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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professional Issues | 3% | - Quality improvement and patient safety - Interprofessional collaboration - Scope and standards of practice - Ethics and legal aspects |
| Topic 2: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Cardiovascular system - Neurological system - Renal and genitourinary system - Infectious diseases - Gastrointestinal system - Musculoskeletal and integumentary system - Metabolic and endocrine system - Respiratory system - Hematopoietic and immune system - Genetics and congenital anomalies - Eyes, ears, nose and throat |
| Topic 3: General Assessment | 15% | - Interpretation of diagnostic data - Systematic physical assessment - Perinatal history collection - Growth and development assessment |
| Topic 4: General Management | 19% | - Thermoregulation - Nutrition and growth support - Care coordination and family education - Pain management and sedation - Resuscitation and stabilization - Fluids, electrolytes and acid-base balance |
| Topic 5: Pharmacology | 9% | - Adverse effects and interactions - Safe administration principles - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages |
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NEW QUESTION # 150
Which of the following medications may be given to slow down preterm labor contractions?
Answer: C
Explanation:
Tocolytics are drugs that are given to slow down or stop preterm labor. They are generally not used before 23-24 weeks of pregnancy and may be used as late as 36 weeks of pregnancy.
Terbutaline is in a class of drugs called beta-mimetics. It is used to decrease uterine contractions by relaxing the uterine musculature. It can cause nervousness, tremors, headache, and tachycardia.
Cytotec is given as a pill or vaginal suppository to help soften the cervix to induce labor. Pitocin is used to increase uterine contractions and cervical dilation to induce labor.
NEW QUESTION # 151
The parents of a newborn with strabismus express concern about how this is going to be treated. The most appropriate response is
Answer: B
Explanation:
Strabismus is a misalignment of the eyes, usually from a weak or defective eye muscle. As the child becomes older, patching and eyeglasses can help with strengthening the weak muscle to help align the gaze of the eyes. If left untreated or in the rare cases that patching and eyeglasses are not affective, strabismus can become severe and result in a full cross-eyed appearance. Occasionally surgery will need to be performed to correct the misalignment.
NEW QUESTION # 152
An infant in the Neonatal Intensive Care Unit is receiving carbamazepine (Tegretol) for seizure control. When would be the best time to obtain a blood sample to check a drug level?
Answer: A
Explanation:
There are some medications that require drug levels be drawn to ensure the drug concentration is at a therapeutic level and not too high or too low. For carbamazepine (Tegretol), the best time to check the drug level is just prior to giving a dose. The therapeutic drug level for this medication is 4-12 mg/L.
NEW QUESTION # 153
During pregnancy, a suspicious finding on ultrasound that may indicate an esophageal atresia is
Answer: B
Explanation:
Polyhydramnios is an abnormal finding on ultrasound that may indicate the presence of esophageal atresia. During normal development, the esophagus and trachea form side by side. An abnormality in development in utero may result in the esophagus not fully developing all the way to the stomach. This results in a closed-ended esophagus. The fetus drinks amniotic fluid while in the womb, so if they are not able to do this, polyhydramnios, or an increased volume of amniotic fluid, can occur. Occasionally, a fistula may form betv:een the esophagus and the trachea, resulting in any intake of liquids being bypassed directly into the trachea and lungs.
NEW QUESTION # 154
Which vitamin should be given to infants at risk for bronchopulmonary dysplasia?
Answer: B
Explanation:
Very low birth weight infants are at risk for developing bronchopulmonary dysplasia.
Nutritional support can possibly help to decrease the development of this condition. Vitamin A helps with lung maturity, and supplementation with this vitamin may help to prevent this condition. Parenteral nutrition also helps with lung development to ensure the infant is receiving the proteins and lipids needed to help with lung maturity.
NEW QUESTION # 155
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