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| Section | Weight | Objectives |
|---|---|---|
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Respiratory system - Genetics and congenital anomalies - Renal and genitourinary system - Hematopoietic and immune system - Neurological system - Cardiovascular system - Metabolic and endocrine system - Gastrointestinal system - Eyes, ears, nose and throat - Musculoskeletal and integumentary system - Infectious diseases |
| General Assessment | 15% | - Systematic physical assessment - Perinatal history collection - Growth and development assessment - Interpretation of diagnostic data |
| General Management | 19% | - Resuscitation and stabilization - Fluids, electrolytes and acid-base balance - Thermoregulation - Nutrition and growth support - Care coordination and family education - Pain management and sedation |
| Professional Issues | 3% | - Interprofessional collaboration - Quality improvement and patient safety - Ethics and legal aspects - Scope and standards of practice |
| Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Common medications and dosages - Adverse effects and interactions |
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NEW QUESTION # 127
A neonate delivered by Cesarean to a mother who smokes exhibits dyspnea, mild sternal retraction, expiratory grunt, nasal flaring, and poor feeding. ABGs show mild hypoxemia.
The most likely cause is
Answer: B
Explanation:
Transient tachypnea of newborn CT TN) occurs when fluid in the lungs is not adequately absorbed after birth. The neonate usually exhibits symptoms within 36 hours of birth and the condition typically resolves within 3 days. T TN is most common in infants delivered by Cesarean section, but premature birth and mothers who smoke or have diabetes increase risk to infant.
Symptoms include:
*Dyspnea (>60/min).
*Sternal retraction (mild).
*Expiratory grunt.
*Nasal flaring.
*Poor feeding (because of increased respiratory rate).
NEW QUESTION # 128
How many calories does a preterm infant require per day?
Answer: A
Explanation:
The preterm infant needs 100-150 kcal/kg/day in order to complete development and gain weight. A term infant generally needs 100-120 kcal/kg/day for normal growth and development Adequate nutrition to meet the nutritional needs of the preterm infant can help to prevent poor outcomes and help to improve adequate nervous system development.
NEW QUESTION # 129
The most common type of short-limbed dwarfism is
Answer: C
Explanation:
The most common type of short-limbed dwarfism is achondroplasia. This condition follows an autosomal dominant pattern, meaning that only one parent needs to pass on the gene for this condition to occur. It results in an average-sized trunk with short arms and legs, a large head with a high forehead, and short fingers. The middle finger and ring finger may diverge which gives the hand a trident appearance. There are no common learning disabilities associated with achondroplasia.
NEW QUESTION # 130
A full-term neonate fails to pass meconium in the first 48 hours of life. The infant exhibits abdominal distension, poor feeding, and bilious vomiting. An x-ray of the abdomen shows dilated loops of bowel. The diagnostic procedure used both to confirm a diagnosis of meconium plug syndrome and to direct treatment is
Answer: B
Explanation:
A contrast enema is used to confirm a diagnosis of meconium plug syndrome and helps differentiate that from other causes of intestinal obstruction. The contrast enema also is often therapeutic and helps the plug to pass. Meconium plug syndrome usually occurs in full-term infants, infants of diabetic mothers, or infants with hypermagnesemia. A small percentage of infants initially identified as having meconium plug syndrome (5-10%) have Hirschsprung disease. The cause of meconium plug syndrome is thought to be immaturity of the ganglion cells of the colon.
NEW QUESTION # 131
The NP has received a lab report on the CSF of a newborn who underwent a lumbar puncture. The lab report shows the glucose level in the sample is 100 mg/dL. This value is interpreted to mean
Answer: A
Explanation:
The normal glucose level in cerebrospinal fluid in a newborn is 35-120 mg/dL A value of 100 would be normal for this infant. Diabetes mellitus may cause CSF glucose levels to be elevated.
Meningitis can cause CSF glucose to be normal with viral meningitis, low with bacterial meningitis, and normal to low in fungal meningitis.
NEW QUESTION # 132
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