women should avoid contact with cat feces, such as when cleaning a litter box. Most pregnant women who become infected will not be aware of the infection. It can cause prematurity in about half of those infants who contract the parasite in utero. The infection can cause damage to the eyes, ears, nervous system, and skin in infants,
NEW QUESTION # 162
Five minutes after birth, a newborn infant is actively moving, crying, skin is pink all over, and heart rate is 132. Based on this information, you know this infant's Apgar score is
Answer: C
Explanation:
The Apgar score is assessed one minute and again five minutes after birth. The initial reading is to assess how the newborn did through the birthing process. The second is done to assess how the newborn is doing outside the womb. The infant's activity level, heart rate, breathing pattern, skin color, and grimacing response are assessed and 0-2 points are assigned based on their condition. This infant is showing all signs of a healthy newborn, scoring 2 points in each section for a total of a perfect 10.
NEW QUESTION # 163
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