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| Section | Weight | Objectives |
|---|---|---|
| General Management | 19% | - Care coordination and family education - Resuscitation and stabilization - Nutrition and growth support - Fluids, electrolytes and acid-base balance - Pain management and sedation - Thermoregulation |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Genetics and congenital anomalies - Renal and genitourinary system - Hematopoietic and immune system - Musculoskeletal and integumentary system - Cardiovascular system - Respiratory system - Eyes, ears, nose and throat - Neurological system - Metabolic and endocrine system - Gastrointestinal system - Infectious diseases |
| General Assessment | 15% | - Growth and development assessment - Interpretation of diagnostic data - Systematic physical assessment - Perinatal history collection |
| Pharmacology | 9% | - Safe administration principles - Adverse effects and interactions - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates |
| Professional Issues | 3% | - Ethics and legal aspects - Quality improvement and patient safety - Interprofessional collaboration - Scope and standards of practice |
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NEW QUESTION # 95
On examining the neonate, the NP notes 9 cafe au lait spots with a diameter greater than
5 mm and freckles on the axilla and inguinal are
a. The infant should be tested for
Answer: A
Explanation:
Cafe au lait spots (CAL) are flat skin lesions with increased melanin content and regular or irregular borders. If the CAL spots are faint, one can use a Wood lamp to make them easier to see.
Fewer than 3 cafe au lait spots have no clinical significance. However, 6 or more cafe au lait spots with a diameter larger than 5 mm occur in 95% of patients with neurofibromatosis type 1 (NFI), a disorder of chromosome 17. Lisch nodules on the child's iris and Crowe's sign (freckles on the axilla and inguinal area) corroborate the diagnosis of NFI.
NEW QUESTION # 96
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: B
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 # 97
Early onset group B strep infection in the newborn is most likely to cause
Answer: B
Explanation:
Early onset group B strep infection in the newborn is most likely to cause sepsis. It can also cause pneumonia. Meningitis can occur with early onset group B strep, but it is not as common as sepsis. Meningitis is more likely to occur with late onset of the infection. Group B strep infection is passed from the mother to the fetus. Screening pregnant women for group B strep is routine so that it can be treated with antibiotics to prevent transmission during pregnancy and birth.
NEW QUESTION # 98
A neonate receiving mechanical ventilation has a PaC02 level of 33 mmHg with pH of 7.5 from a blood sample obtained from the umbilical artery. These values indicate
Answer: C
Explanation:
These values indicate respiratory alkalosis from hyperventilation associated with excessive mechanical ventilation, which decreases the level of carbon dioxide in the blood. Respiratory alkalosis occurs with PaC02 <35 mmHg and pH >7.45. Normal PaC02 is 35-45 mmHg and normal pH
7.35-7.45. Arterial blood gas (ABG) is the most informative measurement of blood gas status.
Venous blood gas (VBG) is easier to obtain if an arterial catheter is not in place. To compare the values in the VBG with an ABG, add 0.05 to the pH of the VBG. Subtract 5-10 mmHg from the PC02 of the VBG. Capillary blood gas (CBG) can be obtained with a heel stick, but the values obtained are the least accurate and rarely useful.
NEW QUESTION # 99
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: C
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 # 100
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