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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Management | 19% | - Fluids and electrolytes
|
| Topic 2: Professional Issues | 3% | - Evidence-based practice
|
| Topic 3: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics
|
| Topic 4: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Cardiac
|
| Topic 5: General Assessment | 15% | - Maternal history affecting the newborn
|
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NEW QUESTION # 119
The NP is caring for an infant in the NICU. The newborn has not had a bowel movement in the first 48 hours of his life and has vomited whenever oral feedings are attempted. What is one of the problems that may be present?
Answer: B
Explanation:
Hirschsprungs disease is a congenital condition in which nerve cells are absent from the lower part of the GI tract. This prevents the normal peristaltic movement to occur in the intestines, which pushes waste material through, resulting in a BM. The infant will usually have a distended abdomen and vomiting with this disease. It is treated with surgery to remove the affected part of the colon.
NEW QUESTION # 120
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: A
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 # 121
A mother delivers a child with sickle cell disease, an autosomal recessive disorder. The recurrence risk for subsequent children being born with the disorder is
Answer: B
Explanation:
Autosomal recessive: Recurrence is 25% for each pregnancy and 50% risk of the child becoming a carrier. Autosomal dominant: Recurrence risk is 50%, but there is no carrier state. X- linked recessive: Recurrence risk is 50% for affected sons and 50% risk of daughters becoming carriers. Affected sons do not pass the disorder to sons, but all daughters become carriers. X-Iinked dominant: Father passes the disorder to 100% of daughters but no sons. Mother passes the trait to
50% of sons and 50% of daughters, but daughters are usually unaffected.
NEW QUESTION # 122
What change in arterial blood gas values would be expected in a patient with compensated respiratory acidosis?
Answer: A
Explanation:
Respiratory acidosis occurs when a person is not being adequately oxygenated. This results in an elevated PaCO: level and a decreased blood pH level. VVhen the body attempts to compensate for this abnormality, the serum bicarbonate (HCO;) level is elevated to offset the acidic level of the blood PH. This results in a continued PaCO:, a normal blood pH level, and an elevated HCOs level.
NEW QUESTION # 123
The NP is caring for a newborn with spina bifid
a. The mother expresses concerns that a
fall she had 2 weeks before delivery could have caused the birth defect. The best response is
Answer: C
Explanation:
Spina bifida is classified as a neural tube defect and it develops during the first month of pregnancy, when development of the spinal column occurs. Other neural tube defects include anencephaly and development of a Chiari malformation. With spina bifida, the spinal column does not completely close, resulting in at least some paralysis of the lower extremities. There is no cure for this condition, and any nerve damage present at birth is permanent.
NEW QUESTION # 124
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