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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professional Issues | 3% | - Scope and standards of practice - Interprofessional collaboration - Ethics and legal aspects - Quality improvement and patient safety |
| Topic 2: General Management | 19% | - Fluids, electrolytes and acid-base balance - Resuscitation and stabilization - Thermoregulation - Pain management and sedation - Nutrition and growth support - Care coordination and family education |
| Topic 3: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Genetics and congenital anomalies - Metabolic and endocrine system - Renal and genitourinary system - Hematopoietic and immune system - Cardiovascular system - Eyes, ears, nose and throat - Musculoskeletal and integumentary system - Neurological system - Infectious diseases - Respiratory system - Gastrointestinal system |
| Topic 4: General Assessment | 15% | - Interpretation of diagnostic data - Perinatal history collection - Growth and development assessment - Systematic physical assessment |
| Topic 5: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages - Adverse effects and interactions - Safe administration principles |
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NEW QUESTION # 168
When the NP is assessing a newborn's respiratory status, which would indicate the newborn is developing respiratory distress?
Answer: C
Explanation:
Nasal flaring is seen in newborns as an attempt to widen the nares and take in more oxygen.
Other signs of respiratory distress include retractions, tachypnea, grunting, and abnormal breath sounds. Pink skin color is reflective of a health newborn with good perfusion. A respiratory rate of
40 breaths per minute is within the normal range for a newborn.
NEW QUESTION # 169
What is a major risk factor for chorioamnionitis?
Answer: C
Explanation:
Chorioamnionitis is an acute infection and inflammation of the membranes and is commonly caused by a premature rupture of the membranes. This eliminates the protective barrier surrounding the fetus and increases the risk for pathogens to ascend into the uterus. Less commonly, chorioamnionitis can occur in the absence of membrane rupture. Long-term effects of this condition to the neonate include stillbirtw premature birth, sepsis, chronic lung disease, and brain injury or cerebral palsy. The mother can develop postpartum infections and sepsis.
NEW QUESTION # 170
During the first few months of life, the newborn is only able to digest those proteins found in
Answer: B
Explanation:
The digestive system of the newborn begins maturing soon after birth. For the first few months, however, the only proteins it is able to digest are those found in formula or human milk.
That is why it is advised that cow's milk not be begin to babies within the first year of life. The GI tract has also not fully matured with the necessary microorganisms that aide in digestion.
Development and maturation of the GI tract continues for the first 2 years of life.
NEW QUESTION # 171
A newborn has an NG tube in place due to an intestinal obstruction. In order to prevent aspiration of saliva, it is very important to
Answer: B
Explanation:
There is an increased risk of death by aspiration in newborns that have an NG tube. This is due to aspiration of saliva. Because ofthis, a drainage bag should be attached to accept the aspirate.
The stomach contents should also be aspirated at least every 30 minutes to decrease this risk.
NEW QUESTION # 172
Which of the following is an indication for parenteral nutrition in the premature infant?
Answer: C
Explanation:
Parenteral nutrition is given via intravenous route. It is used when enteral feeding via a tube directly in the GI tract is not possible. This is most often due to a very low birth weight, less than
1500 g. Enteral feedings are delayed in these infants due to immature lung function requiring intubation, hypotension, hypothermia, and infection risk. Also, the GI tract in these infants may not tolerate feedings that require digestion by normal means.
NEW QUESTION # 173
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