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| Section | Weight | Objectives |
|---|---|---|
| Pharmacology | 9% | - Safe administration principles - Common medications and dosages - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates |
| General Assessment | 15% | - Systematic physical assessment - Perinatal history collection - Growth and development assessment - Interpretation of diagnostic data |
| Professional Issues | 3% | - Interprofessional collaboration - Ethics and legal aspects - Quality improvement and patient safety - Scope and standards of practice |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Cardiovascular system - Infectious diseases - Eyes, ears, nose and throat - Genetics and congenital anomalies - Respiratory system - Neurological system - Hematopoietic and immune system - Metabolic and endocrine system - Musculoskeletal and integumentary system - Renal and genitourinary system - Gastrointestinal system |
| General Management | 19% | - Thermoregulation - Fluids, electrolytes and acid-base balance - Pain management and sedation - Nutrition and growth support - Resuscitation and stabilization - Care coordination and family education |
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NEW QUESTION # 33
Two days after birth, a newborn infant has developed an erythematous papular rash scattered all over. The best explanation to give the parents is
Answer: A
Explanation:
Erythema toxicum is a benign rash that develops 2-5 days after birth in approximately half of all full-term infants. It appears as red blotches on the skin with white or yellow papules or pustules. It does not appear to cause any discomfort to the baby and there is no treatment as it resolves on its own within a couple of weeks. Sensitivity to the new environment early in life is thought to be the cause.
NEW QUESTION # 34
A newborn in the NICU has been receiving gentamicin and ampicillin for the treatment of gram negative sepsis. He is on a fairly high dose of gentamicin and has been for the past 3 days. In addition to the risk of developing renal impairment from the medication, he is also at risk for
Answer: A
Explanation:
When gentamicin is given for more than 2 days, there is an increased risk of hearing loss. In order to decrease this risk, drug levels are measured at the point at which the drug level is highest and again when it is at its lowest (a peak and trough). This is to ensure the antibiotic remains at a therapeutic level rather than a toxic level.
NEW QUESTION # 35
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 # 36
A neonate at 37 weeks gestation is born to a mother who has abused cocaine throughout pregnancy. The neonate exhibits persistent hypertonia, startles easily, and shows signs of distress at any disturbance. The most appropriate treatment is
Answer: A
Explanation:
Swaddling a neonate exposed to cocaine and eliminating as much environmental noise and excessive light as possible can reduce stimulation and relieve symptoms. Medications are rarely required to control symptoms. Hypertonia may last s2 years. Head circumference may be smaller for the first 2 years as well although the infant usually attains normal weight and height by the end of the first year.
NEW QUESTION # 37
Oral sucrose is given to infants
Answer: A
Explanation:
Oral sucrose has been used in infants as a mild analgesic. It is given before minor procedures to help relax the infant and provide pain relief. The sucrose solution activates the body's mechanism to produce natural opioid-like substances, such as endorphins. Oral sucrose is not indicated in hypoglycemia or for heart rate and blood pressure control.
NEW QUESTION # 38
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