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| Section | Weight | Objectives |
|---|---|---|
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Respiratory system - Genetics and congenital anomalies - Cardiovascular system - Infectious diseases - Musculoskeletal and integumentary system - Metabolic and endocrine system - Eyes, ears, nose and throat - Renal and genitourinary system - Hematopoietic and immune system - Gastrointestinal system - Neurological system |
| Professional Issues | 3% | - Interprofessional collaboration - Ethics and legal aspects - Quality improvement and patient safety - Scope and standards of practice |
| General Management | 19% | - Resuscitation and stabilization - Thermoregulation - Care coordination and family education - Pain management and sedation - Nutrition and growth support - Fluids, electrolytes and acid-base balance |
| Pharmacology | 9% | - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Common medications and dosages |
| General Assessment | 15% | - Interpretation of diagnostic data - Growth and development assessment - Systematic physical assessment - Perinatal history collection |
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NEW QUESTION # 156
The new parents of a child with Down syndrome tell the NP that they want to have more child in the future, but they are concerned about the risk of having another child with this condition. The most appropriate response is
Answer: B
Explanation:
The risk of having a child with Down's syndrome is approximately 1 in 100 pregnancies.
Advanced maternal age is more of a risk factor for having the genetic mutation that causes this condition. Having one child with this condition does not increase the chances that any future children will also have Down's syndrome.
NEW QUESTION # 157
If a mother suffers from pregnancy-induced hypertension (preeclampsia) during pregnancy, the primary detrimental effect on the fetus is
Answer: C
Explanation:
Preeclampsia is a disorder that develops in approximately 5% of all pregnancies. Its main feature is new onset elevated blood pressure that develops around 20 weeks of gestation.
Proteinuria is no longer a diagnostic requirement, but is a common feature accompanying the hypertension. The main detrimental effect on the fetus occurs because of longstanding hypertension that leads to utero-placental vascular insufficiency, which impairs the transfer of nutrients and oxygen to the fetus, resulting in intra-uterine growth restriction (IUGR). The IUGR is usually asymmetric (fetal head size is normal for gestational age). Placental abruption occurrence is also more common in fetuses exposed to longstanding hypertension, but not as common as IUGR.
NEW QUESTION # 158
A nevus flammeus is commonly known as
Answer: B
Explanation:
A nevus flammeus, or port wine stain, is a birth mark that results from a malformation of capillaries. Though they appear pink at birth, they will become a darker reddish or purplish color in adulthood. Port wine stains are not inherited genetically and they have no known cause. Laser treatments may help to lighten these birth marks, especially if they are done while the child is young and the lesion is lighter in color.
NEW QUESTION # 159
Clinical symptoms of neonatal renal vein thrombosis include
Answer: A
Explanation:
Clinical symptoms of renal vein thrombosis in the newborn include thrombocytopenia, hypertension, hematuria, proteinuria, and renal insufficiency. This condition is rare, but can occur in infants born to mothers with a history of diabetes mellitus. This is not an infectious condition, so you would not expect to see leukocytosis. Bence-Jones proteins in the urine are specific to multiple myeloma.
NEW QUESTION # 160
A neonate is 40 weeks gestation and nursing well but has onset of jaundice at 36 hours.
Total serum bilirubin is 12 mg/dL At this time, treatment should include
Answer: B
Explanation:
While the neonate's bilirubin is elevated (normal range 3.4-11.5 mg/dL at 1-2 days), only continued observation and jaundice assessment is indicated at this time. Physiologic hyperbilirubinemia is common in newborns and usually benign, resulting from immature hepatic function and increased RBC hemolysis. Infants have larger red blood cells with a shorter life than adults, leading to more RBC destruction and resulting in an increased load of serum bilirubin, which the liver of the newborn cannot handle. Onset is usually within 24-48 hours, peaking in 72 hours for full term or 5 days for preterm infants and declining within a week. Phototherapy is the indicated treatment for total serum bilirubin 218 mg/dL for those at medium risk.
NEW QUESTION # 161
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