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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Assessment | 15% | - Perinatal history collection - Systematic physical assessment - Growth and development assessment - Interpretation of diagnostic data |
| Topic 2: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Gastrointestinal system - Genetics and congenital anomalies - Respiratory system - Infectious diseases - Neurological system - Musculoskeletal and integumentary system - Renal and genitourinary system - Hematopoietic and immune system - Eyes, ears, nose and throat - Cardiovascular system - Metabolic and endocrine system |
| Topic 3: General Management | 19% | - Resuscitation and stabilization - Fluids, electrolytes and acid-base balance - Thermoregulation - Nutrition and growth support - Pain management and sedation - Care coordination and family education |
| Topic 4: Professional Issues | 3% | - Ethics and legal aspects - Scope and standards of practice - Quality improvement and patient safety - Interprofessional collaboration |
| Topic 5: Pharmacology | 9% | - Safe administration principles - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages - Adverse effects and interactions |
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NEW QUESTION # 40
The feces of house cats can cause a parasitic infection called
Answer: B
Explanation:
Cat feces can contain a parasite called toxoplasmosis. A pregnant woman may contract this parasite and then pass it onto the fetus through the placenta. For this reason, pregnant women should avoid contact with cat feces, such as when cleaning a litter box. Most pregnant women who become infected will not be aware of the infection. It can cause prematurity in about half of those infants who contract the parasite in utero. The infection can cause damage to the eyes, ears, nervous system, and skin in infants,
NEW QUESTION # 41
An infant with ABO incompatibility with the mother develops hyperbilirubinemia after birth. The neonate should be monitored for a few weeks after birth for
Answer: A
Explanation:
Anemia may develop in the weeks after delivery because of increased rate of RBC breakdown, so the neonate should be monitored with blood counts. About 20-25% of pregnancies involve ABO incompatibility, usually with the mother type O and the fetus A or B. There are rarely serious complications for the fetus although the neonate may develop hyperbilirubinemia, so the child should be observed carefully. Only in severe cases of hemolysis (rare), does the child require exchange transfusions.
NEW QUESTION # 42
A neonate develops tremors of the chin and extremities with the following observations:
*Lack of ocular deviations or other abnormalities.
*Gentle restraint halts tremors.
*Stimulation elicits tremors.
*Clonic jerking has both fast and slow elements.
*Autonomic changes involving the heart rate, respirations, and blood pressure are not present.
*EEG is normal.
The most likely cause is
Answer: A
Explanation:
Jitteriness is distinct from shuddering, a 10-15 second period of fast tremors that may recur SIOO times daily. Both jitteriness and shuddering are benign findings. Seizures indicate that there is an abnormality of the central nervous system and are differentiated by their associated abnormal movements:
*Subtle: Feet pedaling, chewing, apnea, eye movements, or blank stare.
*Tonic: Tonic flexion or extension of the limbs, focal (one limb) or generalized.
*Clonic: Slow, clonic movements (1-3 per second), often in one extremity or one side of the body.
*Myoclonic: Focal, multi-focal, or generalized, with rapid jerking movements of the extremities.
NEW QUESTION # 43
The four heart defects seen with Tetralogy of Fallot are
Answer: C
Explanation:
Tetralogy of Fallot is a very serious congenital heart defect that includes a large ventricular septal defect. pulmonary stenosis, right ventricular hypertrophy, and an overriding aorta. Though this is a serious condition, it is treated surgically during infancy and most children with this condition will go on to live into adulthood.
NEW QUESTION # 44
The neural tube defect in which there is failure of the vertebral column to close, but no herniation through the opening is
Answer: B
Explanation:
Spina bifida occulta is the failure of the vertebral column to close, but no herniation through the opening so the defect may not be obvious. Spina bifida is a defect in which the vertebral column is not closed with varying degrees of herniation through the opening. Spina bifida cystica is a defect in closure with external sac-like protrusion with varying degrees of nerve involvement.
Meningocele is spina bifida cystica with meningeal sac filled with spinal fluid. Myelomeningocele is spina bifida cystica with meningeal sac containing spinal fluid and part of the spinal cord and nerves.
NEW QUESTION # 45
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