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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Hematopoietic and immune system - Musculoskeletal and integumentary system - Neurological system - Infectious diseases - Gastrointestinal system - Cardiovascular system - Metabolic and endocrine system - Renal and genitourinary system - Genetics and congenital anomalies - Eyes, ears, nose and throat - Respiratory system |
| Topic 2: Professional Issues | 3% | - Ethics and legal aspects - Interprofessional collaboration - Scope and standards of practice - Quality improvement and patient safety |
| Topic 3: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages - Safe administration principles - Adverse effects and interactions |
| Topic 4: General Management | 19% | - Care coordination and family education - Thermoregulation - Fluids, electrolytes and acid-base balance - Pain management and sedation - Nutrition and growth support - Resuscitation and stabilization |
| Topic 5: General Assessment | 15% | - Growth and development assessment - Systematic physical assessment - Interpretation of diagnostic data - Perinatal history collection |
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NEW QUESTION # 113
An elevated serum lactate level in an infant in the Neonatal Intensive Care Unit is associated with
Answer: B
Explanation:
Lactic acid is increased in situations of tissue hypoxia, which can lead to severe metabolic acidosis. This can occur with sepsis, heart failure, shock, and multisystem organ failure. Studies have shown that elevations in serum lactate in the first week of life correlate with an increase in mortality rates. This risk is higher in infants born less than 1000 g.
NEW QUESTION # 114
What is the most common cause of respiratory distress in the newborn?
Answer: C
Explanation:
Transient tachypnea of the newborn is the most common cause of respiratory distress in the newborn. It is triggered by excessive fluid in the lungs and usually resolves on its own. It occurs shortly after delivery. Supportive care with oxygen or CPAP may be necessary until the symptoms resolve. It is most common in babies born via Cesarean section.
NEW QUESTION # 115
Which of the following is used to test for congenital cytomegalovirus infection?
Answer: B
Explanation:
A congenital cytomegalovirus (CMU infection can be diagnosed using saliva, urine, or blood specimens. Testing must be done within the first 2-3 weeks following birth. A mother who has CMV can pass this infection to the fetus through the placenta. Most infants will never develop any symptoms from the virus, but approximately 20% can develop hearing loss, vision loss, intellectual disabilities, seizures, or muscle weakness.
NEW QUESTION # 116
A 6-day-old newborn develops signs of congestive heart failure with tachypnea, heart rate 175 at rest, fine pulmonary rales, and difficulty feeding. The most likely underlying cause is
Answer: C
Explanation:
Onset of symptoms varies with different structural defects, and symptoms of congestive heart failure within the first week may be caused by patent ductus arteriosus as well as transposition of the great vessels and total anomalous pulmonary return with pulmonary venous obstruction. Hypoplastic left heart syndrome is evident at birth. Coarctation of the aorta and pulmonary stenosis are usually evident between one and four weeks after birth.
NEW QUESTION # 117
A newborn has been diagnosed with neonatal testicular torsion that has left one testicle unsalvageable. The other testicle is not affected. The parents are asking if their son will have fertility problems when he is older because of this. The most appropriate
Answer: A
Explanation:
Unilateral neonatal testicular torsion generally has little, if any, effect on future futility.
Bilateral torsion can result in bilateral testicular dysfunction, which can involve deficiencies in sex steroid hormones. Those patients should be seen by an endocrinologist to determine what sex steroid hormone replacement therapy will be necessary for normal development.
NEW QUESTION # 118
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