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| Section | Weight | Objectives |
|---|---|---|
| General Management | 19% | - Thermoregulation - Pain management and sedation - Resuscitation and stabilization - Nutrition and growth support - Care coordination and family education - Fluids, electrolytes and acid-base balance |
| Professional Issues | 3% | - Interprofessional collaboration - Ethics and legal aspects - Scope and standards of practice - Quality improvement and patient safety |
| General Assessment | 15% | - Growth and development assessment - Interpretation of diagnostic data - Systematic physical assessment - Perinatal history collection |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Eyes, ears, nose and throat - Hematopoietic and immune system - Infectious diseases - Renal and genitourinary system - Neurological system - Gastrointestinal system - Respiratory system - Metabolic and endocrine system - Genetics and congenital anomalies - Cardiovascular system - Musculoskeletal and integumentary system |
| Pharmacology | 9% | - Adverse effects and interactions - Safe administration principles - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates |
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NEW QUESTION # 116
A newborn in the NICU has been receiving gentamicin and ampicillin for the treatment of gram negative sepsis. He is on a fairly high dose of gentamicin and has been for the past 3 days. In addition to the risk of developing renal impairment from the medication, he is also at risk for
Answer: C
Explanation:
When gentamicin is given for more than 2 days, there is an increased risk of hearing loss. In order to decrease this risk, drug levels are measured at the point at which the drug level is highest and again when it is at its lowest (a peak and trough). This is to ensure the antibiotic remains at a therapeutic level rather than a toxic level.
NEW QUESTION # 117
An infant with ABO incompatibility with the mother develops hyperbilirubinemia after birth. The neonate should be monitored for a few weeks after birth for
Answer: C
Explanation:
Anemia may develop in the weeks after delivery because of increased rate of RBC breakdown, so the neonate should be monitored with blood counts. About 20-25% of pregnancies involve ABO incompatibility, usually with the mother type O and the fetus A or B. There are rarely serious complications for the fetus although the neonate may develop hyperbilirubinemia, so the child should be observed carefully. Only in severe cases of hemolysis (rare), does the child require exchange transfusions.
NEW QUESTION # 118
What is measured with the quad screen test?
Answer: C
Explanation:
The quad screen is performed at 15-20 weeks of pregnancy via a blood test. It measures alpha-fetoprotein, human chorionic gonadotropin, estriol, and inhibin-A. Alpha-fetoprotein is made in the liver of the fetus and elevated levels may indicate a neural tube defect such as spina bifida.
Human chorionic gonadotropin is made by the placenta and levels vary during pregnancy. Estriol is a form of estrogen made by the placenta and levels increase during pregnancy. Inhibin-A is a hormone produced by the fetus and the placenta and abnormal levels may indicate the presence of Down syndrome.
NEW QUESTION # 119
The NP is talking to new parents whose child was born with a cleft lip and palate due to amniotic band syndrome. They are concerned that this may happen to any more children they have in the future. The best response to this is
Answer: C
Explanation:
There is no known genetic risk for developing amniotic band syndrome. There are also no known behaviors during pregnancy that increase the risk for this condition. It occurs when thick, fibrous bands within the amniotic fluid wrap around the limb or face of the fetus in utero. It can cut off the blood supply to the affected area and result in amputation or deformity of the affected limb.
If the bands wrap around the face, it can result in cleft lip and palate. There is a greater than 30% chance that amniotic band syndrome will cause a club foot deformity.
NEW QUESTION # 120
An example of an autosomal recessive disease is
Answer: B
NEW QUESTION # 121
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