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| Section | Weight | Objectives |
|---|---|---|
| Professional Issues | 3% | - Interprofessional collaboration - Scope and standards of practice - Ethics and legal aspects - Quality improvement and patient safety |
| Pharmacology | 9% | - Safe administration principles - Adverse effects and interactions - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates |
| General Assessment | 15% | - Perinatal history collection - Systematic physical assessment - Interpretation of diagnostic data - Growth and development assessment |
| General Management | 19% | - Resuscitation and stabilization - Thermoregulation - Nutrition and growth support - Care coordination and family education - Pain management and sedation - Fluids, electrolytes and acid-base balance |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Renal and genitourinary system - Cardiovascular system - Eyes, ears, nose and throat - Respiratory system - Hematopoietic and immune system - Infectious diseases - Gastrointestinal system - Neurological system - Genetics and congenital anomalies - Musculoskeletal and integumentary system - Metabolic and endocrine system |
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NEW QUESTION # 28
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 # 29
When treating a neonate for hypothermia, the air temperature should be increased by approximately
Answer: A
Explanation:
Steps in treatment of hypothermia:
*Increase the air temperature by approximately I 'C every hour until the infant's
*temperature is normal and stable.
*Determine if the cause of hypothermia is from an abnormal physiological process in the infant or from environmental conditions.
*Avoid rewarming the infant too rapidly because rapid rewarming may result in apnea or hypotension. Maintain the ambient temperature at 1-1.5'C higher than the infant's temperature.
*Warm IV fluids with a blood-warming device prior to infusion.
*Closely monitor the infants blood glucose levels, vital signs, and urinary output.
NEW QUESTION # 30
A newborn has an NG tube in place due to an intestinal obstruction. In order to prevent aspiration of saliva, it is very important to
Answer: A
Explanation:
There is an increased risk of death by aspiration in newborns that have an NG tube. This is due to aspiration of saliva. Because ofthis, a drainage bag should be attached to accept the aspirate.
The stomach contents should also be aspirated at least every 30 minutes to decrease this risk.
NEW QUESTION # 31
What is the purpose for CCHD screening in newborns?
Answer: B
Explanation:
The CCHD screening identifies those infants who may have a critical congenital heart defect that requires early surgical intervention. This screening is performed using pulse oximetry in the newborn nursery to measure the oxygen saturation in the blood of infants. This screening decreases the risk of overlooking a critical congenital heart defect that may require early intervention.
NEW QUESTION # 32
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: A
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 # 33
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