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| Section | Weight | Objectives |
|---|---|---|
| General Management | 19% | - Pain management and sedation - Nutrition and growth support - Fluids, electrolytes and acid-base balance - Resuscitation and stabilization - Thermoregulation - Care coordination and family education |
| General Assessment | 15% | - Systematic physical assessment - Interpretation of diagnostic data - Perinatal history collection - Growth and development assessment |
| Professional Issues | 3% | - Interprofessional collaboration - Quality improvement and patient safety - Ethics and legal aspects - Scope and standards of practice |
| Pharmacology | 9% | - Common medications and dosages - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Infectious diseases - Hematopoietic and immune system - Renal and genitourinary system - Neurological system - Respiratory system - Eyes, ears, nose and throat - Gastrointestinal system - Genetics and congenital anomalies - Cardiovascular system - Metabolic and endocrine system - Musculoskeletal and integumentary system |
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NEW QUESTION # 148
The NP is talking to new parents whose child was born with a cleft lip and palate due to amniotic band syndrome. They are concerned that this may happen to any more children they have in the future. The best response to this is
Answer: C
Explanation:
There is no known genetic risk for developing amniotic band syndrome. There are also no known behaviors during pregnancy that increase the risk for this condition. It occurs when thick, fibrous bands within the amniotic fluid wrap around the limb or face of the fetus in utero. It can cut off the blood supply to the affected area and result in amputation or deformity of the affected limb.
If the bands wrap around the face, it can result in cleft lip and palate. There is a greater than 30% chance that amniotic band syndrome will cause a club foot deformity.
NEW QUESTION # 149
A premature infant in the NICU has a G-tube and the NP is starting his scheduled feeding.
The formula is backing up in the tube and not flowing smoothly. The next intervention would be to
Answer: C
Explanation:
A G-tube should be flushed with warm water before and after all feedings to ensure patency and remove any build-up of formula within the tube itself. Neither air nor carbonated soft drink should be flushed into the tube.
NEW QUESTION # 150
An infant in the Neonatal Intensive Care Unit is receiving carbamazepine (Tegretol) for seizure control. When would be the best time to obtain a blood sample to check a drug level?
Answer: B
Explanation:
There are some medications that require drug levels be drawn to ensure the drug concentration is at a therapeutic level and not too high or too low. For carbamazepine (Tegretol), the best time to check the drug level is just prior to giving a dose. The therapeutic drug level for this medication is 4-12 mg/L.
NEW QUESTION # 151
In the 1940s and 1950s, the leading cause of blindness in children in the United States was retinopathy of prematurity caused by
Answer: A
Explanation:
Retinopathy of prematurity was a leading cause of blindness in children in the 1940s and
1950s due to high levels of oxygen given to premature infants in incubators. This condition occurs in premature infants, usually those at less than 31 weeks gestation. The eye, optic nerve, and blood vessels begin to develop around the 16th week of pregnancy. The last 12 weeks of pregnancy sees a rapid development in the blood vessels. Children before that gestation time often do not fully develop the blood vessels to the retina, causing retinopathy and possibly blindness.
NEW QUESTION # 152
An example of an autosomal recessive disease is
Answer: B
NEW QUESTION # 153
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