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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pharmacology | 9% | - Safe administration principles - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates - Adverse effects and interactions |
| Topic 2: Professional Issues | 3% | - Quality improvement and patient safety - Interprofessional collaboration - Ethics and legal aspects - Scope and standards of practice |
| Topic 3: General Assessment | 15% | - Perinatal history collection - Interpretation of diagnostic data - Systematic physical assessment - Growth and development assessment |
| Topic 4: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Metabolic and endocrine system - Respiratory system - Gastrointestinal system - Renal and genitourinary system - Neurological system - Infectious diseases - Hematopoietic and immune system - Eyes, ears, nose and throat - Genetics and congenital anomalies - Musculoskeletal and integumentary system - Cardiovascular system |
| Topic 5: General Management | 19% | - Thermoregulation - Care coordination and family education - Pain management and sedation - Resuscitation and stabilization - Nutrition and growth support - Fluids, electrolytes and acid-base balance |
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NEW QUESTION # 81
A premature infant in the NICU has a nasogastric drain. The results ofher arterial blood gases are as follows:
*ph -7.5
*HCOs - 29
*pC02 - 37
Based on these values, which acid-base disorder has this infant developed?
Answer: C
Explanation:
Metabolic alkalosis will cause the arterial blood pH and bicarbonate levels to increase.
Conversely, metabolic acidosis will cause arterial pH and bicarbonate levels to decrease.
Respiratory acidosis will increase the arterial carbon dioxide level while decreasing the PH, and respiratory alkalosis will have the opposite results with a decrease in carbon dioxide level and an increased PH.
NEW QUESTION # 82
After a neonate is resuscitated using a bag and mask and stabilized, the infant then requires
Answer: C
Explanation:
When an infant is resuscitated using a bag and mask, air is inadvertently pumped into the stomach as it is being pumped into the lungs, so gastric suctioning is necessary. Once respirations have been stabilized either spontaneously or with mechanical ventilation, the stomach should be aspirated to remove any air pumped into it. If the air is left in the abdomen, it causes an upward pressure on the lungs from the distended abdomen. This compromises lung capacity and breathing effort.
NEW QUESTION # 83
A neonate has had frequent blood draws to monitor electrolyte and glucose levels. This phlebotomy has caused anemia of prematurity (AOP) although the infant is not acutely hypoxemic. The initial treatment is
Answer: A
Explanation:
repo is indicated to stimulate erythropoiesis in phlebotomy-related AOP. Infants with signs of hypoxemia (poor feeding, tachypnea, tachycardia, pallor) may require transfusions. AOP represents a pathologic exaggeration of the normal decrease in hematocrit that occurs in every newborn. Other causes include:
*Decreased RBC production because the premature neonate's response to erythropoietin
*CEPO), the main stimulus for RBC production, has not matured. Lowest Hgb levels are usually at 2-3 months of age.
*Premature RBCs have a shortened lifespan when compared to the full term neonate's
*because of decreased levels of intracellular ATP and enzyme activity.
NEW QUESTION # 84
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: B
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 # 85
Placing a neonate on a cold scale may decrease body temperature through
Answer: B
Explanation:
Conduction is the transfer of heat between solid objects of different temperatures in contact with each other. Heat is transferred from the body of the infant to a cold surface it may come into contact with, such as a scale. Convection is the transfer of heat through air currents to the air moving around and across an infant's body. Evaporation is the loss of heat occurring when moisture evaporates from the surface of the skin. Radiation is when heat is transferred between two objects not in contact with each other. This is the transfer of heat through emission of infrared rays, such as with radiant warming beds.
NEW QUESTION # 86
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