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| Section | Weight | Objectives |
|---|---|---|
| Pharmacology | 9% | - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Adverse effects and interactions |
| Professional Issues | 3% | - Quality improvement and patient safety - Interprofessional collaboration - Ethics and legal aspects - Scope and standards of practice |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Hematopoietic and immune system - Respiratory system - Eyes, ears, nose and throat - Genetics and congenital anomalies - Cardiovascular system - Infectious diseases - Metabolic and endocrine system - Gastrointestinal system - Renal and genitourinary system - Musculoskeletal and integumentary system - Neurological system |
| General Management | 19% | - Care coordination and family education - Thermoregulation - Fluids, electrolytes and acid-base balance - Resuscitation and stabilization - Nutrition and growth support - Pain management and sedation |
| General Assessment | 15% | - Perinatal history collection - Growth and development assessment - Interpretation of diagnostic data - Systematic physical assessment |
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NEW QUESTION # 72
The electrolytes that are of primary concern in the neonate are
Answer: B
Explanation:
NEW QUESTION # 73
The following drug(s) should always be included with infant resuscitation equipment
Answer: B
Explanation:
Medications that should always be included as part of the minimum neonatal resuscitation equipment include epinephrine and naloxone. Epinephrine is the AHA recommended pharmacologic intervention in the case of ineffective CPR in neonatal resuscitation. Naloxone is indicated in the case of respiratory distress in infants with opioid withdraw after the administrations of opioids as pain control in the labor process. Surfactant (indicated in respiratory distress, particularly in preterm neonates) and prostaglandins (indicated for cyanotic congenital heart defects) are useful in specific cases, but are not part of the minimum resuscitation equipment.
NEW QUESTION # 74
An infant in the Neonatal Intensive Care Unit is being treated for meningitis with ampicillin. The dosage is 400 mg/kg/day divided over every 8 hours. The infant being cared for weighs 6 pounds 8 ounces. How many milligrams should be given with each dose?
Answer: B
Explanation:
To calculate the correct dosage, the first step will be to convert the weight to kilograms. 6 pounds 8 ounces, or 6.5 pounds, is divided by 2.2 to convert the weight to 2.95 kg. The dosage is
400 mg/kg/day so in a full day, the infant should receive 1,180 mg (400 x 2.95 = 1,180). The dosage is spaced three times a day, every 8 hours, so each dosage should be 393 mg (1,180/3 = 393).
NEW QUESTION # 75
What is the most common cause of direct hyperbilirubinemia in the newborn?
Answer: B
Explanation:
Direct hyperbilirubinemia (also known as jaundice, but not caused by jaundice) is the yellow discoloration of the skin and sclera. The most common cause in newborns is due to the liver being immature and not being able to breakdown bilirubin. It is fairly common and most often responds to phototherapy for a few days.
NEW QUESTION # 76
Do more males or females develop Turner's syndrome?
Answer: A
Explanation:
Turner's syndrome affects females only. It occurs as a result of a genetic mutation in which the female receives only one X chromosome. This results in females who are short in stature, have delayed puberty, often suffer from infertility problems, and may have learning disabilities. In some cases, it may cause heart defects. Women who want to become pregnant will need to take hormone treatments, but are often unsuccessful at conceiving.
NEW QUESTION # 77
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