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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professional Issues | 3% | - Interprofessional collaboration - Ethics and legal aspects - Scope and standards of practice - Quality improvement and patient safety |
| Topic 2: Pharmacology | 9% | - Adverse effects and interactions - Safe administration principles - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates |
| Topic 3: General Assessment | 15% | - Systematic physical assessment - Perinatal history collection - Interpretation of diagnostic data - Growth and development assessment |
| Topic 4: General Management | 19% | - Fluids, electrolytes and acid-base balance - Pain management and sedation - Thermoregulation - Care coordination and family education - Resuscitation and stabilization - Nutrition and growth support |
| Topic 5: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Hematopoietic and immune system - Neurological system - Genetics and congenital anomalies - Metabolic and endocrine system - Eyes, ears, nose and throat - Gastrointestinal system - Renal and genitourinary system - Cardiovascular system - Musculoskeletal and integumentary system - Respiratory system - Infectious diseases |
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NEW QUESTION # 108
A newborn has an NG tube in place due to an intestinal obstruction. In order to prevent aspiration of saliva, it is very important to
Answer: C
Explanation:
There is an increased risk of death by aspiration in newborns that have an NG tube. This is due to aspiration of saliva. Because ofthis, a drainage bag should be attached to accept the aspirate.
The stomach contents should also be aspirated at least every 30 minutes to decrease this risk.
NEW QUESTION # 109
In which group is hypoxic ischemic encephalopathy more common?
Answer: B
Explanation:
Hypoxic ischemic encephalopathy is more common in full-term infants than premature infants. This condition results in damage or death to brain tissue due to lack of oxygen to the brain.
It can occur when there is any condition, maternal or fetal, that results in a disruption in oxygenation of brain tissue. This can include a prolapsed cord, placental abruption, maternal hypotension, and others. This is the leading cause of impairment in newborns, though severity of the impairment may not be determined until 3 or 4 years of age.
NEW QUESTION # 110
A premature infant with apnea of prematurity (AOP) exhibits periods of apnea lasting seconds in which the child has no airflow or effort to breathe. This type of apnea is classified as
Answer: B
Explanation:
Premature infants (especially those <34 weeks) often exhibit apnea of prematurity (AOP).
AOP begins at birth and is believed caused by immaturity of the nervous system, improving as the brain matures. It may persist for 4-8 weeks. There are 3 types of apnea:
*Central: no airflow or effort to breathe.
*Obstructive: no airflow, but effort to breathe.
Mixed: both central and obstructive elements (75% of AOP).
AOP symptoms include swallowing during apneic periods, apnea seconds, apnea <20 seconds with bradycardia 30 beats below normal, oxygen saturation <85% persisting 25 seconds, and cyanosis.
NEW QUESTION # 111
When the NP is assessing a newborn, the reflex that results in abduction and extension of the infant's arms as the hands open is the
Answer: B
Explanation:
The Moro reflex is checked by quickly lowering the infant's head relative to the trunk and is present as early as 32 weeks gestation. Positive signs ofthis reflex include the abduction and extension of the infant's arms as the hands open. It is no longer present by the time the infant is 6- months-old. The grasp reflex is the reflexive action of bending the fingers around an object placed in the palm. The asymmetrical tonic reflex is also called the "fencing" reflex. When the infants head is turned to one side, the arm and leg of the side at which the face is turned extend and the arm and leg on the opposite side flex.
NEW QUESTION # 112
What does it mean if a disease is autosomal dominant?
Answer: A
Explanation:
An autosomal dominant disorder only requires one parent to pass on the gene for a disease to occur. Examples of autosomal dominant conditions including Huntington's disease, polycystic kidney disease, and neurofibromatosis. Often, one of the parents will have the disease and can pass it onto their children.
NEW QUESTION # 113
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