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| Section | Weight | Objectives |
|---|---|---|
| General Assessment | 15% | - Perinatal history collection - Systematic physical assessment - Interpretation of diagnostic data - Growth and development assessment |
| General Management | 19% | - Thermoregulation - Pain management and sedation - Nutrition and growth support - Resuscitation and stabilization - Care coordination and family education - Fluids, electrolytes and acid-base balance |
| Pharmacology | 9% | - Common medications and dosages - Adverse effects and interactions - Safe administration principles - Pharmacokinetics and pharmacodynamics in neonates |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Cardiovascular system - Hematopoietic and immune system - Neurological system - Respiratory system - Musculoskeletal and integumentary system - Gastrointestinal system - Infectious diseases - Eyes, ears, nose and throat - Renal and genitourinary system - Genetics and congenital anomalies - Metabolic and endocrine system |
| Professional Issues | 3% | - Ethics and legal aspects - Quality improvement and patient safety - Interprofessional collaboration - Scope and standards of practice |
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95. Frage
A neonate has had frequent blood draws to monitor electrolyte and glucose levels. This phlebotomy has caused anemia of prematurity (AOP) although the infant is not acutely hypoxemic. The initial treatment is
Antwort: A
Begründung:
repo is indicated to stimulate erythropoiesis in phlebotomy-related AOP. Infants with signs of hypoxemia (poor feeding, tachypnea, tachycardia, pallor) may require transfusions. AOP represents a pathologic exaggeration of the normal decrease in hematocrit that occurs in every newborn. Other causes include:
*Decreased RBC production because the premature neonate's response to erythropoietin
*CEPO), the main stimulus for RBC production, has not matured. Lowest Hgb levels are usually at 2-3 months of age.
*Premature RBCs have a shortened lifespan when compared to the full term neonate's
*because of decreased levels of intracellular ATP and enzyme activity.
96. Frage
Onset of drug withdrawal symptoms for a neonate whose mother used heroin during pregnancy is
Antwort: C
Begründung:
The onset of withdrawal symptoms in a neonate varies depending on the mother's type of drug use, but the onset of symptoms of narcotics, such as heroin or methadone, is longer than for other drugs, ranging from 48-72 hours for most but can be up to one month, so many of these neonates may be discharged prior to onset of symptoms. Mothers should be carefully screened to try to identify infants at risk.
97. Frage
A nevus flammeus is commonly known as
Antwort: A
Begründung:
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.
98. Frage
Placing a neonate on a cold scale may decrease body temperature through
Antwort: C
Begründung:
Conduction is the transfer of heat between solid objects of different temperatures in contact with each other. Heat is transferred from the body of the infant to a cold surface it may come into contact with, such as a scale. Convection is the transfer of heat through air currents to the air moving around and across an infant's body. Evaporation is the loss of heat occurring when moisture evaporates from the surface of the skin. Radiation is when heat is transferred between two objects not in contact with each other. This is the transfer of heat through emission of infrared rays, such as with radiant warming beds.
99. Frage
What is measured with the quad screen test?
Antwort: C
Begründung:
The quad screen is performed at 15-20 weeks of pregnancy via a blood test. It measures alpha-fetoprotein, human chorionic gonadotropin, estriol, and inhibin-A. Alpha-fetoprotein is made in the liver of the fetus and elevated levels may indicate a neural tube defect such as spina bifida.
Human chorionic gonadotropin is made by the placenta and levels vary during pregnancy. Estriol is a form of estrogen made by the placenta and levels increase during pregnancy. Inhibin-A is a hormone produced by the fetus and the placenta and abnormal levels may indicate the presence of Down syndrome.
100. Frage
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