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| Section | Weight | Objectives |
|---|---|---|
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Musculoskeletal and integumentary system - Eyes, ears, nose and throat - Metabolic and endocrine system - Genetics and congenital anomalies - Renal and genitourinary system - Infectious diseases - Hematopoietic and immune system - Neurological system - Cardiovascular system - Gastrointestinal system - Respiratory system |
| General Management | 19% | - Thermoregulation - Pain management and sedation - Nutrition and growth support - Fluids, electrolytes and acid-base balance - Care coordination and family education - Resuscitation and stabilization |
| Professional Issues | 3% | - Scope and standards of practice - Quality improvement and patient safety - Interprofessional collaboration - Ethics and legal aspects |
| General Assessment | 15% | - Perinatal history collection - Systematic physical assessment - Interpretation of diagnostic data - Growth and development assessment |
| Pharmacology | 9% | - Safe administration principles - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates - Adverse effects and interactions |
Question 1
What is the difference between an omphalocele and a gastroschisis?
A. An omphalocele occurs when the abdominal contents protrude through the umbilicus, buta
B. An omphalocele is a fluid collection in the abdomen, while a gastroschisis is a decrease in
C. An omphalocele occurs when the brain ventricles are dilated, while a gastroschisis occurs
Question 2
In what order should resuscitative efforts in the premature infant with hydrops fetalis and bilateral pleural effusions be performed?
A. Cutting of the umbilical cord, resuscitative measures, then emergency thoracentesis
B. Cutting of the umbilical cord, emergency thoracentesis, then resuscitative measures
C. Emergency thoracentesis, cutting of the umbilical cord, then resuscitative measures
Question 3
A neonate suffered perinatal asphyxia and developed moderate hypoxic ischemic encephalopathy (HIE) with neurological dysfunction. The treatment that is LEAST likely to be utilized to treat this condition is
A. therapeutic hypothermia
B. phenobarbital
C. fluid resuscitation
Question 4
What is a major risk factor for chorioamnionitis?
A. There are no known risk factors for chorioamnionitis
B. Maternal tobacco use during pregnancy
C. Premature rupture of the membranes
Question 5
The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to
A. activate the Code Blue protocol for your facility
B. start oxygen via a mask
C. assess the rest of their body to see if there is any cyanosis present in the extremities or if the infant is exhibiting any retractions or other signs of respiratory distress
Solutions:
| Question 1 Answer: A | Question 2 Answer: C | Question 3 Answer: C | Question 4 Answer: C | Question 5 Answer: C |
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