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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Assessment | 15% | - Perinatal history collection - Growth and development assessment - Interpretation of diagnostic data - Systematic physical assessment |
| Topic 2: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Hematopoietic and immune system - Respiratory system - Neurological system - Renal and genitourinary system - Infectious diseases - Musculoskeletal and integumentary system - Eyes, ears, nose and throat - Cardiovascular system - Metabolic and endocrine system - Gastrointestinal system - Genetics and congenital anomalies |
| Topic 3: Professional Issues | 3% | - Quality improvement and patient safety - Ethics and legal aspects - Scope and standards of practice - Interprofessional collaboration |
| Topic 4: Pharmacology | 9% | - Adverse effects and interactions - Safe administration principles - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages |
| Topic 5: General Management | 19% | - Care coordination and family education - Fluids, electrolytes and acid-base balance - Thermoregulation - Pain management and sedation - Resuscitation and stabilization - Nutrition and growth support |
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NEW QUESTION # 56
Which of the following medications is NOT indicated for use in the infant in respiratory distress?
Answer: A
Explanation:
Perforomist, a formoterol inhalation treatment, is not indicated for use in children. It is indicated for treatment of COPD symptoms in adults. Albuterol is a beta-2 agonist that works to relieve respiratory symptoms by dilating the airway. Dexamethasone is a steroid that can decrease inflammation within the airway.
NEW QUESTION # 57
If a patient's membranes rupture and meconium-stained amniotic fluid is noted, the next step should be
Answer: C
Explanation:
While previous standards advised for immediate Cesarean in the context of meconium-stained amniotic fluid, this is no longer advised. Instead, the fetus should be closely monitored for signs of distress and the appropriate team should be present at the birth of the neonate due to risks for respiratory distress secondary to aspiration. These neonates should not be routinely suctioned and/or intubated unless they are nonvigorous and do not respond to noninvasive interventions.
NEW QUESTION # 58
Clinical symptoms of neonatal renal vein thrombosis include
Answer: B
Explanation:
Clinical symptoms of renal vein thrombosis in the newborn include thrombocytopenia, hypertension, hematuria, proteinuria, and renal insufficiency. This condition is rare, but can occur in infants born to mothers with a history of diabetes mellitus. This is not an infectious condition, so you would not expect to see leukocytosis. Bence-Jones proteins in the urine are specific to multiple myeloma.
NEW QUESTION # 59
The NP is assessing a newborn diagnosed with tracheomalaci
a. An exam finding that
may be seen is
Answer: C
Explanation:
Tracheomalacia can cause expiratory stridor. It is a softening of the cartilage in the trachea that results in partial or total collapse of the airway during expiration. Depending upon the severity of the condition, mechanical ventilation, CPAP, or BiPAP therapy may be necessary. In severe cases, surgical correction may be necessary to reinforce the airway so that it can remain open.
NEW QUESTION # 60
What are the most common symptoms of sudden withdrawal of a beta blocker medication?
Answer: A
Explanation:
Therapeutic drugs can cause withdrawal symptoms when they are stopped suddenly, especially if the patient has been taking them for a long period of time. The primary mechanism of action of beta blockers is to decrease heart rate, thereby decreasing blood pressure, and decreasing the risk of developing a cardiac dysrhythmia. When the medication is stopped suddenly, the opposite effect is seen with a significant response. This includes high blood pressure, elevated heart rate, and risk of cardiac dysrhythmias, tremors, and sweating.
NEW QUESTION # 61
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