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| Section | Weight | Objectives |
|---|---|---|
| Pharmacology | 9% | - Adverse effects and interactions - Safe administration principles - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Renal and genitourinary system - Musculoskeletal and integumentary system - Eyes, ears, nose and throat - Gastrointestinal system - Infectious diseases - Hematopoietic and immune system - Respiratory system - Cardiovascular system - Neurological system - Metabolic and endocrine system - Genetics and congenital anomalies |
| Professional Issues | 3% | - Ethics and legal aspects - Quality improvement and patient safety - Interprofessional collaboration - Scope and standards of practice |
| General Assessment | 15% | - Growth and development assessment - Interpretation of diagnostic data - Systematic physical assessment - Perinatal history collection |
| General Management | 19% | - Thermoregulation - Resuscitation and stabilization - Pain management and sedation - Fluids, electrolytes and acid-base balance - Care coordination and family education - Nutrition and growth support |
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NEW QUESTION # 77
What is the most common cause of direct hyperbilirubinemia in the newborn?
Answer: C
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 # 78
A neonate, 2 days after birth, develops a generalized rash with erythematous papules, vesicles, and some pustules everywhere but on the palms and soles of feet. The most likely diagnosis is
Answer: C
Explanation:
Erythema toxicum is a skin eruption of erythematous papules, vesicles, and sometimes pustules. Erythema toxicum is essentially benign and occurs in 250% of newborns. It is a generalized rash everywhere except the palms and soles of the feet, usually occurring 2-3 days after birth. Neonatal pustular melanosis is a benign rash (vesicles and macules) but not associated with erythema. Cutis marmorata is a disorder in which the infant's skin mottles or marbles when exposed to cold, because the superficial blood vessels dilate and contract at the same time.
NEW QUESTION # 79
After a neonate is resuscitated using a bag and mask and stabilized, the infant then requires
Answer: A
Explanation:
When an infant is resuscitated using a bag and mask, air is inadvertently pumped into the stomach as it is being pumped into the lungs, so gastric suctioning is necessary. Once respirations have been stabilized either spontaneously or with mechanical ventilation, the stomach should be aspirated to remove any air pumped into it. If the air is left in the abdomen, it causes an upward pressure on the lungs from the distended abdomen. This compromises lung capacity and breathing effort.
NEW QUESTION # 80
A 64-year-old female has been told that her husband has terminal, metastatic cancer and life expectancy is most likely less than 6 months. She is feeling very anxious, depressed, and moody since he received this diagnosis. These emotions are part of
Answer: A
Explanation:
Anticipatory grief is the period that some people go through when it is learned that a loved one's death is eminent. Not everyone experiences this, but it can help a person to accept the impending death of their family member or friend. During this time, people often feel depressed or anxious, they may begin plans for the changes that will come when the person has passed, or they may take that time to share feelings and emotions with the loved one they are preparing to lose. If a person experiences anticipatory grief, it may help them to adjust to the changes that will occur once the person has died.
NEW QUESTION # 81
The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to
Answer: A
Explanation:
The first step should be to assess the rest of the infant to see ifthis is truly cyanosis. It is not uncommon for the face to undergo some trauma while passing through the birth canal, which can cause areas of bruising. It can be differentiated from cyanosis by assessing whether it is present in the distal extremities or if the infant is showing any signs of respiratory distress. Facial bruising may take several days to gradually fade.
NEW QUESTION # 82
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