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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professional Issues | 3% | - Quality improvement and patient safety - Interprofessional collaboration - Ethics and legal aspects - Scope and standards of practice |
| Topic 2: General Assessment | 15% | - Perinatal history collection - Growth and development assessment - Interpretation of diagnostic data - Systematic physical assessment |
| Topic 3: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Renal and genitourinary system - Neurological system - Respiratory system - Infectious diseases - Genetics and congenital anomalies - Gastrointestinal system - Metabolic and endocrine system - Hematopoietic and immune system - Musculoskeletal and integumentary system - Cardiovascular system - Eyes, ears, nose and throat |
| Topic 4: General Management | 19% | - Pain management and sedation - Care coordination and family education - Thermoregulation - Fluids, electrolytes and acid-base balance - Nutrition and growth support - Resuscitation and stabilization |
| Topic 5: Pharmacology | 9% | - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Adverse effects and interactions |
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NEW QUESTION # 72
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 # 73
When evaluating cord blood values 30 minutes after birth, the following arterial POZ is within normal limits
Answer: A
Explanation:
Umbilical cord blood gas testing, preferably arterial, should be done minutes after birth for infants who are at risk or depressed to determine pH and acid-base balance. Testing is most applicable to infants with low APGAR scores (0-3) persisting for 25 minutes. Normal values:
NEW QUESTION # 74
Oral sucrose is given to infants
Answer: B
Explanation:
Oral sucrose has been used in infants as a mild analgesic. It is given before minor procedures to help relax the infant and provide pain relief. The sucrose solution activates the body's mechanism to produce natural opioid-like substances, such as endorphins. Oral sucrose is not indicated in hypoglycemia or for heart rate and blood pressure control.
NEW QUESTION # 75
A neonate exhibits the following:
*Long narrow torso with short arms and legs.
*Proximal segment of the limbs (upper arms and thighs) disproportionately short.
*Head large with frontal bossing and midface hypoplasia.
These characteristics are consistent with
Answer: B
Explanation:
Achondroplasia is the most common cause of dwarfism. Bone growth is inhibited as the result of an abnormal gene on chromosome 4. Achondroplasia can be inherited in an autosomal dominant fashion, but the majority of cases (75-80%) occur with spontaneous mutations. Clinical features apparent at birth include a long narrow torso with short arms and legs. The proximal segment of the limbs (upper arms and thighs) is disproportionately short. The head is large, with frontal bossing and midface hypoplasia. A small hump (gibbus) may be present in the mid-to-lower back. Mild, generalized hypotonia may be present.
NEW QUESTION # 76
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: C
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 # 77
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