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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Assessment | 15% | - Interpretation of diagnostic data - Systematic physical assessment - Perinatal history collection - Growth and development assessment |
| Topic 2: Pharmacology | 9% | - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Adverse effects and interactions |
| Topic 3: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Renal and genitourinary system - Infectious diseases - Metabolic and endocrine system - Musculoskeletal and integumentary system - Gastrointestinal system - Hematopoietic and immune system - Eyes, ears, nose and throat - Respiratory system - Neurological system - Cardiovascular system - Genetics and congenital anomalies |
| Topic 4: Professional Issues | 3% | - Quality improvement and patient safety - Scope and standards of practice - Interprofessional collaboration - Ethics and legal aspects |
| Topic 5: General Management | 19% | - Pain management and sedation - Care coordination and family education - Thermoregulation - Nutrition and growth support - Resuscitation and stabilization - Fluids, electrolytes and acid-base balance |
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NEW QUESTION # 36
The feces of house cats can cause a parasitic infection called
Answer: A
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 # 37
The mildest form of an intraventricular hemorrhage of the brain in a newborn is also called
Answer: A
Explanation:
An intraventricular hemorrhage in a newborn is classified into grades, depending upon the severity of the bleeding. Grade l, the mildest form, is also called a germinal matrix hemorrhage.
Those infants most at risk for developing an intraventricular hemorrhage are those who are premature, at least 10 weeks preterm. This occurs because the blood vessels in the brain are very weak in the premature infant and can easily rupture, causing a brain bleed. Less than half of infants with a mild bleed will have long-term effects from it. Up to one-third of those with severe bleeds may die.
NEW QUESTION # 38
A neonate develops early-onset bacterial meningitis. Typical early symptoms include
Answer: B
Explanation:
Meningitis is often difficult to diagnose in the neonate because it has early nonspecific clinical findings of irritability, lethargv, poor feeding, temperature instability, and hypotension. The more specific neurological symptoms of seizures or bulging fontanels are seen in late onset infection.
Nuchal rigidity does not usually occur with neonates. Bacterial infections usually arise from spread of distant infections but can enter the CNS from surgical wounds, invasive devices, or nasal colonization. CSF findings suggestive of bacterial meningitis include:
*Decreased glucose.
*Elevated protein.
*White blood cell values in CSF greater than 100 WBC/dL
NEW QUESTION # 39
The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to
Answer: B
NEW QUESTION # 40
A neonate exhibits signs of hypoglycemia after birth and is treated only with a bolus of glucose. This treatment puts the infant at risk for
Answer: B
Explanation:
A glucose bolus-associated occurrence of acute hypoglycemia can arise if a glucose bolus is given and not followed up with a continuous infusion because the body will produce more insulin to cover the bolus which will then start to use glucose stores as soon as the bolus stops. To prevent this, a steady infusion should be continued for a time period that is sufficient for the infant's insulin production to stabilize. Bedside tests for hypoglycemia with reagent sticks may overestimate hypoglycemia and should be confirmed with a serum level.
NEW QUESTION # 41
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