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| Section | Weight | Objectives |
|---|---|---|
| Pharmacology | 9% | - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Common medications and dosages |
| Professional Issues | 3% | - Interprofessional collaboration - Quality improvement and patient safety - Scope and standards of practice - Ethics and legal aspects |
| General Assessment | 15% | - Perinatal history collection - Growth and development assessment - Interpretation of diagnostic data - Systematic physical assessment |
| General Management | 19% | - Resuscitation and stabilization - Care coordination and family education - Nutrition and growth support - Pain management and sedation - Fluids, electrolytes and acid-base balance - Thermoregulation |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Genetics and congenital anomalies - Musculoskeletal and integumentary system - Renal and genitourinary system - Metabolic and endocrine system - Gastrointestinal system - Hematopoietic and immune system - Cardiovascular system - Eyes, ears, nose and throat - Respiratory system - Infectious diseases - Neurological system |
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NEW QUESTION # 37
An infant with ABO incompatibility with the mother develops hyperbilirubinemia after birth. The neonate should be monitored for a few weeks after birth for
Answer: C
Explanation:
Anemia may develop in the weeks after delivery because of increased rate of RBC breakdown, so the neonate should be monitored with blood counts. About 20-25% of pregnancies involve ABO incompatibility, usually with the mother type O and the fetus A or B. There are rarely serious complications for the fetus although the neonate may develop hyperbilirubinemia, so the child should be observed carefully. Only in severe cases of hemolysis (rare), does the child require exchange transfusions.
NEW QUESTION # 38
A congenital diaphragmatic eventration is as associated finding with
Answer: B
Explanation:
Congenital diaphragmatic eventration is associated with Horner's syndrome. It occurs as a result of a congenital thinning of the diaphragm or because of underdevelopment of the phrenic nerve. This results in an abnormally high portion of the diaphragm and causes dyspnea, cyanosis, and tachypnea. Surgical correction is usually necessary.
NEW QUESTION # 39
An example of an autosomal recessive disease is
Answer: B
Explanation:
An autosomal recessive disease is one that requires 2 copies of the gene in order for the disease or trait to occur. For example, both the mother and father of an infant would need to pass on a copy of the gene for cystic fibrosis in order for their child to develop the disease. Down's syndrome and Edward's syndrome are both genetic mutations that occur during fetal development and are not genetically inherited conditions.
NEW QUESTION # 40
If a pregnant woman contracts measles during pregnancy, the baby is at risk for developing
Answer: B
Explanation:
Rubella, or German measles, in the mother can result in congenital cataracts in the newborn. Other infections that can contribute to cataracts developing in the newborn are toxoplasmosis, cytomegalovirus, or chickenpox. Genetic defects can also cause congenital cataracts.
These can be severe enough to require surgical removal and lens replacement.
NEW QUESTION # 41
The NP has received a lab report on the CSF of a newborn who underwent a lumbar puncture. The lab report shows the glucose level in the sample is 100 mg/dL. This value is interpreted to mean
Answer: A
Explanation:
The normal glucose level in cerebrospinal fluid in a newborn is 35-120 mg/dL A value of 100 would be normal for this infant. Diabetes mellitus may cause CSF glucose levels to be elevated.
Meningitis can cause CSF glucose to be normal with viral meningitis, low with bacterial meningitis, and normal to low in fungal meningitis.
NEW QUESTION # 42
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