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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Assessment | 15% | - Systematic physical assessment - Perinatal history collection - Growth and development assessment - Interpretation of diagnostic data |
| Topic 2: Professional Issues | 3% | - Ethics and legal aspects - Scope and standards of practice - Quality improvement and patient safety - Interprofessional collaboration |
| Topic 3: Pharmacology | 9% | - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages - Safe administration principles |
| Topic 4: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Gastrointestinal system - Eyes, ears, nose and throat - Metabolic and endocrine system - Hematopoietic and immune system - Respiratory system - Cardiovascular system - Infectious diseases - Neurological system - Genetics and congenital anomalies - Renal and genitourinary system - Musculoskeletal and integumentary system |
| Topic 5: General Management | 19% | - Thermoregulation - Fluids, electrolytes and acid-base balance - Nutrition and growth support - Resuscitation and stabilization - Pain management and sedation - Care coordination and family education |
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NEW QUESTION # 13
A pediatric patient in the NICU is receiving an infusion of dopamine. Once it is completed, the effects from the medication should be gone
Answer: C
Explanation:
The half-life of dopamine is less than 2 minutes, so the total time in which the effects from the medication are seen is around 10 minutes. Dopamine is used to improve heart function, increase blood pressure, and increase renal perfusion.
NEW QUESTION # 14
What is measured with the quad screen test?
Answer: B
Explanation:
The quad screen is performed at 15-20 weeks of pregnancy via a blood test. It measures alpha-fetoprotein, human chorionic gonadotropin, estriol, and inhibin-A. Alpha-fetoprotein is made in the liver of the fetus and elevated levels may indicate a neural tube defect such as spina bifida.
Human chorionic gonadotropin is made by the placenta and levels vary during pregnancy. Estriol is a form of estrogen made by the placenta and levels increase during pregnancy. Inhibin-A is a hormone produced by the fetus and the placenta and abnormal levels may indicate the presence of Down syndrome.
NEW QUESTION # 15
What is the most common cause of direct hyperbilirubinemia in the newborn?
Answer: A
Explanation:
Direct hyperbilirubinemia (also known as jaundice, but not caused by jaundice) is the yellow discoloration of the skin and sclera. The most common cause in newborns is due to the liver being immature and not being able to breakdown bilirubin. It is fairly common and most often responds to phototherapy for a few days.
NEW QUESTION # 16
What condition can occur in the newborn as a result of Rh incompatibility?
Answer: A
Explanation:
Hydrops fetalis occurs as a result of Rh incompatibility between the newborn and the mother. The Rh incompatibility results in a large number of red blood cells in the infant to be destroyed. This causes severe edema. Approximately half of newborns with hydrops fetalis will not survive. This can be prevented if prenatal testing is done on the mother to determine her Rh status.
If she is Rh negative, an injection can be given during the first trimester of her pregnancy to prevent this reaction from occurring.
NEW QUESTION # 17
To ingest 120 calories/kg/day, an infant breastfeeding or receiving unfortified formula needs to ingest
Answer: B
Explanation:
Unfortified formulas (and most human milk) supply 20 calories per ounce. To ingest 120 cal/kg/day, an infant needs to ingest 6 ounces/kg/day of unfortified formula or human milk. The general requirements for adequate growth include:
*Full-term infants: 100-120 cal/kg/day
*Premature infants: 110-160 cal/kg/day
*Infants who are recovering from surgery or have a chronic illness, such as bronchopulmonary dysplasia (BPD): =180 cal/kg/day The caloric needs of a neonate (preterm or term) depend on postnatal age, activity, current weight, growth rate, thermal environment, and route of nutritional intake. Cold stress increases caloric requirements.
NEW QUESTION # 18
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