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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Hematopoietic and immune system - Gastrointestinal system - Eyes, ears, nose and throat - Metabolic and endocrine system - Musculoskeletal and integumentary system - Genetics and congenital anomalies - Neurological system - Infectious diseases - Respiratory system - Renal and genitourinary system - Cardiovascular system |
| Topic 2: General Assessment | 15% | - Growth and development assessment - Systematic physical assessment - Perinatal history collection - Interpretation of diagnostic data |
| Topic 3: Pharmacology | 9% | - Adverse effects and interactions - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles |
| Topic 4: General Management | 19% | - Fluids, electrolytes and acid-base balance - Thermoregulation - Care coordination and family education - Nutrition and growth support - Resuscitation and stabilization - Pain management and sedation |
| Topic 5: Professional Issues | 3% | - Interprofessional collaboration - Ethics and legal aspects - Quality improvement and patient safety - Scope and standards of practice |
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NEW QUESTION # 166
At which point in a pregnancy is the fetus most likely to suffer birth defects due to a Varicella infection in the mother?
Answer: B
Explanation:
The risk of birth defects due to Varicella infection is greatest in the second trimester. The risk at that point is approximately 2%, up from 0.5-1% in the first trimester. If the fetus contracts Varicella late in the pregnancy, there is a chance they will develop chicken pox rather than birth defects. Varicella infection can be severe in utero and may lead to small head size and intellectual disabilities.
NEW QUESTION # 167
During the initial physical examination, the neonate's chest circumference is 34 cm. The expected head circumference is
Answer: B
Explanation:
The head circumference is usually about 2 cm greater than the chest circumference, so the head circumference should be about 36 cm. Normal characteristics of a newborn include the following:
NEW QUESTION # 168
A neonate born with the genetic disorder cystic fibrosis must be monitored carefully for
Answer: A
Explanation:
Cystic fibrosis is a congenital disease associated with thick collection of mucous in the lungs and intestines. Up to a fifth of children born with cystic fibrosis have meconium ileus. Meconium ileus is obstruction of the ileum with inspissated (thick) mucilaginous meconium that clings to the side of the narrowed lumen of the intestine and forms hard pellets (usually the first clinical sign of cystic fibrosis). The mucus interferes with absorption of fat, protein, carbohydrates, and other nutrients, leading to malabsorption syndromes.
NEW QUESTION # 169
The NP is assessing a newborn diagnosed with tracheomalaci
a. An exam finding that
may be seen is
Answer: B
Explanation:
Tracheomalacia can cause expiratory stridor. It is a softening of the cartilage in the trachea that results in partial or total collapse of the airway during expiration. Depending upon the severity of the condition, mechanical ventilation, CPAP, or BiPAP therapy may be necessary. In severe cases, surgical correction may be necessary to reinforce the airway so that it can remain open.
NEW QUESTION # 170
A new mother is visiting her infant in the NICU. She expresses concern over the tiny white bumps on her child's nose and chin. The NP explains to her that
Answer: A
Explanation:
Milia are very common and occur when flakes of skin become trapped within pores. It is most common in newborns and occurs most often on the nose and chin. It is important to not pick or pinch these lesions because this could damage the tissue or lead to a skin infection. The lesions usually resolve on their own within a few weeks.
NEW QUESTION # 171
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