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| Section | Weight | Objectives |
|---|---|---|
| General Management | 19% | - Fluids, electrolytes and acid-base balance - Resuscitation and stabilization - Care coordination and family education - Nutrition and growth support - Thermoregulation - Pain management and sedation |
| Pharmacology | 9% | - Adverse effects and interactions - Common medications and dosages - Safe administration principles - Pharmacokinetics and pharmacodynamics in neonates |
| Professional Issues | 3% | - Scope and standards of practice - Ethics and legal aspects - Quality improvement and patient safety - Interprofessional collaboration |
| General Assessment | 15% | - Interpretation of diagnostic data - Perinatal history collection - Systematic physical assessment - Growth and development assessment |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Neurological system - Cardiovascular system - Musculoskeletal and integumentary system - Metabolic and endocrine system - Hematopoietic and immune system - Eyes, ears, nose and throat - Renal and genitourinary system - Respiratory system - Genetics and congenital anomalies - Gastrointestinal system - Infectious diseases |
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NEW QUESTION # 115
Which breech presentation at birth presents with the buttocks only passing through the birth canal first?
Answer: C
Explanation:
A frank breech presentation is one in which the legs of the fetus are extended upward so that the feet are near the head. This results in the buttocks passing through the birth canal first. A complete breech occurs when the knees of the fetus are bent so that the feet are near the buttocks.
A footling breech occurs when the fetus is foot down and one or both feet present first through the birth canal.
NEW QUESTION # 116
Oral sucrose is given to infants
Answer: A
Explanation:
Oral sucrose has been used in infants as a mild analgesic. It is given before minor procedures to help relax the infant and provide pain relief. The sucrose solution activates the body's mechanism to produce natural opioid-like substances, such as endorphins. Oral sucrose is not indicated in hypoglycemia or for heart rate and blood pressure control.
NEW QUESTION # 117
A 64-year-old female has been told that her husband has terminal, metastatic cancer and life expectancy is most likely less than 6 months. She is feeling very anxious, depressed, and moody since he received this diagnosis. These emotions are part of
Answer: C
Explanation:
Anticipatory grief is the period that some people go through when it is learned that a loved one's death is eminent. Not everyone experiences this, but it can help a person to accept the impending death of their family member or friend. During this time, people often feel depressed or anxious, they may begin plans for the changes that will come when the person has passed, or they may take that time to share feelings and emotions with the loved one they are preparing to lose. If a person experiences anticipatory grief, it may help them to adjust to the changes that will occur once the person has died.
NEW QUESTION # 118
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 # 119
Parents of a newborn have opted to not have their son circumcised. When providing them with care instructions, they will need to know
Answer: C
Explanation:
It is recommended that the newborn's foreskin be gently retracted as much as it will naturally allow during baths and diaper changes, but that cleansing the area beneath the foreskin not be done until the foreskin has fully retracted naturally. Forceful retraction should be avoided as it may cause irritation, bleeding, or fibrosis, and should be avoided for that reason. Bacteria, fungus, and moisture can be trapped within the foreskin, which can lead to a painful infection. Infections can become severe enough to cause significant swelling of the foreskin, which can prevent it from being able to be retracted down over the penis.
NEW QUESTION # 120
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