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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pharmacology | 9% | - Common medications and dosages - Safe administration principles - Pharmacokinetics and pharmacodynamics in neonates - Adverse effects and interactions |
| Topic 2: General Management | 19% | - Care coordination and family education - Thermoregulation - Nutrition and growth support - Fluids, electrolytes and acid-base balance - Resuscitation and stabilization - Pain management and sedation |
| Topic 3: General Assessment | 15% | - Interpretation of diagnostic data - Growth and development assessment - Perinatal history collection - Systematic physical assessment |
| Topic 4: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Musculoskeletal and integumentary system - Hematopoietic and immune system - Neurological system - Cardiovascular system - Respiratory system - Eyes, ears, nose and throat - Gastrointestinal system - Renal and genitourinary system - Metabolic and endocrine system - Infectious diseases - Genetics and congenital anomalies |
| Topic 5: Professional Issues | 3% | - Ethics and legal aspects - Interprofessional collaboration - Quality improvement and patient safety - Scope and standards of practice |
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NEW QUESTION # 109
A medical emergency that can lead to hypovolemic shock in the newborn is
Answer: A
Explanation:
A subgaleal hemorrhage can be massive and may lead to hypovolemic shock. This condition occurs when there is bleeding in the loose connective tissue of the subgaleal space. The subgaleal space is composed of loose connective tissue that allows the scalp to slide easily on the cranium.
There is an increased risk of a subgaleal hemorrhage with vacuum and forceps use during delivery.
The trauma to the scalp results in rupture of the blood vessels in this space. This usually develops over several hours to several days with the first clinical sign being an increase in head circumference.
NEW QUESTION # 110
The mildest form of an intraventricular hemorrhage of the brain in a newborn is also called
Answer: A
Explanation:
An intraventricular hemorrhage in a newborn is classified into grades, depending upon the severity of the bleeding. Grade l, the mildest form, is also called a germinal matrix hemorrhage.
Those infants most at risk for developing an intraventricular hemorrhage are those who are premature, at least 10 weeks preterm. This occurs because the blood vessels in the brain are very weak in the premature infant and can easily rupture, causing a brain bleed. Less than half of infants with a mild bleed will have long-term effects from it. Up to one-third of those with severe bleeds may die.
NEW QUESTION # 111
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: B
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 # 112
The newborn with hypothermia has an increased risk of developing
Answer: A
Explanation:
Persistent hypothermia can lead to hypoglycemia. There may be a period of transient hyperglycemia when glycogen stores are used to increase glucose levels, but this is followed by hypoglycemia as energy demands exceed glucose supply. This can lead to metabolic acidosis, not alkalosis.
NEW QUESTION # 113
What is measured with the quad screen test?
Answer: B
Explanation:
The quad screen is performed at 15-20 weeks of pregnancy via a blood test. It measures alpha-fetoprotein, human chorionic gonadotropin, estriol, and inhibin-A. Alpha-fetoprotein is made in the liver of the fetus and elevated levels may indicate a neural tube defect such as spina bifida.
Human chorionic gonadotropin is made by the placenta and levels vary during pregnancy. Estriol is a form of estrogen made by the placenta and levels increase during pregnancy. Inhibin-A is a hormone produced by the fetus and the placenta and abnormal levels may indicate the presence of Down syndrome.
NEW QUESTION # 114
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