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| Section | Weight | Objectives |
|---|---|---|
| General Management | 19% | - Care coordination and family education - Thermoregulation - Resuscitation and stabilization - Nutrition and growth support - Pain management and sedation - Fluids, electrolytes and acid-base balance |
| General Assessment | 15% | - Perinatal history collection - Systematic physical assessment - Growth and development assessment - Interpretation of diagnostic data |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Metabolic and endocrine system - Neurological system - Musculoskeletal and integumentary system - Eyes, ears, nose and throat - Cardiovascular system - Gastrointestinal system - Genetics and congenital anomalies - Renal and genitourinary system - Infectious diseases - Respiratory system - Hematopoietic and immune system |
| Pharmacology | 9% | - Common medications and dosages - Safe administration principles - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates |
| Professional Issues | 3% | - Interprofessional collaboration - Scope and standards of practice - Ethics and legal aspects - Quality improvement and patient safety |
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NEW QUESTION # 158
Which of the following is a defect in chromosome 22?
Answer: B
Explanation:
DiGeorge syndrome occurs when there is a mutation to chromosome 22 during fetal development. It results in an immunodeficiency disorder that affects the thymus gland and the production of T -lymphocyte cells. This results in frequent infections, congenital heart defects, and hypocalcemia. This syndrome also causes characteristic facial features with an underdeveloped chin, heavy eye lids, ears that are rotated back and small upper ear lobes.
NEW QUESTION # 159
An infant in the Neonatal Intensive Care Unit is receiving carbamazepine (Tegretol) for seizure control. When would be the best time to obtain a blood sample to check a drug level?
Answer: B
Explanation:
There are some medications that require drug levels be drawn to ensure the drug concentration is at a therapeutic level and not too high or too low. For carbamazepine (Tegretol), the best time to check the drug level is just prior to giving a dose. The therapeutic drug level for this medication is 4-12 mg/L.
NEW QUESTION # 160
What is a patent ductus arteriosus?
Answer: A
Explanation:
PDA is an opening betvveen the pulmonary and aortic arteries. Before a baby is born, its blood is oxygenated by the mother through the placenta. A vessel is formed connecting the pulmonary and aortic arteries, the ductus arteriosus. Shortly after birth, this vessel closes off so that the infants blood can then receive oxygen from its own lungs. With a PDA the ductus arteriosus remains open and oxygen-rich blood from the aorta mixes with the blood lacking oxygen from the pulmonary artery. If the rest of the heart is functioning normal, the baby is monitored and the PDA is allowed to repair itself. If this does not happen, the defect can be surgically corrected.
NEW QUESTION # 161
The neural tube defect in which there is failure of the vertebral column to close, but no herniation through the opening is
Answer: B
Explanation:
Spina bifida occulta is the failure of the vertebral column to close, but no herniation through the opening so the defect may not be obvious. Spina bifida is a defect in which the vertebral column is not closed with varying degrees of herniation through the opening. Spina bifida cystica is a defect in closure with external sac-like protrusion with varying degrees of nerve involvement.
Meningocele is spina bifida cystica with meningeal sac filled with spinal fluid. Myelomeningocele is spina bifida cystica with meningeal sac containing spinal fluid and part of the spinal cord and nerves.
NEW QUESTION # 162
A woman who is known to have hepatitis B is delivering her first baby. Treatment of the infant should include
Answer: A
Explanation:
It is imperative to administer the hepatitis B vaccine and hepatitis B immunoglobulin to these infants within 12 hours of birth. Hepatitis B is transmitted from the mother to the fetus during pregnancy. Approximately 40% of infants of hepatitis B positive women will develop the disease, and up to 25% ofthose will die from chronic liver disease. Routine vaccination of all infants is usually given within 24 hours of birth.
NEW QUESTION # 163
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