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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Assessment | 15% | - Perinatal history collection - Interpretation of diagnostic data - Growth and development assessment - Systematic physical assessment |
| Topic 2: Professional Issues | 3% | - Ethics and legal aspects - Scope and standards of practice - Interprofessional collaboration - Quality improvement and patient safety |
| Topic 3: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Gastrointestinal system - Musculoskeletal and integumentary system - Respiratory system - Infectious diseases - Metabolic and endocrine system - Eyes, ears, nose and throat - Genetics and congenital anomalies - Neurological system - Hematopoietic and immune system - Renal and genitourinary system - Cardiovascular system |
| Topic 4: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Adverse effects and interactions - Safe administration principles - Common medications and dosages |
| Topic 5: General Management | 19% | - Pain management and sedation - Thermoregulation - Fluids, electrolytes and acid-base balance - Care coordination and family education - Resuscitation and stabilization - Nutrition and growth support |
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NEW QUESTION # 142
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: A
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 # 143
An elevated serum lactate level in an infant in the Neonatal Intensive Care Unit is associated with
Answer: C
Explanation:
Lactic acid is increased in situations of tissue hypoxia, which can lead to severe metabolic acidosis. This can occur with sepsis, heart failure, shock, and multisystem organ failure. Studies have shown that elevations in serum lactate in the first week of life correlate with an increase in mortality rates. This risk is higher in infants born less than 1000 g.
NEW QUESTION # 144
Transient neonatal strabismus usually clears by the age of
Answer: A
Explanation:
Because oculomotor control is poor in the neonate, transient neonatal strabismus involving intermittent exotropia or esotropia is common and usually clears by about 4 months without treatment. Strabismus occurs when the muscles of the eyes are not coordinated so that one eye deviates from the axis of the other. Deviations include:
*Tropia, which is consistent or intermittent deviation in which the child is unable to maintain alignment of the eyes.
*Esotropia, in which both eyes turning inwards (cross eyes) and exotropia is both eyes turning outward (wall eyes).
NEW QUESTION # 145
A preterm infant in the NICU is receiving tube feedings until he is able to attempt oral feedings. What activity can help him with the transition from tube to oral feedings?
Answer: C
Explanation:
Non-nutritive sucking, such as that with a pacifier, is having an infant suck on something that does not give them milk. For infants who are tube fed, it can trigger an association with them between having a full stomach and sucking, which can help when transitioning to oral feedings. The sucking activity is also helpful in strengthening the oral muscles needed to suck, as well as being soothing and calming for the infant.
NEW QUESTION # 146
The four heart defects seen with Tetralogy of Fallot are
Answer: A
Explanation:
Tetralogy of Fallot is a very serious congenital heart defect that includes a large ventricular septal defect. pulmonary stenosis, right ventricular hypertrophy, and an overriding aorta. Though this is a serious condition, it is treated surgically during infancy and most children with this condition will go on to live into adulthood.
NEW QUESTION # 147
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