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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professional Issues | 3% | - Scope and standards of practice - Ethics and legal aspects - Quality improvement and patient safety - Interprofessional collaboration |
| Topic 2: General Assessment | 15% | - Systematic physical assessment - Perinatal history collection - Interpretation of diagnostic data - Growth and development assessment |
| Topic 3: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Hematopoietic and immune system - Gastrointestinal system - Infectious diseases - Musculoskeletal and integumentary system - Neurological system - Metabolic and endocrine system - Genetics and congenital anomalies - Cardiovascular system - Renal and genitourinary system - Respiratory system - Eyes, ears, nose and throat |
| Topic 4: General Management | 19% | - Resuscitation and stabilization - Fluids, electrolytes and acid-base balance - Care coordination and family education - Pain management and sedation - Thermoregulation - Nutrition and growth support |
| Topic 5: Pharmacology | 9% | - Adverse effects and interactions - Safe administration principles - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages |
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NEW QUESTION # 18
Five minutes after birth, a newborn infant is actively moving, crying, skin is pink all over, and heart rate is 132. Based on this information, you know this infant's Apgar score is
Answer: C
Explanation:
The Apgar score is assessed one minute and again five minutes after birth. The initial reading is to assess how the newborn did through the birthing process. The second is done to assess how the newborn is doing outside the womb. The infant's activity level, heart rate, breathing pattern, skin color, and grimacing response are assessed and 0-2 points are assigned based on their condition. This infant is showing all signs of a healthy newborn, scoring 2 points in each section for a total of a perfect 10.
NEW QUESTION # 19
While assessing a newborn in the NICU, the NP notices that he has pitting edema on the right side of his scalp. The next step should be to
Answer: A
Explanation:
Pitting edema in the soft tissues of the scalp is not uncommon after birth, due to trauma on the baby/s scalp while moving through the birth canal. This condition is called caput succedaneum and is most evident immediately after birth. It usually resolves rather quickly over the first 24-48 hours following birth and just needs to be monitored for any changes.
NEW QUESTION # 20
Transient neonatal strabismus usually clears by the age of
Answer: B
Explanation:
Because oculomotor control is poor in the neonate, transient neonatal strabismus involving intermittent exotropia or esotropia is common and usually clears by about 4 months without treatment. Strabismus occurs when the muscles of the eyes are not coordinated so that one eye deviates from the axis of the other. Deviations include:
*Tropia, which is consistent or intermittent deviation in which the child is unable to maintain alignment of the eyes.
*Esotropia, in which both eyes turning inwards (cross eyes) and exotropia is both eyes turning outward (wall eyes).
NEW QUESTION # 21
Evidence that an infant is feeding appropriately for discharge includes
Answer: A
Explanation:
Current discharge requirements are based on physiological and functional readiness.
Requirements generally include:
*The infant is feeding appropriately, as evidenced by:
o Primary caregiver feedingthe infant with the prescribed method (gavage, gastrostomy, or special positioning) consistently.
o Weight gain of 15-30 grams per day over several days.
o Feeds accomplished without any respiratory difficulty.
*All medical or surgical problems that require hospitalization are resolved.
*Temperature stability is maintained in an open crib.
*Parents are trained appropriately concerning administration of medications, CPR, and proper use of car seat.
*Infant has passed all pre-discharge tests.
*Age appropriate immunizations have been administered.
NEW QUESTION # 22
The electrolytes that are of primary concern in the neonate are
Answer: B
Explanation:
NEW QUESTION # 23
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