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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Assessment | 15% | - Systematic physical assessment - Perinatal history collection - Growth and development assessment - Interpretation of diagnostic data |
| Topic 2: Professional Issues | 3% | - Interprofessional collaboration - Ethics and legal aspects - Scope and standards of practice - Quality improvement and patient safety |
| Topic 3: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Cardiovascular system - Metabolic and endocrine system - Eyes, ears, nose and throat - Musculoskeletal and integumentary system - Hematopoietic and immune system - Gastrointestinal system - Infectious diseases - Genetics and congenital anomalies - Neurological system - Respiratory system - Renal and genitourinary system |
| Topic 4: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Common medications and dosages - Adverse effects and interactions |
| Topic 5: General Management | 19% | - Resuscitation and stabilization - Thermoregulation - Care coordination and family education - Fluids, electrolytes and acid-base balance - Nutrition and growth support - Pain management and sedation |
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NEW QUESTION # 94
When placing a temperature probe on a supine neonate to monitor thermoregulation, a good location for the probe is over the
Answer: A
Explanation:
A common probe placement for a supine infant is over the liver. The probe should not be placed over a bony area or an area with abundant brown adipose tissue, such as around the neck, the mid-scapular region of the back, the mediastinum, and organs in the thoracic cavity, kidneys, and adrenal glands. If the probe makes poor skin contact, it will indicate that the infant is cold, and the warmer will deliver increased amounts of heat, possibly causing hyperthermia. If the probe is underneath the infant, it may indicate an artificially warm temperature and decrease heat to the infant, causing hypothermia.
NEW QUESTION # 95
The parents of a newborn with strabismus express concern about how this is going to be treated. The most appropriate response is
Answer: B
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 # 96
A neonate suffered perinatal asphyxia and developed moderate hypoxic ischemic encephalopathy (HIE) with neurological dysfunction. The treatment that is LEAST likely to be utilized to treat this condition is
Answer: B
Explanation:
With advancing implementation of therapeutic hypothermia, this method oftreatment has become the first line approach in treating moderate to severe HIE with the target temperature dependent upon the severity of the encephalopathy. Additional treatments include phenobarbital for seizures treatment and/or prevention. Fluid resuscitation is not indicated in HIE; in fact it is common to apply a fluid restriction to a neonate with HIE to control additional swelling. HIE results when oxygen supply to the brain is impaired. HIE is classified as mild, moderate, or severe, depending on the degree of ischemia and symptoms. Mild HIE usually resolves in 3-4 days and moderate HIE in 1-2 weeks, but permanent brain damage can occur with severe HIE.
NEW QUESTION # 97
A mother delivers a child with sickle cell disease, an autosomal recessive disorder. The recurrence risk for subsequent children being born with the disorder is
Answer: A
Explanation:
Autosomal recessive: Recurrence is 25% for each pregnancy and 50% risk of the child becoming a carrier. Autosomal dominant: Recurrence risk is 50%, but there is no carrier state. X- linked recessive: Recurrence risk is 50% for affected sons and 50% risk of daughters becoming carriers. Affected sons do not pass the disorder to sons, but all daughters become carriers. X-Iinked dominant: Father passes the disorder to 100% of daughters but no sons. Mother passes the trait to
50% of sons and 50% of daughters, but daughters are usually unaffected.
NEW QUESTION # 98
A woman who is known to have hepatitis B is delivering her first baby. Treatment of the infant should include
Answer: B
Explanation:
It is imperative to administer the hepatitis B vaccine and hepatitis B immunoglobulin to these infants within 12 hours of birth. Hepatitis B is transmitted from the mother to the fetus during pregnancy. Approximately 40% of infants of hepatitis B positive women will develop the disease, and up to 25% ofthose will die from chronic liver disease. Routine vaccination of all infants is usually given within 24 hours of birth.
NEW QUESTION # 99
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