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| Section | Weight | Objectives |
|---|---|---|
| General Management | 19% | - Fluids, electrolytes and acid-base balance - Care coordination and family education - Thermoregulation - Nutrition and growth support - Resuscitation and stabilization - Pain management and sedation |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Respiratory system - Hematopoietic and immune system - Infectious diseases - Renal and genitourinary system - Neurological system - Genetics and congenital anomalies - Gastrointestinal system - Metabolic and endocrine system - Cardiovascular system - Eyes, ears, nose and throat - Musculoskeletal and integumentary system |
| General Assessment | 15% | - Systematic physical assessment - Interpretation of diagnostic data - Perinatal history collection - Growth and development assessment |
| Professional Issues | 3% | - Scope and standards of practice - Ethics and legal aspects - Quality improvement and patient safety - Interprofessional collaboration |
| Pharmacology | 9% | - Common medications and dosages - Adverse effects and interactions - Safe administration principles - Pharmacokinetics and pharmacodynamics in neonates |
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NEW QUESTION # 22
On the APGAR scale, a good score is
Answer: A
Explanation:
A total score of 27 is a sign of good health with a perfect score being 10. APGAR is a quick evaluation of a newborn's physical condition to determine if emergency medical care is needed and is administered 1 minute and 5 minutes after birth.
NEW QUESTION # 23
When monitoring the fetal heart rate during labor, which of the following is most likely to be most dangerous to the fetus?
Answer: C
Explanation:
Late decelerations present as smooth decreases in heart rate that begin at the peak of a contraction. When late decelerations occur along with tachycardia and without an acceleration, or a return to normal heart rate range, it can be a sign that the fetus is not getting enough oxygen. Early decelerations begin before the contraction peaks and usually occur as the fetus passes through the birth canal and the skull is compressed. They are generally not harmful. Variable decelerations occur when the umbilical cord is temporarily compressed and are very common during labor. They are usually not harmful when they occur later in labor and are followed by an acceleration. When variable decelerations occur early in labor and are severe, emergent delivery of the baby may be necessary.
NEW QUESTION # 24
The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to
Answer: B
NEW QUESTION # 25
What is measured with the quad screen test?
Answer: B
Explanation:
The quad screen is performed at 15-20 weeks of pregnancy via a blood test. It measures alpha-fetoprotein, human chorionic gonadotropin, estriol, and inhibin-A. Alpha-fetoprotein is made in the liver of the fetus and elevated levels may indicate a neural tube defect such as spina bifida.
Human chorionic gonadotropin is made by the placenta and levels vary during pregnancy. Estriol is a form of estrogen made by the placenta and levels increase during pregnancy. Inhibin-A is a hormone produced by the fetus and the placenta and abnormal levels may indicate the presence of Down syndrome.
NEW QUESTION # 26
Do more males or females develop Turner's syndrome?
Answer: C
Explanation:
Turner's syndrome affects females only. It occurs as a result of a genetic mutation in which the female receives only one X chromosome. This results in females who are short in stature, have delayed puberty, often suffer from infertility problems, and may have learning disabilities. In some cases, it may cause heart defects. Women who want to become pregnant will need to take hormone treatments, but are often unsuccessful at conceiving.
NEW QUESTION # 27
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