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| Section | Weight | Objectives |
|---|---|---|
| Professional Issues | 3% | - Quality improvement and patient safety - Ethics and legal aspects - Interprofessional collaboration - Scope and standards of practice |
| General Assessment | 15% | - Perinatal history collection - Growth and development assessment - Systematic physical assessment - Interpretation of diagnostic data |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Musculoskeletal and integumentary system - Infectious diseases - Neurological system - Hematopoietic and immune system - Genetics and congenital anomalies - Renal and genitourinary system - Eyes, ears, nose and throat - Metabolic and endocrine system - Gastrointestinal system - Cardiovascular system - Respiratory system |
| Pharmacology | 9% | - Safe administration principles - Common medications and dosages - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates |
| General Management | 19% | - Thermoregulation - Resuscitation and stabilization - Care coordination and family education - Nutrition and growth support - Pain management and sedation - Fluids, electrolytes and acid-base balance |
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NEW QUESTION # 97
Clinical symptoms of neonatal renal vein thrombosis include
Answer: B
Explanation:
Clinical symptoms of renal vein thrombosis in the newborn include thrombocytopenia, hypertension, hematuria, proteinuria, and renal insufficiency. This condition is rare, but can occur in infants born to mothers with a history of diabetes mellitus. This is not an infectious condition, so you would not expect to see leukocytosis. Bence-Jones proteins in the urine are specific to multiple myeloma.
NEW QUESTION # 98
If a patient's membranes rupture and meconium-stained amniotic fluid is noted, the next step should be
Answer: A
Explanation:
While previous standards advised for immediate Cesarean in the context of meconium-stained amniotic fluid, this is no longer advised. Instead, the fetus should be closely monitored for signs of distress and the appropriate team should be present at the birth of the neonate due to risks for respiratory distress secondary to aspiration. These neonates should not be routinely suctioned and/or intubated unless they are nonvigorous and do not respond to noninvasive interventions.
NEW QUESTION # 99
Which of the following medications is NOT safe to take while breastfeeding?
Answer: C
Explanation:
The antipsychotic medication clozapine should not be taken by mother's who are breastfeeding. It is typically used for schizophrenia and passes through human milk to the infant. It can cause letharg- and agranulocytosis in infants. Infants of breastfed mothers who were taking clozapine have also exhibited speech delay. Ibuprofen and diphenhydramine are both considered safe to take while breastfeeding.
NEW QUESTION # 100
What is measured with the quad screen test?
Answer: C
Explanation:
The quad screen is performed at 15-20 weeks of pregnancy via a blood test. It measures alpha-fetoprotein, human chorionic gonadotropin, estriol, and inhibin-A. Alpha-fetoprotein is made in the liver of the fetus and elevated levels may indicate a neural tube defect such as spina bifida.
Human chorionic gonadotropin is made by the placenta and levels vary during pregnancy. Estriol is a form of estrogen made by the placenta and levels increase during pregnancy. Inhibin-A is a hormone produced by the fetus and the placenta and abnormal levels may indicate the presence of Down syndrome.
NEW QUESTION # 101
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 # 102
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