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| Section | Weight | Objectives |
|---|---|---|
| General Management | 19% | - Nutrition and growth support - Resuscitation and stabilization - Fluids, electrolytes and acid-base balance - Pain management and sedation - Care coordination and family education - Thermoregulation |
| General Assessment | 15% | - Perinatal history collection - Systematic physical assessment - Growth and development assessment - Interpretation of diagnostic data |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Hematopoietic and immune system - Gastrointestinal system - Renal and genitourinary system - Neurological system - Musculoskeletal and integumentary system - Cardiovascular system - Eyes, ears, nose and throat - Metabolic and endocrine system - Genetics and congenital anomalies - Respiratory system - Infectious diseases |
| Pharmacology | 9% | - Common medications and dosages - Adverse effects and interactions - Safe administration principles - Pharmacokinetics and pharmacodynamics in neonates |
| Professional Issues | 3% | - Interprofessional collaboration - Scope and standards of practice - Quality improvement and patient safety - Ethics and legal aspects |
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NEW QUESTION # 38
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 # 39
The following drug(s) should always be included with infant resuscitation equipment
Answer: B
Explanation:
Medications that should always be included as part of the minimum neonatal resuscitation equipment include epinephrine and naloxone. Epinephrine is the AHA recommended pharmacologic intervention in the case of ineffective CPR in neonatal resuscitation. Naloxone is indicated in the case of respiratory distress in infants with opioid withdraw after the administrations of opioids as pain control in the labor process. Surfactant (indicated in respiratory distress, particularly in preterm neonates) and prostaglandins (indicated for cyanotic congenital heart defects) are useful in specific cases, but are not part of the minimum resuscitation equipment.
NEW QUESTION # 40
A neonate develops early-onset bacterial meningitis. Typical early symptoms include
Answer: C
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 # 41
Transposition of the great vessels can involve the superior and inferior vena cavas, the pulmonary artery and pulmonary veins, or the
Answer: B
Explanation:
Transposition of the great vessels can involve any of the great vessels of the body: the superior or inferior vena cava, the pulmonary artery or pulmonary veins, or the aorta. It usually involves a "swap" between the locations of the vessels and can result in poorly oxygenated blood or poor delivery of blood to the body. If the pulmonary artery and aorta are involved, the condition is called a transposition of the great arteries.
NEW QUESTION # 42
A neonate born with the genetic disorder cystic fibrosis must be monitored carefully for
Answer: B
Explanation:
Cystic fibrosis is a congenital disease associated with thick collection of mucous in the lungs and intestines. Up to a fifth of children born with cystic fibrosis have meconium ileus. Meconium ileus is obstruction of the ileum with inspissated (thick) mucilaginous meconium that clings to the side of the narrowed lumen of the intestine and forms hard pellets (usually the first clinical sign of cystic fibrosis). The mucus interferes with absorption of fat, protein, carbohydrates, and other nutrients, leading to malabsorption syndromes.
NEW QUESTION # 43
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