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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Infectious diseases - Eyes, ears, nose and throat - Musculoskeletal and integumentary system - Respiratory system - Cardiovascular system - Hematopoietic and immune system - Neurological system - Genetics and congenital anomalies - Metabolic and endocrine system - Renal and genitourinary system - Gastrointestinal system |
| Topic 2: General Assessment | 15% | - Growth and development assessment - Interpretation of diagnostic data - Perinatal history collection - Systematic physical assessment |
| Topic 3: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Adverse effects and interactions - Common medications and dosages |
| Topic 4: General Management | 19% | - Thermoregulation - Care coordination and family education - Pain management and sedation - Resuscitation and stabilization - Fluids, electrolytes and acid-base balance - Nutrition and growth support |
| Topic 5: Professional Issues | 3% | - Quality improvement and patient safety - Ethics and legal aspects - Interprofessional collaboration - Scope and standards of practice |
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NEW QUESTION # 146
Which of the following is a potential risk when using an extracorporeal membrane oxygenation (ECMO) device?
Answer: C
Explanation:
An extracorporeal membrane oxygenation (ECMO) device is used in infants who are not able to breath or pump blood on their own. It is a type of heart-lung bypass machine that circulates blood from the infant. through an artificial lung to oxygenate the blood, and then back into the infant to circulate through the body. Some of the potential risks include the formation of blood clots, bleeding, or infection. Blindness (specifically, retinopathy of prematurity) was a common complication of excessive supplemental oxygen in the 1940's prior to advances and research in oxygen administration. Generally, electrolyte levels are not impacted by ECMO.
NEW QUESTION # 147
What method should be used to feed the preterm infant with a weak sucking reflex?
Answer: A
Explanation:
Gavage feeding is used to provide nutrition to the infant with a poor sucking reflex, tachypnea, respiratory distress, impaired swallowing, or apneic spells. A nasogastric tube is placed and formula or human milk is slowly fed through the tube with a syringe. Often, the baby will be soothed or gently touched during the feeding to promote positive reinforcement with sucking. The feeding should be stopped if the baby exhibits signs of gasping or choking.
NEW QUESTION # 148
What is the purpose for CCHD screening in newborns?
Answer: C
Explanation:
The CCHD screening identifies those infants who may have a critical congenital heart defect that requires early surgical intervention. This screening is performed using pulse oximetry in the newborn nursery to measure the oxygen saturation in the blood of infants. This screening decreases the risk of overlooking a critical congenital heart defect that may require early intervention.
NEW QUESTION # 149
A newborn with congenital cytomegalovirus infection is being treated with IV ganciclovir. W'hen giving this intravenously, over what time period should it be infused?
Answer: B
Explanation:
Ganciclovir should be given over a 60 minute time period when given intravenously. It is used primarily for immunodeficient patients with CMV retinitis. It is a very cytotoxic drug and its cytotoxic effects are increased if given over a shorter period of time than 60 minutes. These adverse effects include thrombocytopenia, granulocytopenia, and anemia. In male patients, it may cause aspermatogenesis.
NEW QUESTION # 150
A premature infant with apnea of prematurity (AOP) exhibits periods of apnea lasting seconds in which the child has no airflow or effort to breathe. This type of apnea is classified as
Answer: B
Explanation:
Premature infants (especially those <34 weeks) often exhibit apnea of prematurity (AOP).
AOP begins at birth and is believed caused by immaturity of the nervous system, improving as the brain matures. It may persist for 4-8 weeks. There are 3 types of apnea:
*Central: no airflow or effort to breathe.
*Obstructive: no airflow, but effort to breathe.
Mixed: both central and obstructive elements (75% of AOP).
AOP symptoms include swallowing during apneic periods, apnea seconds, apnea <20 seconds with bradycardia 30 beats below normal, oxygen saturation <85% persisting 25 seconds, and cyanosis.
NEW QUESTION # 151
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