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| Section | Weight | Objectives |
|---|---|---|
| Pharmacology | 9% | - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates - Adverse effects and interactions - Safe administration principles |
| General Assessment | 15% | - Growth and development assessment - Interpretation of diagnostic data - Perinatal history collection - Systematic physical assessment |
| Professional Issues | 3% | - Ethics and legal aspects - Interprofessional collaboration - Scope and standards of practice - Quality improvement and patient safety |
| General Management | 19% | - Care coordination and family education - Resuscitation and stabilization - Nutrition and growth support - Pain management and sedation - Fluids, electrolytes and acid-base balance - Thermoregulation |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Neurological system - Respiratory system - Eyes, ears, nose and throat - Musculoskeletal and integumentary system - Genetics and congenital anomalies - Gastrointestinal system - Cardiovascular system - Hematopoietic and immune system - Infectious diseases - Renal and genitourinary system - Metabolic and endocrine system |
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NEW QUESTION # 160
A neonate suffered perinatal asphyxia and developed moderate hypoxic ischemic encephalopathy (HIE) with neurological dysfunction. The treatment that is LEAST likely to be utilized to treat this condition is
Answer: C
Explanation:
With advancing implementation of therapeutic hypothermia, this method oftreatment has become the first line approach in treating moderate to severe HIE with the target temperature dependent upon the severity of the encephalopathy. Additional treatments include phenobarbital for seizures treatment and/or prevention. Fluid resuscitation is not indicated in HIE; in fact it is common to apply a fluid restriction to a neonate with HIE to control additional swelling. HIE results when oxygen supply to the brain is impaired. HIE is classified as mild, moderate, or severe, depending on the degree of ischemia and symptoms. Mild HIE usually resolves in 3-4 days and moderate HIE in 1-2 weeks, but permanent brain damage can occur with severe HIE.
NEW QUESTION # 161
While assessing a newborn in the NICU, the NP notices that he has pitting edema on the right side of his scalp. The next step should be to
Answer: A
Explanation:
Pitting edema in the soft tissues of the scalp is not uncommon after birth, due to trauma on the baby/s scalp while moving through the birth canal. This condition is called caput succedaneum and is most evident immediately after birth. It usually resolves rather quickly over the first 24-48 hours following birth and just needs to be monitored for any changes.
NEW QUESTION # 162
The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to
Answer: B
NEW QUESTION # 163
What substance helps to keep the amniotic sac intact within the uterus?
Answer: A
Explanation:
Fetal fibronectin is a protein that helps to keep the amniotic sac adhered to the wall of the uterus. This substance begins to break down towards the end of the pregnancy. If there is suspicion that preterm labor may be imminent, a swab may be done of the secretions on the cervix. If fetal fibronectin is present, it can be a sign that there is an increased risk for preterm labor.
NEW QUESTION # 164
An infant with ABO incompatibility with the mother develops hyperbilirubinemia after birth. The neonate should be monitored for a few weeks after birth for
Answer: B
Explanation:
Anemia may develop in the weeks after delivery because of increased rate of RBC breakdown, so the neonate should be monitored with blood counts. About 20-25% of pregnancies involve ABO incompatibility, usually with the mother type O and the fetus A or B. There are rarely serious complications for the fetus although the neonate may develop hyperbilirubinemia, so the child should be observed carefully. Only in severe cases of hemolysis (rare), does the child require exchange transfusions.
NEW QUESTION # 165
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