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| Section | Weight | Objectives |
|---|---|---|
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Gastrointestinal system - Genetics and congenital anomalies - Cardiovascular system - Hematopoietic and immune system - Infectious diseases - Eyes, ears, nose and throat - Renal and genitourinary system - Metabolic and endocrine system - Respiratory system - Neurological system - Musculoskeletal and integumentary system |
| Professional Issues | 3% | - Ethics and legal aspects - Quality improvement and patient safety - Scope and standards of practice - Interprofessional collaboration |
| General Assessment | 15% | - Systematic physical assessment - Growth and development assessment - Perinatal history collection - Interpretation of diagnostic data |
| General Management | 19% | - Resuscitation and stabilization - Care coordination and family education - Fluids, electrolytes and acid-base balance - Thermoregulation - Nutrition and growth support - Pain management and sedation |
| Pharmacology | 9% | - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages - Safe administration principles |
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NEW QUESTION # 158
The electrolytes that are of primary concern in the neonate are
Answer: B
Explanation:
NEW QUESTION # 159
A new mother is visiting her infant in the NICU. She expresses concern over the tiny white bumps on her child's nose and chin. The NP explains to her that
Answer: A
Explanation:
Milia are very common and occur when flakes of skin become trapped within pores. It is most common in newborns and occurs most often on the nose and chin. It is important to not pick or pinch these lesions because this could damage the tissue or lead to a skin infection. The lesions usually resolve on their own within a few weeks.
NEW QUESTION # 160
A newborn has been diagnosed with neonatal testicular torsion that has left one testicle unsalvageable. The other testicle is not affected. The parents are asking if their son will have fertility problems when he is older because of this. The most appropriate
Answer: B
Explanation:
Unilateral neonatal testicular torsion generally has little, if any, effect on future futility.
Bilateral torsion can result in bilateral testicular dysfunction, which can involve deficiencies in sex steroid hormones. Those patients should be seen by an endocrinologist to determine what sex steroid hormone replacement therapy will be necessary for normal development.
NEW QUESTION # 161
The NP has received a lab report on the CSF of a newborn who underwent a lumbar puncture. The lab report shows the glucose level in the sample is 100 mg/dL. This value is interpreted to mean
Answer: B
Explanation:
The normal glucose level in cerebrospinal fluid in a newborn is 35-120 mg/dL A value of 100 would be normal for this infant. Diabetes mellitus may cause CSF glucose levels to be elevated.
Meningitis can cause CSF glucose to be normal with viral meningitis, low with bacterial meningitis, and normal to low in fungal meningitis.
NEW QUESTION # 162
What injection do newborns receive at birth to decrease the risk of hemorrhage?
Answer: A
Explanation:
At birth, newborns are given an injection of vitamin K to prevent hemorrhage. Infants are borne with a deficient amount of vitamin K, which can cause a condition known as vitamin K deficiency bleeding, or VKDB. Internal bleeding can be difficult in the newborn until serious complications are developing. so a routine injection of vitamin K is given at birth to decrease the risk of bleeding. Erythromycin ointment is applied to the eyes of the newborn to prevent neonatal gonococcal ophthalmia.
NEW QUESTION # 163
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