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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pharmacology | 9% | - Adverse effects and interactions - Safe administration principles - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates |
| Topic 2: Professional Issues | 3% | - Interprofessional collaboration - Ethics and legal aspects - Quality improvement and patient safety - Scope and standards of practice |
| Topic 3: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Infectious diseases - Renal and genitourinary system - Musculoskeletal and integumentary system - Gastrointestinal system - Metabolic and endocrine system - Respiratory system - Genetics and congenital anomalies - Eyes, ears, nose and throat - Neurological system - Hematopoietic and immune system - Cardiovascular system |
| Topic 4: General Management | 19% | - Resuscitation and stabilization - Thermoregulation - Pain management and sedation - Nutrition and growth support - Fluids, electrolytes and acid-base balance - Care coordination and family education |
| Topic 5: General Assessment | 15% | - Growth and development assessment - Perinatal history collection - Systematic physical assessment - Interpretation of diagnostic data |
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NEW QUESTION # 106
When monitoring the fetal heart rate during labor, which of the following is most likely to be most dangerous to the fetus?
Answer: C
Explanation:
Late decelerations present as smooth decreases in heart rate that begin at the peak of a contraction. When late decelerations occur along with tachycardia and without an acceleration, or a return to normal heart rate range, it can be a sign that the fetus is not getting enough oxygen. Early decelerations begin before the contraction peaks and usually occur as the fetus passes through the birth canal and the skull is compressed. They are generally not harmful. Variable decelerations occur when the umbilical cord is temporarily compressed and are very common during labor. They are usually not harmful when they occur later in labor and are followed by an acceleration. When variable decelerations occur early in labor and are severe, emergent delivery of the baby may be necessary.
NEW QUESTION # 107
Which of the following is a potential risk when using an extracorporeal membrane oxygenation (ECMO) device?
Answer: A
Explanation:
An extracorporeal membrane oxygenation (ECMO) device is used in infants who are not able to breath or pump blood on their own. It is a type of heart-lung bypass machine that circulates blood from the infant. through an artificial lung to oxygenate the blood, and then back into the infant to circulate through the body. Some of the potential risks include the formation of blood clots, bleeding, or infection. Blindness (specifically, retinopathy of prematurity) was a common complication of excessive supplemental oxygen in the 1940's prior to advances and research in oxygen administration. Generally, electrolyte levels are not impacted by ECMO.
NEW QUESTION # 108
The newborn with hypothermia has an increased risk of developing
Answer: B
Explanation:
Persistent hypothermia can lead to hypoglycemia. There may be a period of transient hyperglycemia when glycogen stores are used to increase glucose levels, but this is followed by hypoglycemia as energy demands exceed glucose supply. This can lead to metabolic acidosis, not alkalosis.
NEW QUESTION # 109
The following drug(s) should always be included with infant resuscitation equipment
Answer: C
Explanation:
Medications that should always be included as part of the minimum neonatal resuscitation equipment include epinephrine and naloxone. Epinephrine is the AHA recommended pharmacologic intervention in the case of ineffective CPR in neonatal resuscitation. Naloxone is indicated in the case of respiratory distress in infants with opioid withdraw after the administrations of opioids as pain control in the labor process. Surfactant (indicated in respiratory distress, particularly in preterm neonates) and prostaglandins (indicated for cyanotic congenital heart defects) are useful in specific cases, but are not part of the minimum resuscitation equipment.
NEW QUESTION # 110
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 # 111
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