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| Section | Weight | Objectives |
|---|---|---|
| General Assessment | 15% | - Family integration
|
| Pharmacology | 9% | - Common drug therapies
|
| Professional Issues | 3% | - Legal and ethical principles
|
| Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Eyes, ears, nose, mouth and throat
|
| General Management | 19% | - Resuscitation and stabilization
|
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NEW QUESTION # 56
A neonate receiving mechanical ventilation has a PaC02 level of 33 mmHg with pH of 7.5 from a blood sample obtained from the umbilical artery. These values indicate
Answer: A
Explanation:
These values indicate respiratory alkalosis from hyperventilation associated with excessive mechanical ventilation, which decreases the level of carbon dioxide in the blood. Respiratory alkalosis occurs with PaC02 <35 mmHg and pH >7.45. Normal PaC02 is 35-45 mmHg and normal pH
7.35-7.45. Arterial blood gas (ABG) is the most informative measurement of blood gas status.
Venous blood gas (VBG) is easier to obtain if an arterial catheter is not in place. To compare the values in the VBG with an ABG, add 0.05 to the pH of the VBG. Subtract 5-10 mmHg from the PC02 of the VBG. Capillary blood gas (CBG) can be obtained with a heel stick, but the values obtained are the least accurate and rarely useful.
NEW QUESTION # 57
The parents of a newborn are asking the NP what PKU is and if it is really necessary to have this tested as part of the newborn screening process. The best response is
Answer: A
Explanation:
PW, or phenylketonuria, is a metabolic disorder in which the body is not able to break down some of the amino acids in proteins. This leads to poor brain development and intellectual disabilities. It is highly recommended that this test be performed on all newborns so that treatment can be started and the devastating effects of this illness can be avoided.
NEW QUESTION # 58
What condition can occur in the newborn as a result of Rh incompatibility?
Answer: C
Explanation:
Hydrops fetalis occurs as a result of Rh incompatibility between the newborn and the mother. The Rh incompatibility results in a large number of red blood cells in the infant to be destroyed. This causes severe edema. Approximately half of newborns with hydrops fetalis will not survive. This can be prevented if prenatal testing is done on the mother to determine her Rh status.
If she is Rh negative, an injection can be given during the first trimester of her pregnancy to prevent this reaction from occurring.
NEW QUESTION # 59
The initial treatment for patent ductus arteriosus (PDA) for a preterm neonate is usually
Answer: B
Explanation:
Patent ductus arteriosus (PDA) is failure of the ductus arteriosus that connects the pulmonary artery and aorta to close after birth, resulting in left to right shunting of blood from the aorta back to the pulmonary artery. This increases the blood flow to the lung and causes an increase in pulmonary hypertension that can result in damage to the lung tissue. Treatment for PDA:
*Indomethacin (Indocin@) or ibuprofen lysine given within 10 days of birth is successful in closing about 80% of defects.
*Surgical repair with ligation of the patent vessel if conservative treatment is unsuccessful.
NEW QUESTION # 60
An example of an autosomal recessive disease is
Answer: B
Explanation:
An autosomal recessive disease is one that requires 2 copies of the gene in order for the disease or trait to occur. For example, both the mother and father of an infant would need to pass on a copy of the gene for cystic fibrosis in order for their child to develop the disease. Down's syndrome and Edward's syndrome are both genetic mutations that occur during fetal development and are not genetically inherited conditions.
NEW QUESTION # 61
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