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| Section | Weight | Objectives |
|---|
| General Management | 19% | - Resuscitation and stabilization
- 1. Emergency neonatal care
- Growth and nutrition
- 1. Nutritional management
- Thermoregulation
- 1. Temperature stabilization
- Fluids and electrolytes
- 1. Fluid balance management
|
| General Assessment | 15% | - Discharge planning and follow-up care
- 1. Care transition
- 2. Post-discharge monitoring
- Family integration
- 1. Parent communication
- 2. Family-centered care
- Neonatal assessment
- 1. Physical examination
- 2. Gestational age evaluation
- Maternal history affecting the newborn
- 1. Prenatal and perinatal factors
- 2. Risk assessment
|
| Professional Issues | 3% | - Evidence-based practice
- 1. Clinical research application
- Quality improvement and patient safety
- 1. Healthcare quality management
- Legal and ethical principles
- 1. Professional responsibility
|
| Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
- Common drug therapies
- 1. Medication administration
- Drugs and breastfeeding
|
| Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Cardiac
- 1. Congenital and acquired cardiac disorders
- Infectious diseases - Genetics - Hematopoietic - Musculoskeletal
- 1. Bone and muscle disorders
- Gastrointestinal
- 1. Digestive system disorders
- Integumentary - Respiratory
- 1. Respiratory distress and ventilation
- Neurological
- 1. Neurological disorders
- Renal and genitourinary
- 1. Kidney and urinary conditions
- Metabolic and endocrine - Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q56-Q61):
NEW QUESTION # 56
Which of the following medications may be given to slow down preterm labor contractions?
- A. Cytotec
- B. Terbutaline
- C. Pitocin
Answer: B
Explanation:
Tocolytics are drugs that are given to slow down or stop preterm labor. They are generally not used before 23-24 weeks of pregnancy and may be used as late as 36 weeks of pregnancy.
Terbutaline is in a class of drugs called beta-mimetics. It is used to decrease uterine contractions by relaxing the uterine musculature. It can cause nervousness, tremors, headache, and tachycardia.
Cytotec is given as a pill or vaginal suppository to help soften the cervix to induce labor. Pitocin is used to increase uterine contractions and cervical dilation to induce labor.
NEW QUESTION # 57
What is the difference between an omphalocele and a gastroschisis?
- A. An omphalocele is a fluid collection in the abdomen, while a gastroschisis is a decrease in
- B. An omphalocele occurs when the brain ventricles are dilated, while a gastroschisis occurs
- C. An omphalocele occurs when the abdominal contents protrude through the umbilicus, buta
Answer: C
Explanation:
Omphalocele is a condition in which there is an opening at the umbilicus through which the abdominal organs can protrude. A gastroschisis occurs when all of the abdominal organs are exposed because the outer membrane does not form over the abdomen to cover them. Both of these are congenital defects that occur early in development. The abdominal organs usually form outside the abdomen, but then return to the abdomen during development. There is no definitive known cause for either condition.
NEW QUESTION # 58
A neonate has had frequent blood draws to monitor electrolyte and glucose levels. This phlebotomy has caused anemia of prematurity (AOP) although the infant is not acutely hypoxemic. The initial treatment is
- A. fresh frozen platelets (FFP)
- B. platelets
- C. recombinant human erythropoietin (rHuEPO)
Answer: C
Explanation:
repo is indicated to stimulate erythropoiesis in phlebotomy-related AOP. Infants with signs of hypoxemia (poor feeding, tachypnea, tachycardia, pallor) may require transfusions. AOP represents a pathologic exaggeration of the normal decrease in hematocrit that occurs in every newborn. Other causes include:
*Decreased RBC production because the premature neonate's response to erythropoietin
*CEPO), the main stimulus for RBC production, has not matured. Lowest Hgb levels are usually at 2-3 months of age.
*Premature RBCs have a shortened lifespan when compared to the full term neonate's
*because of decreased levels of intracellular ATP and enzyme activity.
NEW QUESTION # 59
A life-threatening condition that causes simultaneous hemorrhage and thrombosis is
- A. ABO incompatibility
- B. disseminated intravascular coagulation
- C. Rh disease
Answer: B
Explanation:
Disseminated intravascular coagulation (DIC) is characterized by hemorrhage and thrombosis. It most often occurs in the newborn due to sepsis, respiratory distress syndrome, birth trauma, birth asphyxia, or necrotizing enterocolitis. Newborns are more susceptible to this condition because the clotting factors are at low levels at birth, which increases the risk of hemorrhage. The trauma of the underlying condition results in endothelial tissue damage, which causes hemorrhage. Fibrin and other clotting factors deposit in the microvasculature to stop bleeding, which results in microvascular thrombosis. Treatment of the condition is focused on treating the underlying cause.
NEW QUESTION # 60
The purpose of quality improvement is to
- A. implement specific changes, which have a measurable improvement for a group of patients
- B. improve employee satisfaction
- C. monitor the leadership skills of the administration of a healthcare facility
Answer: A
Explanation:
Quality improvement is instrumental in improving the way healthcare services are provided, while continually measuring the effect those changes have on the health status of the patients served. This is often measured through patient satisfaction information.
NEW QUESTION # 61
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