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| Section | Weight | Objectives |
|---|---|---|
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Eyes, ears, nose and throat - Infectious diseases - Renal and genitourinary system - Neurological system - Gastrointestinal system - Musculoskeletal and integumentary system - Metabolic and endocrine system - Respiratory system - Cardiovascular system - Genetics and congenital anomalies - Hematopoietic and immune system |
| Pharmacology | 9% | - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates - Adverse effects and interactions - Safe administration principles |
| General Management | 19% | - Resuscitation and stabilization - Pain management and sedation - Nutrition and growth support - Care coordination and family education - Thermoregulation - Fluids, electrolytes and acid-base balance |
| General Assessment | 15% | - Perinatal history collection - Interpretation of diagnostic data - Systematic physical assessment - Growth and development assessment |
| Professional Issues | 3% | - Scope and standards of practice - Quality improvement and patient safety - Ethics and legal aspects - Interprofessional collaboration |
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NEW QUESTION # 170
A neonate born with the genetic disorder cystic fibrosis must be monitored carefully for
Answer: C
Explanation:
Cystic fibrosis is a congenital disease associated with thick collection of mucous in the lungs and intestines. Up to a fifth of children born with cystic fibrosis have meconium ileus. Meconium ileus is obstruction of the ileum with inspissated (thick) mucilaginous meconium that clings to the side of the narrowed lumen of the intestine and forms hard pellets (usually the first clinical sign of cystic fibrosis). The mucus interferes with absorption of fat, protein, carbohydrates, and other nutrients, leading to malabsorption syndromes.
NEW QUESTION # 171
What method should be used to feed the preterm infant with a weak sucking reflex?
Answer: B
Explanation:
Gavage feeding is used to provide nutrition to the infant with a poor sucking reflex, tachypnea, respiratory distress, impaired swallowing, or apneic spells. A nasogastric tube is placed and formula or human milk is slowly fed through the tube with a syringe. Often, the baby will be soothed or gently touched during the feeding to promote positive reinforcement with sucking. The feeding should be stopped if the baby exhibits signs of gasping or choking.
NEW QUESTION # 172
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: B
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 # 173
The most common cause of ambiguous genitalia in a genetic female newborn is
Answer: C
Explanation:
In newborns that are genetically female, the most common cause of ambiguous genitalia is congenital adrenal hyperplasia. Ambiguous genitalia result in genital characteristics that are not wholly female or wholly male. There can be features of both, externally and internally. Congenital adrenal hyperplasia results in the overproduction of male hormones, which causes the genitalia to take on both male and female features during development. This condition can result in a great deal of stress for the parents. Genetic testing is usually done to determine if the infant is genetically a male or female.
NEW QUESTION # 174
The type of hearing loss associated with in utero rubella infection is
Answer: A
Explanation:
Sensorineural hearing loss occurs when the cochlea is impaired or damaged by a genetic syndrome, in utero infections like rubella, postnatal meningitis, or ototoxic medication (such as aminoglycoside antibiotics or the diuretic furosemide). Conductive hearing loss occurs from an abnormality in the sound conduction system in the outer and middle ears (external ear canal, tympanic membrane, and auditory ossicles). Central hearing loss is rare and occurs when defects or damage of the auditory nervous pathway or auditory brain centers are present in infants with kernicterus, episodes of hypoxia, or intraventricular hemorrhage.
NEW QUESTION # 175
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