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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Common medications and dosages - Adverse effects and interactions |
| Topic 2: Professional Issues | 3% | - Ethics and legal aspects - Interprofessional collaboration - Quality improvement and patient safety - Scope and standards of practice |
| Topic 3: General Assessment | 15% | - Interpretation of diagnostic data - Perinatal history collection - Systematic physical assessment - Growth and development assessment |
| Topic 4: General Management | 19% | - Pain management and sedation - Fluids, electrolytes and acid-base balance - Nutrition and growth support - Care coordination and family education - Thermoregulation - Resuscitation and stabilization |
| Topic 5: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Gastrointestinal system - Genetics and congenital anomalies - Musculoskeletal and integumentary system - Respiratory system - Renal and genitourinary system - Metabolic and endocrine system - Infectious diseases - Cardiovascular system - Eyes, ears, nose and throat - Hematopoietic and immune system - Neurological system |
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NEW QUESTION # 117
A mother delivers a child with sickle cell disease, an autosomal recessive disorder. The recurrence risk for subsequent children being born with the disorder is
Answer: C
Explanation:
Autosomal recessive: Recurrence is 25% for each pregnancy and 50% risk of the child becoming a carrier. Autosomal dominant: Recurrence risk is 50%, but there is no carrier state. X- linked recessive: Recurrence risk is 50% for affected sons and 50% risk of daughters becoming carriers. Affected sons do not pass the disorder to sons, but all daughters become carriers. X-Iinked dominant: Father passes the disorder to 100% of daughters but no sons. Mother passes the trait to
50% of sons and 50% of daughters, but daughters are usually unaffected.
NEW QUESTION # 118
An infant with fetal alcohol syndrome may also have a facial deformity known as
Answer: C
Explanation:
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.
NEW QUESTION # 119
Which of the following is used to test for congenital cytomegalovirus infection?
Answer: B
Explanation:
A congenital cytomegalovirus (CMU infection can be diagnosed using saliva, urine, or blood specimens. Testing must be done within the first 2-3 weeks following birth. A mother who has CMV can pass this infection to the fetus through the placenta. Most infants will never develop any symptoms from the virus, but approximately 20% can develop hearing loss, vision loss, intellectual disabilities, seizures, or muscle weakness.
NEW QUESTION # 120
When placing a temperature probe on a supine neonate to monitor thermoregulation, a good location for the probe is over the
Answer: C
Explanation:
A common probe placement for a supine infant is over the liver. The probe should not be placed over a bony area or an area with abundant brown adipose tissue, such as around the neck, the mid-scapular region of the back, the mediastinum, and organs in the thoracic cavity, kidneys, and adrenal glands. If the probe makes poor skin contact, it will indicate that the infant is cold, and the warmer will deliver increased amounts of heat, possibly causing hyperthermia. If the probe is underneath the infant, it may indicate an artificially warm temperature and decrease heat to the infant, causing hypothermia.
NEW QUESTION # 121
A neonate born to an HIV-infected mother should receive the first dose of antiretroviral medication within
Answer: B
Explanation:
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.
NEW QUESTION # 122
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