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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Management | 19% | - Pain management and sedation - Resuscitation and stabilization - Nutrition and growth support - Fluids, electrolytes and acid-base balance - Thermoregulation - Care coordination and family education |
| Topic 2: Professional Issues | 3% | - Ethics and legal aspects - Quality improvement and patient safety - Interprofessional collaboration - Scope and standards of practice |
| Topic 3: General Assessment | 15% | - Interpretation of diagnostic data - Growth and development assessment - Systematic physical assessment - Perinatal history collection |
| Topic 4: Pharmacology | 9% | - Common medications and dosages - Safe administration principles - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates |
| Topic 5: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Hematopoietic and immune system - Genetics and congenital anomalies - Metabolic and endocrine system - Respiratory system - Cardiovascular system - Renal and genitourinary system - Infectious diseases - Musculoskeletal and integumentary system - Gastrointestinal system - Neurological system - Eyes, ears, nose and throat |
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NEW QUESTION # 32
An infant with a known congenital diaphragmatic hernia is born at 38 weeks gestation.
He requires resuscitation shortly after delivery due to the weakening of the diaphragm from the herni a. Generally speaking, survival rate for this infant is
Answer: A
Explanation:
With a diaphragmatic hernia, the diaphragm becomes weakened and this can result in the stomach and other abdominal contents expending into the chest cavity. This, along with the weakened diaphragm, can result in a decreased ability to breathe. If detected in the prenatal period, assistance can standby during delivery to begin resuscitative measures promptly and improve the chances for survival.
NEW QUESTION # 33
The NP is checking the blood pressure of a newborn. It is 64/40. What should the next step be?
Answer: A
Explanation:
A normal newborn blood pressure is 64/41. This usually rises to 95/58 around the first month of age. Premature infants will have even lower blood pressures unless their medical condition results in an elevation in blood pressure. In this situation, the NP should record the reading and continue with the newborn assessment.
NEW QUESTION # 34
Which of the following is used to test for congenital cytomegalovirus infection?
Answer: C
Explanation:
A congenital cytomegalovirus (CMU infection can be diagnosed using saliva, urine, or blood specimens. Testing must be done within the first 2-3 weeks following birth. A mother who has CMV can pass this infection to the fetus through the placenta. Most infants will never develop any symptoms from the virus, but approximately 20% can develop hearing loss, vision loss, intellectual disabilities, seizures, or muscle weakness.
NEW QUESTION # 35
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 # 36
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 # 37
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