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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Assessment | 15% | - Perinatal history collection - Systematic physical assessment - Growth and development assessment - Interpretation of diagnostic data |
| Topic 2: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Infectious diseases - Metabolic and endocrine system - Cardiovascular system - Renal and genitourinary system - Respiratory system - Genetics and congenital anomalies - Hematopoietic and immune system - Musculoskeletal and integumentary system - Gastrointestinal system - Neurological system - Eyes, ears, nose and throat |
| Topic 3: Professional Issues | 3% | - Quality improvement and patient safety - Scope and standards of practice - Interprofessional collaboration - Ethics and legal aspects |
| Topic 4: Pharmacology | 9% | - Adverse effects and interactions - Safe administration principles - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates |
| Topic 5: General Management | 19% | - Fluids, electrolytes and acid-base balance - Thermoregulation - Nutrition and growth support - Resuscitation and stabilization - Care coordination and family education - Pain management and sedation |
1. During the initial physical examination, the neonate's chest circumference is 34 cm. The expected head circumference is
A) 36 cm
B) 34 cm
C) 32 cm
2. A newborn in the NICU has been receiving gentamicin and ampicillin for the treatment of gram negative sepsis. He is on a fairly high dose of gentamicin and has been for the past 3 days. In addition to the risk of developing renal impairment from the medication, he is also at risk for
A) permanent discoloration of his teeth later in life
B) cataract development
C) hearing loss
3. 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?
A) 325 mg
B) 393 mg
C) 300 mg
4. If a patient's membranes rupture and meconium-stained amniotic fluid is noted, the next step should be
A) increased fetal monitoring
B) fetal scalp blood sampling
C) Cesarean
5. An infant has been identified as having galactosemi
a. The mother wants to know if she
can still breastfeed him. The best response is
A) he will not be able to breastfeed because of the risk related to sugar in the milk
B) she should pump until the infant is well enough to begin breastfeeding again
C) he will not be able to breastfeed, but he can drink regular cow's milk without difficulty
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: A |
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