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| Section | Weight | Objectives |
|---|---|---|
| Professional Issues | 3% | - Evidence-based practice
|
| Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Musculoskeletal
|
| Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics
|
| General Assessment | 15% | - Discharge planning and follow-up care
|
| General Management | 19% | - Fluids and electrolytes
|
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NEW QUESTION # 160
Which of the following will have the greatest amount of insensible water loss?
Answer: A
Explanation:
Insensible water loss is that water that passes through the skin and evaporates and the water that evaporates through the respiratory tract. Newborns have a relatively large surface area through which there can be increased amounts of insensible water loss. This loss will be at its greatest in the small early gestational age infant.
NEW QUESTION # 161
The major route in a full-term neonate for rapidly increasing body temperature in response to cold stress is
Answer: B
Explanation:
Non-shivering thermogenesis (NST) is the major route of rapid increase of body temperature in response to cold stress in the term neonate. NST is the oxidation of brown fat to create heat.
Brown adipose tissue contains a high concentration of stored triglycerides, a rich capillary network, and is controlled by the sympathetic nervous system. When brown fat is metabolized, heat is created. When a cold body temperature is detected, the posterior hypothalamus responds by triggering the adrenal glands to release norepinephrine and the pituitary gland to release thyroxine. Both stimulate NST.
NEW QUESTION # 162
A nevus flammeus is commonly known as
Answer: B
Explanation:
A nevus flammeus, or port wine stain, is a birth mark that results from a malformation of capillaries. Though they appear pink at birth, they will become a darker reddish or purplish color in adulthood. Port wine stains are not inherited genetically and they have no known cause. Laser treatments may help to lighten these birth marks, especially if they are done while the child is young and the lesion is lighter in color.
NEW QUESTION # 163
When the NP is assessing a newborn, the reflex that results in abduction and extension of the infant's arms as the hands open is the
Answer: C
Explanation:
The Moro reflex is checked by quickly lowering the infant's head relative to the trunk and is present as early as 32 weeks gestation. Positive signs ofthis reflex include the abduction and extension of the infant's arms as the hands open. It is no longer present by the time the infant is 6- months-old. The grasp reflex is the reflexive action of bending the fingers around an object placed in the palm. The asymmetrical tonic reflex is also called the "fencing" reflex. When the infants head is turned to one side, the arm and leg of the side at which the face is turned extend and the arm and leg on the opposite side flex.
NEW QUESTION # 164
A neonate, 2 days after birth, develops a generalized rash with erythematous papules, vesicles, and some pustules everywhere but on the palms and soles of feet. The most likely diagnosis is
Answer: A
Explanation:
Erythema toxicum is a skin eruption of erythematous papules, vesicles, and sometimes pustules. Erythema toxicum is essentially benign and occurs in 250% of newborns. It is a generalized rash everywhere except the palms and soles of the feet, usually occurring 2-3 days after birth. Neonatal pustular melanosis is a benign rash (vesicles and macules) but not associated with erythema. Cutis marmorata is a disorder in which the infant's skin mottles or marbles when exposed to cold, because the superficial blood vessels dilate and contract at the same time.
NEW QUESTION # 165
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