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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Management | 19% | - Nutrition and growth support - Thermoregulation - Fluids, electrolytes and acid-base balance - Resuscitation and stabilization - Pain management and sedation - Care coordination and family education |
| Topic 2: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages - Adverse effects and interactions - Safe administration principles |
| Topic 3: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Neurological system - Eyes, ears, nose and throat - Genetics and congenital anomalies - Cardiovascular system - Renal and genitourinary system - Metabolic and endocrine system - Infectious diseases - Respiratory system - Hematopoietic and immune system - Gastrointestinal system - Musculoskeletal and integumentary system |
| Topic 4: Professional Issues | 3% | - Quality improvement and patient safety - Scope and standards of practice - Interprofessional collaboration - Ethics and legal aspects |
| Topic 5: General Assessment | 15% | - Growth and development assessment - Systematic physical assessment - Perinatal history collection - Interpretation of diagnostic data |
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117. Frage
A neonate born to an HIV-infected mother should receive the first dose of antiretroviral medication within
Antwort: A
Begründung:
Antiretroviral medications should be given to the neonate for the first 6 weeks of life with the first dose given within the first 6-12 hours after delivery. The perinatal transmission rate is
30% in untreated HIV positive mothers, usually acquired during delivery; however, optimal treatment reduces perinatal transmission rate to as low as 1-2%. Preventive treatment includes:
*Antiviral therapy during pregnancy: A reduced viral load in the mother lessens the
*likelihood of prenatal transmission.
*Elective Cesarean before the amniotic membranes rupture.
*Avoidance of breastfeeding: The risk of HIV transmission with breastfeeding is 0.7% per month of breastfeeding.
118. Frage
An infant with fetal alcohol syndrome may also have a facial deformity known as
Antwort: A
Begründung:
Micrognathia, or an underdeveloped jaw, may occur with fetal alcohol syndrome. It can also be seen with trisomy 13 and progeria. The underdeveloped jaw will often resolve on its own as the child grows. In severe cases, it can cause breathing and feeding problems. Microcephaly, not macrocephaly, is also typically seen with fetal alcohol syndrome.
119. Frage
Evidence that an infant is feeding appropriately for discharge includes
Antwort: A
Begründung:
Current discharge requirements are based on physiological and functional readiness.
Requirements generally include:
*The infant is feeding appropriately, as evidenced by:
o Primary caregiver feedingthe infant with the prescribed method (gavage, gastrostomy, or special positioning) consistently.
o Weight gain of 15-30 grams per day over several days.
o Feeds accomplished without any respiratory difficulty.
*All medical or surgical problems that require hospitalization are resolved.
*Temperature stability is maintained in an open crib.
*Parents are trained appropriately concerning administration of medications, CPR, and proper use of car seat.
*Infant has passed all pre-discharge tests.
*Age appropriate immunizations have been administered.
120. Frage
What is the purpose for CCHD screening in newborns?
Antwort: A
Begründung:
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.
121. Frage
The lab abnormalities seen with HELLP syndrome are
Antwort: A
Begründung:
HELLP syndrome is a serious liver disorder that can occur in the last trimester in pregnancy.
It is characterized by hemolysis, elevated liver enzymes, and low platelets. Most women who develop HELLP syndrome also have preeclampsia, which is the greatest risk factor for developing this condition. The mother will have very high blood pressure, nausea, abdominal pain, and swelling. Treatment begins with delivery of the baby, even if it is premature. Symptomatic treatment with IV fluids, anti-hypertensives, and vasodilators are given to the mother. It can be fatal if it is not treated.
122. Frage
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NCC-NNP Fragen Beantworten: https://www.it-pruefung.com/NCC-NNP.html