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| Section | Weight | Objectives |
|---|---|---|
| Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages - Safe administration principles - Adverse effects and interactions |
| General Management | 19% | - Fluids, electrolytes and acid-base balance - Resuscitation and stabilization - Nutrition and growth support - Thermoregulation - Pain management and sedation - Care coordination and family education |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Neurological system - Cardiovascular system - Hematopoietic and immune system - Respiratory system - Metabolic and endocrine system - Eyes, ears, nose and throat - Infectious diseases - Gastrointestinal system - Renal and genitourinary system - Genetics and congenital anomalies - Musculoskeletal and integumentary system |
| General Assessment | 15% | - Growth and development assessment - Interpretation of diagnostic data - Perinatal history collection - Systematic physical assessment |
| Professional Issues | 3% | - Quality improvement and patient safety - Scope and standards of practice - Ethics and legal aspects - Interprofessional collaboration |
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NEW QUESTION # 44
With which genetic condition is the NP likely to see an atrioventricular septal defect, or a ventricular septal defect in less severe cases?
Answer: A
Explanation:
Approximately one-half of all children born with Down syndrome have a heart defect. The most common type of heart defect in these children is an atrioventricular septal defect, or a ventricular septal defect in less severe cases. This occurs when the septum betv:een either the atria and ventricles, or just the ventricles, is not fully formed. This allows oxygenated blood and deoxygenated blood to mix, which can cause the heart to work harder to transport oxygenated blood throughout the body.
NEW QUESTION # 45
According to the American Heart Association, when should chest compressions be started in the pediatric patient?
Answer: B
Explanation:
According to the American Heart Association, chest compressions should be started on the pediatric patient if the pulse is less than 60 beats per minute or if there are signs of poor perfusion.
If one person is performing CPR, the rate is 30 compressions followed by 2 breaths. If 2-person CPR is being performed, the cycle should be 15 compressions followed by 2 breaths.
NEW QUESTION # 46
A full-term neonate fails to pass meconium in the first 48 hours of life. The infant exhibits abdominal distension, poor feeding, and bilious vomiting. An x-ray of the abdomen shows dilated loops of bowel. The diagnostic procedure used both to confirm a diagnosis of meconium plug syndrome and to direct treatment is
Answer: B
Explanation:
A contrast enema is used to confirm a diagnosis of meconium plug syndrome and helps differentiate that from other causes of intestinal obstruction. The contrast enema also is often therapeutic and helps the plug to pass. Meconium plug syndrome usually occurs in full-term infants, infants of diabetic mothers, or infants with hypermagnesemia. A small percentage of infants initially identified as having meconium plug syndrome (5-10%) have Hirschsprung disease. The cause of meconium plug syndrome is thought to be immaturity of the ganglion cells of the colon.
NEW QUESTION # 47
The major route in a full-term neonate for rapidly increasing body temperature in response to cold stress is
Answer: B
Explanation:
Non-shivering thermogenesis (NST) is the major route of rapid increase of body temperature in response to cold stress in the term neonate. NST is the oxidation of brown fat to create heat.
Brown adipose tissue contains a high concentration of stored triglycerides, a rich capillary network, and is controlled by the sympathetic nervous system. When brown fat is metabolized, heat is created. When a cold body temperature is detected, the posterior hypothalamus responds by triggering the adrenal glands to release norepinephrine and the pituitary gland to release thyroxine. Both stimulate NST.
NEW QUESTION # 48
During the initial physical examination, the neonate's chest circumference is 34 cm. The expected head circumference is
Answer: B
Explanation:
The head circumference is usually about 2 cm greater than the chest circumference, so the head circumference should be about 36 cm. Normal characteristics of a newborn include the following:
NEW QUESTION # 49
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