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| Section | Weight | Objectives |
|---|---|---|
| Professional Issues | 3% | - Quality improvement and patient safety - Ethics and legal aspects - Scope and standards of practice - Interprofessional collaboration |
| Pharmacology | 9% | - Safe administration principles - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages - Adverse effects and interactions |
| General Assessment | 15% | - Perinatal history collection - Growth and development assessment - Systematic physical assessment - Interpretation of diagnostic data |
| General Management | 19% | - Resuscitation and stabilization - Care coordination and family education - Pain management and sedation - Nutrition and growth support - Fluids, electrolytes and acid-base balance - Thermoregulation |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Hematopoietic and immune system - Eyes, ears, nose and throat - Cardiovascular system - Renal and genitourinary system - Genetics and congenital anomalies - Infectious diseases - Gastrointestinal system - Metabolic and endocrine system - Neurological system - Respiratory system - Musculoskeletal and integumentary system |
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NEW QUESTION # 153
Which condition results in birth defects that are usually fatal before birth or within the first year of life?
Answer: B
Explanation:
Edwards syndrome, or trisomy 18, is a condition that occurs when there is an extra 18th chromosome. This is usually diagnosed prenatally with blood screening and ultrasounds. Infants with this condition are smaller than normal and have a small, misshapen head. Over one-third of these infants do not live past the first year of live. Approximately 10% may live up to 10 years of life, though, but with very complex medical problems due to birth defects affecting the organs.
NEW QUESTION # 154
A neonate receiving mechanical ventilation has a PaC02 level of 33 mmHg with pH of 7.5 from a blood sample obtained from the umbilical artery. These values indicate
Answer: A
Explanation:
These values indicate respiratory alkalosis from hyperventilation associated with excessive mechanical ventilation, which decreases the level of carbon dioxide in the blood. Respiratory alkalosis occurs with PaC02 <35 mmHg and pH >7.45. Normal PaC02 is 35-45 mmHg and normal pH
7.35-7.45. Arterial blood gas (ABG) is the most informative measurement of blood gas status.
Venous blood gas (VBG) is easier to obtain if an arterial catheter is not in place. To compare the values in the VBG with an ABG, add 0.05 to the pH of the VBG. Subtract 5-10 mmHg from the PC02 of the VBG. Capillary blood gas (CBG) can be obtained with a heel stick, but the values obtained are the least accurate and rarely useful.
NEW QUESTION # 155
If left untreated, coarctation of the aorta can lead to
Answer: C
Explanation:
Coarctation of the aorta can cause congestive heart failure. It occurs when there is narrowing in the aorta. It is a congenital condition that may not cause any symptoms in the newborn and may not be known to be present until adulthood. If symptomatic, the common symptoms are pallor, difficulty breathing, and poor feeding due to difficulty breathing. If it is left untreated, it can lead to congestive heart failure or even death.
NEW QUESTION # 156
The four heart defects seen with Tetralogy of Fallot are
Answer: A
Explanation:
Tetralogy of Fallot is a very serious congenital heart defect that includes a large ventricular septal defect. pulmonary stenosis, right ventricular hypertrophy, and an overriding aorta. Though this is a serious condition, it is treated surgically during infancy and most children with this condition will go on to live into adulthood.
NEW QUESTION # 157
Which of the following will have the greatest amount of insensible water loss?
Answer: C
Explanation:
Insensible water loss is that water that passes through the skin and evaporates and the water that evaporates through the respiratory tract. Newborns have a relatively large surface area through which there can be increased amounts of insensible water loss. This loss will be at its greatest in the small early gestational age infant.
NEW QUESTION # 158
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