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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Assessment | 15% | - Discharge planning and follow-up care
|
| Topic 2: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Metabolic and endocrine
|
| Topic 3: General Management | 19% | - Thermoregulation
|
| Topic 4: Pharmacology | 9% | - Drugs and breastfeeding
|
| Topic 5: Professional Issues | 3% | - Quality improvement and patient safety
|
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NEW QUESTION # 161
An example of an autosomal recessive disease is
Answer: A
NEW QUESTION # 162
Parents of a newborn in the NICU are concerned about their baby having an IV placed in their scalp. To reassure them, the NP explains that
Answer: B
Explanation:
Though not the first choice for an IV site, the scalp is used once other sites in the hands and feet have already been used. The scalp is a good site because there is very little fat under the skin so the veins are easily visible.
NEW QUESTION # 163
The NP accidentally administers the wrong dosage of medication to an infant in the NICU, resulting in a poor outcome. This is an example of
Answer: C
Explanation:
Medical negligence is any action that results in a bad outcome for a patient as a result of carelessness or medical error. This is not an intentional act, but occurs as a result of the actions of the healthcare provider. On the other hand, medical malpractice occurs when the standard norms or accepted standards of practice are not followed, resulting in an injury or bad outcome for the patient.
NEW QUESTION # 164
A neonate exhibits the following:
*Long narrow torso with short arms and legs.
*Proximal segment of the limbs (upper arms and thighs) disproportionately short.
*Head large with frontal bossing and midface hypoplasia.
These characteristics are consistent with
Answer: B
Explanation:
Achondroplasia is the most common cause of dwarfism. Bone growth is inhibited as the result of an abnormal gene on chromosome 4. Achondroplasia can be inherited in an autosomal dominant fashion, but the majority of cases (75-80%) occur with spontaneous mutations. Clinical features apparent at birth include a long narrow torso with short arms and legs. The proximal segment of the limbs (upper arms and thighs) is disproportionately short. The head is large, with frontal bossing and midface hypoplasia. A small hump (gibbus) may be present in the mid-to-lower back. Mild, generalized hypotonia may be present.
NEW QUESTION # 165
A neonate at 37 weeks gestation is born to a mother who has abused cocaine throughout pregnancy. The neonate exhibits persistent hypertonia, startles easily, and shows signs of distress at any disturbance. The most appropriate treatment is
Answer: C
Explanation:
Swaddling a neonate exposed to cocaine and eliminating as much environmental noise and excessive light as possible can reduce stimulation and relieve symptoms. Medications are rarely required to control symptoms. Hypertonia may last s2 years. Head circumference may be smaller for the first 2 years as well although the infant usually attains normal weight and height by the end of the first year.
NEW QUESTION # 166
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