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| Section | Weight | Objectives |
|---|---|---|
| Professional Issues | 3% | - Interprofessional collaboration - Quality improvement and patient safety - Ethics and legal aspects - Scope and standards of practice |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Eyes, ears, nose and throat - Hematopoietic and immune system - Neurological system - Cardiovascular system - Gastrointestinal system - Renal and genitourinary system - Respiratory system - Genetics and congenital anomalies - Infectious diseases - Musculoskeletal and integumentary system - Metabolic and endocrine system |
| General Assessment | 15% | - Systematic physical assessment - Perinatal history collection - Interpretation of diagnostic data - Growth and development assessment |
| Pharmacology | 9% | - Safe administration principles - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages |
| General Management | 19% | - Pain management and sedation - Care coordination and family education - Thermoregulation - Resuscitation and stabilization - Fluids, electrolytes and acid-base balance - Nutrition and growth support |
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NEW QUESTION # 127
The NP is caring for a newborn with spina bifid
a. The mother expresses concerns that a
fall she had 2 weeks before delivery could have caused the birth defect. The best response is
Answer: A
Explanation:
Spina bifida is classified as a neural tube defect and it develops during the first month of pregnancy, when development of the spinal column occurs. Other neural tube defects include anencephaly and development of a Chiari malformation. With spina bifida, the spinal column does not completely close, resulting in at least some paralysis of the lower extremities. There is no cure for this condition, and any nerve damage present at birth is permanent.
NEW QUESTION # 128
The syndrome affecting almost half of the infants of diabetic mothers is
Answer: C
Explanation:
Fetal macrosomia occurs in up to 45% of infants of diabetic mothers. They are large babies that weigh more than 4000 g at term birth. These infants are puffy, fat, ruddy, and often hypotonic.
These infants are also more likely to have periods of hypoglycemia shortly after birth and during the first few days of life.
NEW QUESTION # 129
What is the ideal timeframe in which surfactant should be given to the newborn with respiratory distress?
Answer: B
Explanation:
Surfactant should be given as soon as the diagnosis of respiratory distress syndrome is made, preferably within 1 hour of birth. A repeat dose is then given 4-12 hours after birth as long as the infant is still intubated and requiring 30-40% oxygen. Surfactant is administered through the endotracheal tube over the course of a few minutes.
NEW QUESTION # 130
A preterm infant in the NICU is receiving tube feedings until he is able to attempt oral feedings. What activity can help him with the transition from tube to oral feedings?
Answer: B
Explanation:
Non-nutritive sucking, such as that with a pacifier, is having an infant suck on something that does not give them milk. For infants who are tube fed, it can trigger an association with them between having a full stomach and sucking, which can help when transitioning to oral feedings. The sucking activity is also helpful in strengthening the oral muscles needed to suck, as well as being soothing and calming for the infant.
NEW QUESTION # 131
A neonate born to an HIV-infected mother should receive the first dose of antiretroviral medication within
Answer: A
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 # 132
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