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| Section | Weight | Objectives |
|---|---|---|
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Respiratory system - Metabolic and endocrine system - Gastrointestinal system - Infectious diseases - Neurological system - Renal and genitourinary system - Hematopoietic and immune system - Genetics and congenital anomalies - Cardiovascular system - Eyes, ears, nose and throat - Musculoskeletal and integumentary system |
| General Assessment | 15% | - Interpretation of diagnostic data - Growth and development assessment - Systematic physical assessment - Perinatal history collection |
| Pharmacology | 9% | - Adverse effects and interactions - Common medications and dosages - Safe administration principles - Pharmacokinetics and pharmacodynamics in neonates |
| General Management | 19% | - Thermoregulation - Care coordination and family education - Pain management and sedation - Fluids, electrolytes and acid-base balance - Resuscitation and stabilization - Nutrition and growth support |
| Professional Issues | 3% | - Scope and standards of practice - Interprofessional collaboration - Ethics and legal aspects - Quality improvement and patient safety |
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NEW QUESTION # 115
The genetic condition that results in a bluish tinge to the sclera of the eyes and multiple bone fractures is
Answer: C
Explanation:
Osteogenesis imperfecta is a genetic disorder that causes bones to be weak and fracture easily. It can also cause a bluish tone to the sclera of the eyes, scoliosis, short stature, and hearing loss. The condition occurs due to a genetic defect that results in problems with the body producing collagen, which strengthens bones. There is no cure for osteogenesis imperfecta, but bone strengthening medications and splinting/casting may help to protect the strength of the bones.
NEW QUESTION # 116
Parents of a newborn have opted to not have their son circumcised. When providing them with care instructions, they will need to know
Answer: C
Explanation:
It is recommended that the newborn's foreskin be gently retracted as much as it will naturally allow during baths and diaper changes, but that cleansing the area beneath the foreskin not be done until the foreskin has fully retracted naturally. Forceful retraction should be avoided as it may cause irritation, bleeding, or fibrosis, and should be avoided for that reason. Bacteria, fungus, and moisture can be trapped within the foreskin, which can lead to a painful infection. Infections can become severe enough to cause significant swelling of the foreskin, which can prevent it from being able to be retracted down over the penis.
NEW QUESTION # 117
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 # 118
Clinical symptoms of neonatal renal vein thrombosis include
Answer: A
Explanation:
Clinical symptoms of renal vein thrombosis in the newborn include thrombocytopenia, hypertension, hematuria, proteinuria, and renal insufficiency. This condition is rare, but can occur in infants born to mothers with a history of diabetes mellitus. This is not an infectious condition, so you would not expect to see leukocytosis. Bence-Jones proteins in the urine are specific to multiple myeloma.
NEW QUESTION # 119
The NP is caring for an infant in the NICU. The newborn has not had a bowel movement in the first 48 hours of his life and has vomited whenever oral feedings are attempted. What is one of the problems that may be present?
Answer: B
Explanation:
Hirschsprungs disease is a congenital condition in which nerve cells are absent from the lower part of the GI tract. This prevents the normal peristaltic movement to occur in the intestines, which pushes waste material through, resulting in a BM. The infant will usually have a distended abdomen and vomiting with this disease. It is treated with surgery to remove the affected part of the colon.
NEW QUESTION # 120
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