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| Section | Weight | Objectives |
|---|---|---|
| Professional Issues | 3% | - Ethics and legal aspects - Scope and standards of practice - Quality improvement and patient safety - Interprofessional collaboration |
| Pharmacology | 9% | - Adverse effects and interactions - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Respiratory system - Neurological system - Hematopoietic and immune system - Eyes, ears, nose and throat - Infectious diseases - Renal and genitourinary system - Gastrointestinal system - Metabolic and endocrine system - Genetics and congenital anomalies - Cardiovascular system - Musculoskeletal and integumentary system |
| General Management | 19% | - Nutrition and growth support - Resuscitation and stabilization - Pain management and sedation - Fluids, electrolytes and acid-base balance - Thermoregulation - Care coordination and family education |
| General Assessment | 15% | - Interpretation of diagnostic data - Systematic physical assessment - Perinatal history collection - Growth and development assessment |
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NEW QUESTION # 102
An elevated serum lactate level in an infant in the Neonatal Intensive Care Unit is associated with
Answer: C
Explanation:
Lactic acid is increased in situations of tissue hypoxia, which can lead to severe metabolic acidosis. This can occur with sepsis, heart failure, shock, and multisystem organ failure. Studies have shown that elevations in serum lactate in the first week of life correlate with an increase in mortality rates. This risk is higher in infants born less than 1000 g.
NEW QUESTION # 103
A newborn has an NG tube in place due to an intestinal obstruction. In order to prevent aspiration of saliva, it is very important to
Answer: A
Explanation:
There is an increased risk of death by aspiration in newborns that have an NG tube. This is due to aspiration of saliva. Because ofthis, a drainage bag should be attached to accept the aspirate.
The stomach contents should also be aspirated at least every 30 minutes to decrease this risk.
NEW QUESTION # 104
If left untreated, coarctation of the aorta can lead to
Answer: B
Explanation:
Coarctation of the aorta can cause congestive heart failure. It occurs when there is narrowing in the aorta. It is a congenital condition that may not cause any symptoms in the newborn and may not be known to be present until adulthood. If symptomatic, the common symptoms are pallor, difficulty breathing, and poor feeding due to difficulty breathing. If it is left untreated, it can lead to congestive heart failure or even death.
NEW QUESTION # 105
Which of the following is a potential risk when using an extracorporeal membrane oxygenation (ECMO) device?
Answer: C
Explanation:
An extracorporeal membrane oxygenation (ECMO) device is used in infants who are not able to breath or pump blood on their own. It is a type of heart-lung bypass machine that circulates blood from the infant. through an artificial lung to oxygenate the blood, and then back into the infant to circulate through the body. Some of the potential risks include the formation of blood clots, bleeding, or infection. Blindness (specifically, retinopathy of prematurity) was a common complication of excessive supplemental oxygen in the 1940's prior to advances and research in oxygen administration. Generally, electrolyte levels are not impacted by ECMO.
NEW QUESTION # 106
A newborn with congenital cytomegalovirus infection is being treated with IV ganciclovir. W'hen giving this intravenously, over what time period should it be infused?
Answer: C
Explanation:
Ganciclovir should be given over a 60 minute time period when given intravenously. It is used primarily for immunodeficient patients with CMV retinitis. It is a very cytotoxic drug and its cytotoxic effects are increased if given over a shorter period of time than 60 minutes. These adverse effects include thrombocytopenia, granulocytopenia, and anemia. In male patients, it may cause aspermatogenesis.
NEW QUESTION # 107
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