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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pharmacology | 9% | - Safe administration principles - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages |
| Topic 2: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Cardiovascular system - Hematopoietic and immune system - Genetics and congenital anomalies - Musculoskeletal and integumentary system - Renal and genitourinary system - Neurological system - Eyes, ears, nose and throat - Respiratory system - Gastrointestinal system - Infectious diseases - Metabolic and endocrine system |
| Topic 3: General Assessment | 15% | - Growth and development assessment - Interpretation of diagnostic data - Perinatal history collection - Systematic physical assessment |
| Topic 4: Professional Issues | 3% | - Quality improvement and patient safety - Ethics and legal aspects - Interprofessional collaboration - Scope and standards of practice |
| Topic 5: General Management | 19% | - Resuscitation and stabilization - Care coordination and family education - Pain management and sedation - Thermoregulation - Fluids, electrolytes and acid-base balance - Nutrition and growth support |
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NEW QUESTION # 144
To ingest 120 calories/kg/day, an infant breastfeeding or receiving unfortified formula needs to ingest
Answer: B
Explanation:
Unfortified formulas (and most human milk) supply 20 calories per ounce. To ingest 120 cal/kg/day, an infant needs to ingest 6 ounces/kg/day of unfortified formula or human milk. The general requirements for adequate growth include:
*Full-term infants: 100-120 cal/kg/day
*Premature infants: 110-160 cal/kg/day
*Infants who are recovering from surgery or have a chronic illness, such as bronchopulmonary dysplasia (BPD): =180 cal/kg/day The caloric needs of a neonate (preterm or term) depend on postnatal age, activity, current weight, growth rate, thermal environment, and route of nutritional intake. Cold stress increases caloric requirements.
NEW QUESTION # 145
What is a major risk factor for chorioamnionitis?
Answer: A
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 # 146
The most common craniosynostosis syndrome is
Answer: C
Explanation:
Crouzon syndrome is the most common type of craniosynostosis syndrome. It causes fusion of the skull bones prematurely, which results in decreased space where the brain can expand and grow. The fusion of the skull bones also causes wide set, bulging eyes with vision problems due to shallow eye sockets. The nose is beaked and the jaw is under developed in those suffering from this condition. It is an autosomal dominant disease.
NEW QUESTION # 147
A neonate is 40 weeks gestation and nursing well but has onset of jaundice at 36 hours.
Total serum bilirubin is 12 mg/dL At this time, treatment should include
Answer: A
Explanation:
While the neonate's bilirubin is elevated (normal range 3.4-11.5 mg/dL at 1-2 days), only continued observation and jaundice assessment is indicated at this time. Physiologic hyperbilirubinemia is common in newborns and usually benign, resulting from immature hepatic function and increased RBC hemolysis. Infants have larger red blood cells with a shorter life than adults, leading to more RBC destruction and resulting in an increased load of serum bilirubin, which the liver of the newborn cannot handle. Onset is usually within 24-48 hours, peaking in 72 hours for full term or 5 days for preterm infants and declining within a week. Phototherapy is the indicated treatment for total serum bilirubin 218 mg/dL for those at medium risk.
NEW QUESTION # 148
Two days after birth, a newborn infant has developed an erythematous papular rash scattered all over. The best explanation to give the parents is
Answer: A
Explanation:
Erythema toxicum is a benign rash that develops 2-5 days after birth in approximately half of all full-term infants. It appears as red blotches on the skin with white or yellow papules or pustules. It does not appear to cause any discomfort to the baby and there is no treatment as it resolves on its own within a couple of weeks. Sensitivity to the new environment early in life is thought to be the cause.
NEW QUESTION # 149
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