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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Assessment | 15% | - Systematic physical assessment - Interpretation of diagnostic data - Perinatal history collection - Growth and development assessment |
| Topic 2: Pharmacology | 9% | - Adverse effects and interactions - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles |
| Topic 3: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Cardiovascular system - Hematopoietic and immune system - Respiratory system - Genetics and congenital anomalies - Gastrointestinal system - Metabolic and endocrine system - Musculoskeletal and integumentary system - Neurological system - Eyes, ears, nose and throat - Infectious diseases - Renal and genitourinary system |
| Topic 4: Professional Issues | 3% | - Ethics and legal aspects - Scope and standards of practice - Quality improvement and patient safety - Interprofessional collaboration |
| Topic 5: General Management | 19% | - Nutrition and growth support - Fluids, electrolytes and acid-base balance - Care coordination and family education - Pain management and sedation - Thermoregulation - Resuscitation and stabilization |
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NEW QUESTION # 104
A newborn has an NG tube in place due to an intestinal obstruction. In order to prevent aspiration of saliva, it is very important to
Answer: A
Explanation:
There is an increased risk of death by aspiration in newborns that have an NG tube. This is due to aspiration of saliva. Because ofthis, a drainage bag should be attached to accept the aspirate.
The stomach contents should also be aspirated at least every 30 minutes to decrease this risk.
NEW QUESTION # 105
During the initial physical examination, the neonate's chest circumference is 34 cm. The expected head circumference is
Answer: C
Explanation:
The head circumference is usually about 2 cm greater than the chest circumference, so the head circumference should be about 36 cm. Normal characteristics of a newborn include the following:
NEW QUESTION # 106
Which of the following potential side effects can occur as a result of forceps being used during delivery?
Answer: B
Explanation:
There is a risk of facial palsy (usually temporary) and minor facial or external eye injury with forceps use. Forceps may be used during delivery to assist the neonate's passage through the birth canal, especially if the mother or infant are in distress. Rarely, a skull fracture or bleeding within the brain can occur.
NEW QUESTION # 107
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: A
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 # 108
A medical emergency that can lead to hypovolemic shock in the newborn is
Answer: C
Explanation:
A subgaleal hemorrhage can be massive and may lead to hypovolemic shock. This condition occurs when there is bleeding in the loose connective tissue of the subgaleal space. The subgaleal space is composed of loose connective tissue that allows the scalp to slide easily on the cranium.
There is an increased risk of a subgaleal hemorrhage with vacuum and forceps use during delivery.
The trauma to the scalp results in rupture of the blood vessels in this space. This usually develops over several hours to several days with the first clinical sign being an increase in head circumference.
NEW QUESTION # 109
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