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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pharmacology | 9% | - Drugs and breastfeeding
|
| Topic 2: General Assessment | 15% | - Discharge planning and follow-up care
|
| Topic 3: General Management | 19% | - Fluids and electrolytes
|
| Topic 4: Professional Issues | 3% | - Evidence-based practice
|
| Topic 5: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Renal and genitourinary
|
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NEW QUESTION # 176
Signs and symptoms of acute alcohol withdrawal in the newborn with neonatal abstinence syndrome should appear
Answer: A
Explanation:
Symptoms of alcohol withdrawal in a newborn who was exposed to alcohol regularly during pregnancy generally occur 3-12 hours after birth. Withdrawal symptoms from opiates generally occur 24-36 hours after birth, but may be longer depending on the medication. For example, newborns that were exposed to methadone regularly while in utero may not show withdrawal symptoms until a week or longer after birth due to the long half-life of the drug.
NEW QUESTION # 177
Early onset group B strep infection in the newborn is most likely to cause
Answer: B
Explanation:
Early onset group B strep infection in the newborn is most likely to cause sepsis. It can also cause pneumonia. Meningitis can occur with early onset group B strep, but it is not as common as sepsis. Meningitis is more likely to occur with late onset of the infection. Group B strep infection is passed from the mother to the fetus. Screening pregnant women for group B strep is routine so that it can be treated with antibiotics to prevent transmission during pregnancy and birth.
NEW QUESTION # 178
A newborn with congenital cytomegalovirus infection is being treated with IV ganciclovir. W'hen giving this intravenously, over what time period should it be infused?
Answer: C
Explanation:
Ganciclovir should be given over a 60 minute time period when given intravenously. It is used primarily for immunodeficient patients with CMV retinitis. It is a very cytotoxic drug and its cytotoxic effects are increased if given over a shorter period of time than 60 minutes. These adverse effects include thrombocytopenia, granulocytopenia, and anemia. In male patients, it may cause aspermatogenesis.
NEW QUESTION # 179
A neonate born to an HIV-infected mother should receive the first dose of antiretroviral medication within
Answer: A
Explanation:
Antiretroviral medications should be given to the neonate for the first 6 weeks of life with the first dose given within the first 6-12 hours after delivery. The perinatal transmission rate is
30% in untreated HIV positive mothers, usually acquired during delivery; however, optimal treatment reduces perinatal transmission rate to as low as 1-2%. Preventive treatment includes:
*Antiviral therapy during pregnancy: A reduced viral load in the mother lessens the
*likelihood of prenatal transmission.
*Elective Cesarean before the amniotic membranes rupture.
*Avoidance of breastfeeding: The risk of HIV transmission with breastfeeding is 0.7% per month of breastfeeding.
NEW QUESTION # 180
With which genetic condition is the NP likely to see an atrioventricular septal defect, or a ventricular septal defect in less severe cases?
Answer: B
Explanation:
Approximately one-half of all children born with Down syndrome have a heart defect. The most common type of heart defect in these children is an atrioventricular septal defect, or a ventricular septal defect in less severe cases. This occurs when the septum betv:een either the atria and ventricles, or just the ventricles, is not fully formed. This allows oxygenated blood and deoxygenated blood to mix, which can cause the heart to work harder to transport oxygenated blood throughout the body.
NEW QUESTION # 181
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