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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Management | 19% | - Care coordination and family education - Resuscitation and stabilization - Nutrition and growth support - Fluids, electrolytes and acid-base balance - Pain management and sedation - Thermoregulation |
| Topic 2: General Assessment | 15% | - Growth and development assessment - Systematic physical assessment - Interpretation of diagnostic data - Perinatal history collection |
| Topic 3: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages - Adverse effects and interactions - Safe administration principles |
| Topic 4: Professional Issues | 3% | - Ethics and legal aspects - Scope and standards of practice - Quality improvement and patient safety - Interprofessional collaboration |
| Topic 5: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Genetics and congenital anomalies - Cardiovascular system - Neurological system - Hematopoietic and immune system - Eyes, ears, nose and throat - Metabolic and endocrine system - Respiratory system - Musculoskeletal and integumentary system - Infectious diseases - Gastrointestinal system - Renal and genitourinary system |
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NEW QUESTION # 82
Which of the following medications is NOT indicated for use in the infant in respiratory distress?
Answer: A
Explanation:
Perforomist, a formoterol inhalation treatment, is not indicated for use in children. It is indicated for treatment of COPD symptoms in adults. Albuterol is a beta-2 agonist that works to relieve respiratory symptoms by dilating the airway. Dexamethasone is a steroid that can decrease inflammation within the airway.
NEW QUESTION # 83
The relationship between the total loading dose of an administered drug and the serum concentration refers to the
Answer: B
Explanation:
Distribution: The volume of distribution is the relationship between the total loading dose of drug administered and the serum concentration (volume of body fluid required to dissolve the amount of drug found in the serum). Absorption: This relates to the rate at which a drug enters the bloodstream and the amount of drug. Clearance: Elimination pathways (liver, kidney) can become saturated if dose of medications is too high or administration is too frequent. Ideally, a drug concentration should be maintained at a steady state (average).
NEW QUESTION # 84
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: A
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 # 85
A neonate delivered by Cesarean to a mother who smokes exhibits dyspnea, mild sternal retraction, expiratory grunt, nasal flaring, and poor feeding. ABGs show mild hypoxemia.
The most likely cause is
Answer: B
Explanation:
Transient tachypnea of newborn CT TN) occurs when fluid in the lungs is not adequately absorbed after birth. The neonate usually exhibits symptoms within 36 hours of birth and the condition typically resolves within 3 days. T TN is most common in infants delivered by Cesarean section, but premature birth and mothers who smoke or have diabetes increase risk to infant.
Symptoms include:
*Dyspnea (>60/min).
*Sternal retraction (mild).
*Expiratory grunt.
*Nasal flaring.
*Poor feeding (because of increased respiratory rate).
NEW QUESTION # 86
During pregnancy, a suspicious finding on ultrasound that may indicate an esophageal atresia is
Answer: A
Explanation:
Polyhydramnios is an abnormal finding on ultrasound that may indicate the presence of esophageal atresia. During normal development, the esophagus and trachea form side by side. An abnormality in development in utero may result in the esophagus not fully developing all the way to the stomach. This results in a closed-ended esophagus. The fetus drinks amniotic fluid while in the womb, so if they are not able to do this, polyhydramnios, or an increased volume of amniotic fluid, can occur. Occasionally, a fistula may form betv:een the esophagus and the trachea, resulting in any intake of liquids being bypassed directly into the trachea and lungs.
NEW QUESTION # 87
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