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| Section | Weight | Objectives |
|---|---|---|
| General Assessment | 15% | - Perinatal history collection - Interpretation of diagnostic data - Systematic physical assessment - Growth and development assessment |
| General Management | 19% | - Resuscitation and stabilization - Pain management and sedation - Care coordination and family education - Thermoregulation - Fluids, electrolytes and acid-base balance - Nutrition and growth support |
| Professional Issues | 3% | - Ethics and legal aspects - Quality improvement and patient safety - Scope and standards of practice - Interprofessional collaboration |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Infectious diseases - Neurological system - Renal and genitourinary system - Genetics and congenital anomalies - Eyes, ears, nose and throat - Hematopoietic and immune system - Cardiovascular system - Gastrointestinal system - Metabolic and endocrine system - Respiratory system - Musculoskeletal and integumentary system |
| Pharmacology | 9% | - Adverse effects and interactions - Safe administration principles - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages |
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NEW QUESTION # 122
The NP has an order to give dobutamine intravenously. She knows that
Answer: C
Explanation:
Whenever possible, dobutamine should be given through a central line because it is caustic to the body's tissues. This medication is primarily used to improve the effectiveness of the heart to work as a pump and, to a lesser degree, can help with hypotension.
NEW QUESTION # 123
Which of the following conditions results from oligohydramnios?
Answer: B
Explanation:
Potter syndrome occurs due to oligohydramnios, or a reduced amount of amniotic fluid in utero. Any condition during development that results in decreased urine production by the fetus can result in a reduced amount of amniotic fluid being present. If the mother has prolonged rupture of the membranes, the amniotic fluid will be absent which could result in this condition. Amniotic fluid is essential for alveolar development in the lungs while in utero. If this is reduced or absent, the infant will suffer respiratory distress at birth.
NEW QUESTION # 124
The parents of a newborn are asking the NP what PKU is and if it is really necessary to have this tested as part of the newborn screening process. The best response is
Answer: B
Explanation:
PW, or phenylketonuria, is a metabolic disorder in which the body is not able to break down some of the amino acids in proteins. This leads to poor brain development and intellectual disabilities. It is highly recommended that this test be performed on all newborns so that treatment can be started and the devastating effects of this illness can be avoided.
NEW QUESTION # 125
All of the following may be symptoms of hypopituitarism in the newborn EXCEPT
Answer: B
Explanation:
Of the choices listed, excessive thirst would be seen in an older child with hypopituitarism rather than an infant. The infant with an underfunctioning pituitary gland will exhibit jaundice, hypoglycemia, excessive amounts of urine, sluggishness, and a small penis in male newborns. Older children diagnosed with hypopituitarism will exhibit excessive urination, short stature with weight gain disproportionate to growth, delayed or absent puberty, and delayed tooth eruption.
NEW QUESTION # 126
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 # 127
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