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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Respiratory system - Neurological system - Hematopoietic and immune system - Infectious diseases - Metabolic and endocrine system - Musculoskeletal and integumentary system - Renal and genitourinary system - Gastrointestinal system - Cardiovascular system - Eyes, ears, nose and throat - Genetics and congenital anomalies |
| Topic 2: Professional Issues | 3% | - Scope and standards of practice - Interprofessional collaboration - Ethics and legal aspects - Quality improvement and patient safety |
| Topic 3: Pharmacology | 9% | - Safe administration principles - Pharmacokinetics and pharmacodynamics in neonates - Adverse effects and interactions - Common medications and dosages |
| Topic 4: General Assessment | 15% | - Perinatal history collection - Growth and development assessment - Interpretation of diagnostic data - Systematic physical assessment |
| Topic 5: General Management | 19% | - Thermoregulation - Fluids, electrolytes and acid-base balance - Care coordination and family education - Pain management and sedation - Resuscitation and stabilization - Nutrition and growth support |
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NEW QUESTION # 103
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 # 104
An infant in the Neonatal Intensive Care Unit is being treated for meningitis with ampicillin. The dosage is 400 mg/kg/day divided over every 8 hours. The infant being cared for weighs 6 pounds 8 ounces. How many milligrams should be given with each dose?
Answer: A
Explanation:
To calculate the correct dosage, the first step will be to convert the weight to kilograms. 6 pounds 8 ounces, or 6.5 pounds, is divided by 2.2 to convert the weight to 2.95 kg. The dosage is
400 mg/kg/day so in a full day, the infant should receive 1,180 mg (400 x 2.95 = 1,180). The dosage is spaced three times a day, every 8 hours, so each dosage should be 393 mg (1,180/3 = 393).
NEW QUESTION # 105
Oral sucrose is given to infants
Answer: B
Explanation:
Oral sucrose has been used in infants as a mild analgesic. It is given before minor procedures to help relax the infant and provide pain relief. The sucrose solution activates the body's mechanism to produce natural opioid-like substances, such as endorphins. Oral sucrose is not indicated in hypoglycemia or for heart rate and blood pressure control.
NEW QUESTION # 106
The relationship between the total loading dose of an administered drug and the serum concentration refers to the
Answer: B
Explanation:
Distribution: The volume of distribution is the relationship between the total loading dose of drug administered and the serum concentration (volume of body fluid required to dissolve the amount of drug found in the serum). Absorption: This relates to the rate at which a drug enters the bloodstream and the amount of drug. Clearance: Elimination pathways (liver, kidney) can become saturated if dose of medications is too high or administration is too frequent. Ideally, a drug concentration should be maintained at a steady state (average).
NEW QUESTION # 107
The NP is talking to new parents whose child was born with a cleft lip and palate due to amniotic band syndrome. They are concerned that this may happen to any more children they have in the future. The best response to this is
Answer: C
Explanation:
There is no known genetic risk for developing amniotic band syndrome. There are also no known behaviors during pregnancy that increase the risk for this condition. It occurs when thick, fibrous bands within the amniotic fluid wrap around the limb or face of the fetus in utero. It can cut off the blood supply to the affected area and result in amputation or deformity of the affected limb.
If the bands wrap around the face, it can result in cleft lip and palate. There is a greater than 30% chance that amniotic band syndrome will cause a club foot deformity.
NEW QUESTION # 108
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