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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professional Issues | 3% | - Interprofessional collaboration - Scope and standards of practice - Ethics and legal aspects - Quality improvement and patient safety |
| Topic 2: General Management | 19% | - Nutrition and growth support - Care coordination and family education - Thermoregulation - Pain management and sedation - Fluids, electrolytes and acid-base balance - Resuscitation and stabilization |
| Topic 3: General Assessment | 15% | - Perinatal history collection - Interpretation of diagnostic data - Growth and development assessment - Systematic physical assessment |
| Topic 4: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages - Adverse effects and interactions - Safe administration principles |
| Topic 5: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Cardiovascular system - Eyes, ears, nose and throat - Renal and genitourinary system - Gastrointestinal system - Infectious diseases - Neurological system - Metabolic and endocrine system - Genetics and congenital anomalies - Musculoskeletal and integumentary system - Respiratory system - Hematopoietic and immune system |
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NEW QUESTION # 157
A neonate exhibits signs of hypoglycemia after birth and is treated only with a bolus of glucose. This treatment puts the infant at risk for
Answer: B
Explanation:
A glucose bolus-associated occurrence of acute hypoglycemia can arise if a glucose bolus is given and not followed up with a continuous infusion because the body will produce more insulin to cover the bolus which will then start to use glucose stores as soon as the bolus stops. To prevent this, a steady infusion should be continued for a time period that is sufficient for the infant's insulin production to stabilize. Bedside tests for hypoglycemia with reagent sticks may overestimate hypoglycemia and should be confirmed with a serum level.
NEW QUESTION # 158
Which of the following is a potential risk when using an extracorporeal membrane oxygenation (ECMO) device?
Answer: A
Explanation:
An extracorporeal membrane oxygenation (ECMO) device is used in infants who are not able to breath or pump blood on their own. It is a type of heart-lung bypass machine that circulates blood from the infant. through an artificial lung to oxygenate the blood, and then back into the infant to circulate through the body. Some of the potential risks include the formation of blood clots, bleeding, or infection. Blindness (specifically, retinopathy of prematurity) was a common complication of excessive supplemental oxygen in the 1940's prior to advances and research in oxygen administration. Generally, electrolyte levels are not impacted by ECMO.
NEW QUESTION # 159
The four heart defects seen with Tetralogy of Fallot are
Answer: A
Explanation:
Tetralogy of Fallot is a very serious congenital heart defect that includes a large ventricular septal defect. pulmonary stenosis, right ventricular hypertrophy, and an overriding aorta. Though this is a serious condition, it is treated surgically during infancy and most children with this condition will go on to live into adulthood.
NEW QUESTION # 160
A neonate is 40 weeks gestation and nursing well but has onset of jaundice at 36 hours.
Total serum bilirubin is 12 mg/dL At this time, treatment should include
Answer: C
Explanation:
While the neonate's bilirubin is elevated (normal range 3.4-11.5 mg/dL at 1-2 days), only continued observation and jaundice assessment is indicated at this time. Physiologic hyperbilirubinemia is common in newborns and usually benign, resulting from immature hepatic function and increased RBC hemolysis. Infants have larger red blood cells with a shorter life than adults, leading to more RBC destruction and resulting in an increased load of serum bilirubin, which the liver of the newborn cannot handle. Onset is usually within 24-48 hours, peaking in 72 hours for full term or 5 days for preterm infants and declining within a week. Phototherapy is the indicated treatment for total serum bilirubin 218 mg/dL for those at medium risk.
NEW QUESTION # 161
The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to
Answer: A
NEW QUESTION # 162
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