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| Section | Weight | Objectives |
|---|---|---|
| General Management | 19% | - Fluids, electrolytes and acid-base balance - Care coordination and family education - Nutrition and growth support - Thermoregulation - Resuscitation and stabilization - Pain management and sedation |
| Pharmacology | 9% | - Common medications and dosages - Safe administration principles - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates |
| General Assessment | 15% | - Perinatal history collection - Interpretation of diagnostic data - Systematic physical assessment - Growth and development assessment |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Metabolic and endocrine system - Cardiovascular system - Musculoskeletal and integumentary system - Genetics and congenital anomalies - Neurological system - Eyes, ears, nose and throat - Gastrointestinal system - Renal and genitourinary system - Respiratory system - Hematopoietic and immune system - Infectious diseases |
| 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 # 69
A premature infant with apnea of prematurity (AOP) exhibits periods of apnea lasting seconds in which the child has no airflow or effort to breathe. This type of apnea is classified as
Answer: A
Explanation:
Premature infants (especially those <34 weeks) often exhibit apnea of prematurity (AOP).
AOP begins at birth and is believed caused by immaturity of the nervous system, improving as the brain matures. It may persist for 4-8 weeks. There are 3 types of apnea:
*Central: no airflow or effort to breathe.
*Obstructive: no airflow, but effort to breathe.
Mixed: both central and obstructive elements (75% of AOP).
AOP symptoms include swallowing during apneic periods, apnea seconds, apnea <20 seconds with bradycardia 30 beats below normal, oxygen saturation <85% persisting 25 seconds, and cyanosis.
NEW QUESTION # 70
W'hen do symptoms of biliary atresia develop in the newborn?
Answer: A
Explanation:
Symptoms of biliary atresia appear in the newborn approximately Ovo to eight weeks after birth. This condition occurs when the biliary system in the liver is not fully developed, resulting in obstruction of the flow of bile from the liver to the gallbladder for storage. It causes damage to the liver as the bile builds up, causing cirrhosis and eventually liver failure. It can be treated surgically.
NEW QUESTION # 71
A condition that prevents a newborn from being able to pass air to breathe after birth is
Answer: C
Explanation:
Bilateral choanal atresia occurs when the back of the nasal passages are blocked, preventing a newborn from being able to breathe. This occurs due to a bony or soft tissue abnormality during development in utero. The back of the nasal passages fail to open, resulting in the inability to pass air. Infants are obligatory nasal breathers and immediate airway assistance is usually necessary at birth. This condition can be surgically corrected, but may require additional surgeries to widen the opening as the child matures. Neither meconium aspiration nor pneumonia affect the neonate's ability to pass air through the lungs, though both can also lead to respiratory distress.
NEW QUESTION # 72
Which of the following potential side effects can occur as a result of forceps being used during delivery?
Answer: C
Explanation:
There is a risk of facial palsy (usually temporary) and minor facial or external eye injury with forceps use. Forceps may be used during delivery to assist the neonate's passage through the birth canal, especially if the mother or infant are in distress. Rarely, a skull fracture or bleeding within the brain can occur.
NEW QUESTION # 73
The most common type of short-limbed dwarfism is
Answer: A
Explanation:
The most common type of short-limbed dwarfism is achondroplasia. This condition follows an autosomal dominant pattern, meaning that only one parent needs to pass on the gene for this condition to occur. It results in an average-sized trunk with short arms and legs, a large head with a high forehead, and short fingers. The middle finger and ring finger may diverge which gives the hand a trident appearance. There are no common learning disabilities associated with achondroplasia.
NEW QUESTION # 74
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