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| Section | Weight | Objectives |
|---|---|---|
| Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages - Safe administration principles - Adverse effects and interactions |
| General Management | 19% | - Thermoregulation - Care coordination and family education - Resuscitation and stabilization - Nutrition and growth support - Pain management and sedation - Fluids, electrolytes and acid-base balance |
| Professional Issues | 3% | - Scope and standards of practice - Ethics and legal aspects - Quality improvement and patient safety - Interprofessional collaboration |
| General Assessment | 15% | - Interpretation of diagnostic data - Perinatal history collection - Growth and development assessment - Systematic physical assessment |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Metabolic and endocrine system - Neurological system - Respiratory system - Infectious diseases - Eyes, ears, nose and throat - Musculoskeletal and integumentary system - Genetics and congenital anomalies - Cardiovascular system - Renal and genitourinary system - Hematopoietic and immune system - Gastrointestinal system |
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NEW QUESTION # 119
A neonate who was exposed to maternal herpes virus should be treated with
Answer: B
Explanation:
Intravenous acyclovir is given to infants exposed to herpes virus. Most vertical transmissions occur when the neonate travels through a colonized birth canal. The transmission rate from women with a primary HSV infection is approximately 50%, while the transmission rate is 1-2% if the infection is a recurrence of HSV. Signs of a neonatal infection with HSV include:
*Skin, eye, and mucous membrane blistering at 10-12 days of life.
*Disseminated disease may spread to multiple organs, leading to pneumonitis, hepatitis, and intravascular coagulation.
*Encephalitis may be the only presentation, with signs of lethargv, irritability, poor feeding.
and seizures.
NEW QUESTION # 120
A term neonate is diagnosed at birth with osteogenesis imperfecta (01) type 1. The information that the parents should receive before taking the infant home includes
Answer: A
Explanation:
The parents of an infant with 01 type 1 should receive information about methods of handling, bathing, and placing their child in the crib to minimize trauma and avoid fractures. 01 is a genetic disorder of collagen synthesis that results in brittle, easily fractured bones. Common features of 01 include brittle bones, bowing of long bones, shortened limbs, blue sclera, skeletal deformities (including scoliosis), respiratory difficulties, and weak muscles. Type I is non-lethal and the mildest of 4 types of 01.01 type 2 causes severe breathing problems that often prevent the neonate's survival. 01 infants do not generally require feeding tubes or have aspiration risks. 01 is usually inherited in a dominant fashion, but a new mutation may cause the disorder in approximately 25% of cases.
NEW QUESTION # 121
Which of the following is used to test for congenital cytomegalovirus infection?
Answer: A
Explanation:
A congenital cytomegalovirus (CMU infection can be diagnosed using saliva, urine, or blood specimens. Testing must be done within the first 2-3 weeks following birth. A mother who has CMV can pass this infection to the fetus through the placenta. Most infants will never develop any symptoms from the virus, but approximately 20% can develop hearing loss, vision loss, intellectual disabilities, seizures, or muscle weakness.
NEW QUESTION # 122
What is the purpose for CCHD screening in newborns?
Answer: A
Explanation:
The CCHD screening identifies those infants who may have a critical congenital heart defect that requires early surgical intervention. This screening is performed using pulse oximetry in the newborn nursery to measure the oxygen saturation in the blood of infants. This screening decreases the risk of overlooking a critical congenital heart defect that may require early intervention.
NEW QUESTION # 123
The mechanism of action of surfactant is to
Answer: A
Explanation:
The inside of the alveoli in the lungs are wet and can easily stick together when air is exhaled. Surfactant decreases the surface tension within the alveoli so they can easily expand when a breath is taken, making it easier to breath. The human body produces surfactant on its own, buT not until after 36 weeks gestation. Sometimes it is necessary to administer surfactant directly into the lungs through the endotracheal tube.
NEW QUESTION # 124
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