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| Section | Weight | Objectives |
|---|---|---|
| General Management | 19% | - Nutrition and growth support - Resuscitation and stabilization - Pain management and sedation - Care coordination and family education - Fluids, electrolytes and acid-base balance - Thermoregulation |
| Pharmacology | 9% | - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Adverse effects and interactions |
| General Assessment | 15% | - Growth and development assessment - Interpretation of diagnostic data - Systematic physical assessment - Perinatal history collection |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Hematopoietic and immune system - Neurological system - Metabolic and endocrine system - Respiratory system - Eyes, ears, nose and throat - Cardiovascular system - Genetics and congenital anomalies - Infectious diseases - Gastrointestinal system - Musculoskeletal and integumentary system - Renal and genitourinary system |
| Professional Issues | 3% | - Scope and standards of practice - Quality improvement and patient safety - Interprofessional collaboration - Ethics and legal aspects |
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NEW QUESTION # 50
The feces of house cats can cause a parasitic infection called
Answer: B
Explanation:
Cat feces can contain a parasite called toxoplasmosis. A pregnant woman may contract this parasite and then pass it onto the fetus through the placenta. For this reason, pregnant women should avoid contact with cat feces, such as when cleaning a litter box. Most pregnant women who become infected will not be aware of the infection. It can cause prematurity in about half of those infants who contract the parasite in utero. The infection can cause damage to the eyes, ears, nervous system, and skin in infants,
NEW QUESTION # 51
A newborn in the NICU has been receiving gentamicin and ampicillin for the treatment of gram negative sepsis. He is on a fairly high dose of gentamicin and has been for the past 3 days. In addition to the risk of developing renal impairment from the medication, he is also at risk for
Answer: A
Explanation:
When gentamicin is given for more than 2 days, there is an increased risk of hearing loss. In order to decrease this risk, drug levels are measured at the point at which the drug level is highest and again when it is at its lowest (a peak and trough). This is to ensure the antibiotic remains at a therapeutic level rather than a toxic level.
NEW QUESTION # 52
Placing a neonate on a cold scale may decrease body temperature through
Answer: A
Explanation:
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.
NEW QUESTION # 53
If a pregnant woman contracts measles during pregnancy, the baby is at risk for developing
Answer: B
Explanation:
Rubella, or German measles, in the mother can result in congenital cataracts in the newborn. Other infections that can contribute to cataracts developing in the newborn are toxoplasmosis, cytomegalovirus, or chickenpox. Genetic defects can also cause congenital cataracts.
These can be severe enough to require surgical removal and lens replacement.
NEW QUESTION # 54
What is the ideal timeframe in which surfactant should be given to the newborn with respiratory distress?
Answer: C
Explanation:
Surfactant should be given as soon as the diagnosis of respiratory distress syndrome is made, preferably within 1 hour of birth. A repeat dose is then given 4-12 hours after birth as long as the infant is still intubated and requiring 30-40% oxygen. Surfactant is administered through the endotracheal tube over the course of a few minutes.
NEW QUESTION # 55
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