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| Section | Weight | Objectives |
|---|---|---|
| Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Adverse effects and interactions - Safe administration principles - Common medications and dosages |
| Professional Issues | 3% | - Scope and standards of practice - Quality improvement and patient safety - Ethics and legal aspects - Interprofessional collaboration |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Renal and genitourinary system - Respiratory system - Cardiovascular system - Neurological system - Infectious diseases - Genetics and congenital anomalies - Gastrointestinal system - Metabolic and endocrine system - Musculoskeletal and integumentary system - Eyes, ears, nose and throat - Hematopoietic and immune system |
| General Management | 19% | - Pain management and sedation - Thermoregulation - Care coordination and family education - Fluids, electrolytes and acid-base balance - Nutrition and growth support - Resuscitation and stabilization |
| General Assessment | 15% | - Perinatal history collection - Interpretation of diagnostic data - Growth and development assessment - Systematic physical assessment |
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NEW QUESTION # 122
What are the most common symptoms of sudden withdrawal of a beta blocker medication?
Answer: C
Explanation:
Therapeutic drugs can cause withdrawal symptoms when they are stopped suddenly, especially if the patient has been taking them for a long period of time. The primary mechanism of action of beta blockers is to decrease heart rate, thereby decreasing blood pressure, and decreasing the risk of developing a cardiac dysrhythmia. When the medication is stopped suddenly, the opposite effect is seen with a significant response. This includes high blood pressure, elevated heart rate, and risk of cardiac dysrhythmias, tremors, and sweating.
NEW QUESTION # 123
The most common type of short-limbed dwarfism is
Answer: C
Explanation:
The most common type of short-limbed dwarfism is achondroplasia. This condition follows an autosomal dominant pattern, meaning that only one parent needs to pass on the gene for this condition to occur. It results in an average-sized trunk with short arms and legs, a large head with a high forehead, and short fingers. The middle finger and ring finger may diverge which gives the hand a trident appearance. There are no common learning disabilities associated with achondroplasia.
NEW QUESTION # 124
The parents of a neonate are considering genetic testing for their son because the father was recently diagnosed with Huntington's disease. They ask the NP's opinion. The most appropriate response is
Answer: B
Explanation:
The information derived from testing for Huntington's disease cannot be used for health promotion or disease prevention, so the parents should be counseled to wait until the child is at the age to make an informed decision about whether to have testing. This type of information can be devastating to young people who are not provided adequate support and counseling prior to testing. Some people with adult-onset diseases choose not to be tested, and childhood testing robs them of this choice.
NEW QUESTION # 125
The mechanism of action of surfactant is to
Answer: A
Explanation:
The inside of the alveoli in the lungs are wet and can easily stick together when air is exhaled. Surfactant decreases the surface tension within the alveoli so they can easily expand when a breath is taken, making it easier to breath. The human body produces surfactant on its own, buT not until after 36 weeks gestation. Sometimes it is necessary to administer surfactant directly into the lungs through the endotracheal tube.
NEW QUESTION # 126
A neonate is 40 weeks gestation and nursing well but has onset of jaundice at 36 hours.
Total serum bilirubin is 12 mg/dL At this time, treatment should include
Answer: A
Explanation:
While the neonate's bilirubin is elevated (normal range 3.4-11.5 mg/dL at 1-2 days), only continued observation and jaundice assessment is indicated at this time. Physiologic hyperbilirubinemia is common in newborns and usually benign, resulting from immature hepatic function and increased RBC hemolysis. Infants have larger red blood cells with a shorter life than adults, leading to more RBC destruction and resulting in an increased load of serum bilirubin, which the liver of the newborn cannot handle. Onset is usually within 24-48 hours, peaking in 72 hours for full term or 5 days for preterm infants and declining within a week. Phototherapy is the indicated treatment for total serum bilirubin 218 mg/dL for those at medium risk.
NEW QUESTION # 127
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