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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professional Issues | 3% | - Interprofessional collaboration - Quality improvement and patient safety - Scope and standards of practice - Ethics and legal aspects |
| Topic 2: General Assessment | 15% | - Systematic physical assessment - Growth and development assessment - Interpretation of diagnostic data - Perinatal history collection |
| Topic 3: Pharmacology | 9% | - Common medications and dosages - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles |
| Topic 4: General Management | 19% | - Nutrition and growth support - Pain management and sedation - Resuscitation and stabilization - Fluids, electrolytes and acid-base balance - Thermoregulation - Care coordination and family education |
| Topic 5: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Gastrointestinal system - Cardiovascular system - Metabolic and endocrine system - Renal and genitourinary system - Neurological system - Infectious diseases - Musculoskeletal and integumentary system - Eyes, ears, nose and throat - Respiratory system - Genetics and congenital anomalies - Hematopoietic and immune system |
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NEW QUESTION # 139
A female neonate is found to have an imperforate anus with no external opening or dimple on initial physical exam. The abdomen is slightly distended, but the neonate passes some meconium at 24 hours. The type of anomaly this suggests is a
Answer: B
Explanation:
In a high anomaly, the rectum ends above the puborectalis muscles, and internal sphincter is absent. Frequently, there is a rectourethral fistula in males or a rectovaginal fistula in females, allowing passage of some meconium. There may be fistulas to the bladder or perineum. Low anomalies have no external opening, but rectum is otherwise in normal position through the puborectalis muscle, with normal function, and no connection to the genitourinary tract.
Intermediate anomalies have rectum at or below the level of puborectalis muscle and an anal dimple. The external sphincter is in normal position.
NEW QUESTION # 140
Which of the following conditions results from oligohydramnios?
Answer: A
Explanation:
Potter syndrome occurs due to oligohydramnios, or a reduced amount of amniotic fluid in utero. Any condition during development that results in decreased urine production by the fetus can result in a reduced amount of amniotic fluid being present. If the mother has prolonged rupture of the membranes, the amniotic fluid will be absent which could result in this condition. Amniotic fluid is essential for alveolar development in the lungs while in utero. If this is reduced or absent, the infant will suffer respiratory distress at birth.
NEW QUESTION # 141
A newborn in the NICU has been receiving gentamicin and ampicillin for the treatment of gram negative sepsis. He is on a fairly high dose of gentamicin and has been for the past 3 days. In addition to the risk of developing renal impairment from the medication, he is also at risk for
Answer: C
Explanation:
When gentamicin is given for more than 2 days, there is an increased risk of hearing loss. In order to decrease this risk, drug levels are measured at the point at which the drug level is highest and again when it is at its lowest (a peak and trough). This is to ensure the antibiotic remains at a therapeutic level rather than a toxic level.
NEW QUESTION # 142
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: A
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 # 143
A neonate suffered perinatal asphyxia and developed moderate hypoxic ischemic encephalopathy (HIE) with neurological dysfunction. The treatment that is LEAST likely to be utilized to treat this condition is
Answer: C
Explanation:
With advancing implementation of therapeutic hypothermia, this method oftreatment has become the first line approach in treating moderate to severe HIE with the target temperature dependent upon the severity of the encephalopathy. Additional treatments include phenobarbital for seizures treatment and/or prevention. Fluid resuscitation is not indicated in HIE; in fact it is common to apply a fluid restriction to a neonate with HIE to control additional swelling. HIE results when oxygen supply to the brain is impaired. HIE is classified as mild, moderate, or severe, depending on the degree of ischemia and symptoms. Mild HIE usually resolves in 3-4 days and moderate HIE in 1-2 weeks, but permanent brain damage can occur with severe HIE.
NEW QUESTION # 144
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