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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professional Issues | 3% | - Interprofessional collaboration - Quality improvement and patient safety - Ethics and legal aspects - Scope and standards of practice |
| Topic 2: General Management | 19% | - Resuscitation and stabilization - Nutrition and growth support - Care coordination and family education - Fluids, electrolytes and acid-base balance - Thermoregulation - Pain management and sedation |
| Topic 3: General Assessment | 15% | - Systematic physical assessment - Growth and development assessment - Interpretation of diagnostic data - Perinatal history collection |
| Topic 4: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Gastrointestinal system - Infectious diseases - Hematopoietic and immune system - Neurological system - Metabolic and endocrine system - Eyes, ears, nose and throat - Musculoskeletal and integumentary system - Cardiovascular system - Respiratory system - Renal and genitourinary system - Genetics and congenital anomalies |
| Topic 5: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Adverse effects and interactions - Common medications and dosages |
1. A newborn has been diagnosed with neonatal testicular torsion that has left one testicle unsalvageable. The other testicle is not affected. The parents are asking if their son will have fertility problems when he is older because of this. The most appropriate
A) there is a very low chance of this causing any fertility issues long-term
B) he will need to see an endocrinologist for hormone testing to determine the long-term
C) there is an approximately 50% chance that he will be infertile
2. The NP is evaluating a newborn. The infant is having retractions with respirations and a low grunting sound can be heard with his rapid breathing. The most likely diagnosis is
A) neonatal sepsis
B) cyanotic congestive heart failure
C) meconium aspiration syndrome
3. On examining the neonate, the NP notes 9 cafe au lait spots with a diameter greater than
5 mm and freckles on the axilla and inguinal are
a. The infant should be tested for
A) neurofibromatosis type 1
B) Sturge-Weber syndrome
C) Addison's disease
4. Two days after birth, a newborn infant has developed an erythematous papular rash scattered all over. The best explanation to give the parents is
A) this is a benign rash that should resolve within the first 2 weeks of life
B) this is a common condition that causes slight discomfort that can be treated with acetaminophen and will clear within a few days
C) a dermatoloy referral will be necessary to accurately diagnose this condition
5. When placing a temperature probe on a supine neonate to monitor thermoregulation, a good location for the probe is over the
A) mid-scapular region of the back
B) mediastinum
C) liver
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: C |
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