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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Management | 19% | - Fluids, electrolytes and acid-base balance - Care coordination and family education - Nutrition and growth support - Resuscitation and stabilization - Pain management and sedation - Thermoregulation |
| Topic 2: General Assessment | 15% | - Systematic physical assessment - Interpretation of diagnostic data - Perinatal history collection - Growth and development assessment |
| Topic 3: Professional Issues | 3% | - Interprofessional collaboration - Quality improvement and patient safety - Ethics and legal aspects - Scope and standards of practice |
| Topic 4: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages - Safe administration principles - Adverse effects and interactions |
| Topic 5: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Gastrointestinal system - Musculoskeletal and integumentary system - Eyes, ears, nose and throat - Genetics and congenital anomalies - Respiratory system - Renal and genitourinary system - Neurological system - Metabolic and endocrine system - Cardiovascular system - Infectious diseases - Hematopoietic and immune system |
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NEW QUESTION # 35
The NP is caring for a child with end stage renal disease. A sign that he may be in fluid overload is
Answer: A
Explanation:
Some of the signs of fluid overload include increased blood pressure, swelling in the extremities and face, abdominal bloating, shortness of breath, and tachycardia. The NP will monitor the patient regularly for any of these symptoms. If the patient will be discharged home, the parents and/or caregivers will also need to be educated on these symptoms.
NEW QUESTION # 36
The NP has an order to give dobutamine intravenously. She knows that
Answer: B
Explanation:
Whenever possible, dobutamine should be given through a central line because it is caustic to the body's tissues. This medication is primarily used to improve the effectiveness of the heart to work as a pump and, to a lesser degree, can help with hypotension.
NEW QUESTION # 37
Which of the following potential side effects can occur as a result of forceps being used during delivery?
Answer: B
Explanation:
There is a risk of facial palsy (usually temporary) and minor facial or external eye injury with forceps use. Forceps may be used during delivery to assist the neonate's passage through the birth canal, especially if the mother or infant are in distress. Rarely, a skull fracture or bleeding within the brain can occur.
NEW QUESTION # 38
A full-term neonate fails to pass meconium in the first 48 hours of life. The infant exhibits abdominal distension, poor feeding, and bilious vomiting. An x-ray of the abdomen shows dilated loops of bowel. The diagnostic procedure used both to confirm a diagnosis of meconium plug syndrome and to direct treatment is
Answer: A
Explanation:
A contrast enema is used to confirm a diagnosis of meconium plug syndrome and helps differentiate that from other causes of intestinal obstruction. The contrast enema also is often therapeutic and helps the plug to pass. Meconium plug syndrome usually occurs in full-term infants, infants of diabetic mothers, or infants with hypermagnesemia. A small percentage of infants initially identified as having meconium plug syndrome (5-10%) have Hirschsprung disease. The cause of meconium plug syndrome is thought to be immaturity of the ganglion cells of the colon.
NEW QUESTION # 39
When administering blood or blood products
Answer: A
Explanation:
A person with AB+ blood is considered a universal recipient because they can receive blood or blood products of any type. A universal donor would be a person with type O- blood. The most restricted recipient blood type is O- because those patients can only receive O- blood or blood products.
NEW QUESTION # 40
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