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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professional Issues | 3% | - Scope and standards of practice - Interprofessional collaboration - Ethics and legal aspects - Quality improvement and patient safety |
| Topic 2: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Metabolic and endocrine system - Respiratory system - Hematopoietic and immune system - Genetics and congenital anomalies - Gastrointestinal system - Musculoskeletal and integumentary system - Eyes, ears, nose and throat - Infectious diseases - Cardiovascular system - Neurological system - Renal and genitourinary system |
| Topic 3: General Management | 19% | - Care coordination and family education - Thermoregulation - Pain management and sedation - Fluids, electrolytes and acid-base balance - Resuscitation and stabilization - Nutrition and growth support |
| Topic 4: General Assessment | 15% | - Interpretation of diagnostic data - Perinatal history collection - Growth and development assessment - Systematic physical assessment |
| Topic 5: Pharmacology | 9% | - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages - Safe administration principles |
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NEW QUESTION # 112
What is a patent ductus arteriosus?
Answer: C
Explanation:
PDA is an opening betvveen the pulmonary and aortic arteries. Before a baby is born, its blood is oxygenated by the mother through the placenta. A vessel is formed connecting the pulmonary and aortic arteries, the ductus arteriosus. Shortly after birth, this vessel closes off so that the infants blood can then receive oxygen from its own lungs. With a PDA the ductus arteriosus remains open and oxygen-rich blood from the aorta mixes with the blood lacking oxygen from the pulmonary artery. If the rest of the heart is functioning normal, the baby is monitored and the PDA is allowed to repair itself. If this does not happen, the defect can be surgically corrected.
NEW QUESTION # 113
In which group is hypoxic ischemic encephalopathy more common?
Answer: B
Explanation:
Hypoxic ischemic encephalopathy is more common in full-term infants than premature infants. This condition results in damage or death to brain tissue due to lack of oxygen to the brain.
It can occur when there is any condition, maternal or fetal, that results in a disruption in oxygenation of brain tissue. This can include a prolapsed cord, placental abruption, maternal hypotension, and others. This is the leading cause of impairment in newborns, though severity of the impairment may not be determined until 3 or 4 years of age.
NEW QUESTION # 114
Parents of a newborn in the NICU are concerned about their baby having an IV placed in their scalp. To reassure them, the NP explains that
Answer: B
Explanation:
Though not the first choice for an IV site, the scalp is used once other sites in the hands and feet have already been used. The scalp is a good site because there is very little fat under the skin so the veins are easily visible.
NEW QUESTION # 115
Two days after birth, a newborn infant has developed an erythematous papular rash scattered all over. The best explanation to give the parents is
Answer: C
Explanation:
Erythema toxicum is a benign rash that develops 2-5 days after birth in approximately half of all full-term infants. It appears as red blotches on the skin with white or yellow papules or pustules. It does not appear to cause any discomfort to the baby and there is no treatment as it resolves on its own within a couple of weeks. Sensitivity to the new environment early in life is thought to be the cause.
NEW QUESTION # 116
A 6-day-old newborn develops signs of congestive heart failure with tachypnea, heart rate 175 at rest, fine pulmonary rales, and difficulty feeding. The most likely underlying cause is
Answer: C
Explanation:
Onset of symptoms varies with different structural defects, and symptoms of congestive heart failure within the first week may be caused by patent ductus arteriosus as well as transposition of the great vessels and total anomalous pulmonary return with pulmonary venous obstruction. Hypoplastic left heart syndrome is evident at birth. Coarctation of the aorta and pulmonary stenosis are usually evident between one and four weeks after birth.
NEW QUESTION # 117
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