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| Section | Weight | Objectives |
|---|
| Professional Issues | 3% | - Scope and standards of practice - Ethics and legal aspects - Quality improvement and patient safety - Interprofessional collaboration
|
| General Management | 19% | - Pain management and sedation - Nutrition and growth support - Thermoregulation - Resuscitation and stabilization - Care coordination and family education - Fluids, electrolytes and acid-base balance
|
| Pharmacology | 9% | - Safe administration principles - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages
|
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Metabolic and endocrine system - Renal and genitourinary system - Respiratory system - Gastrointestinal system - Genetics and congenital anomalies - Cardiovascular system - Infectious diseases - Neurological system - Eyes, ears, nose and throat - Musculoskeletal and integumentary system - Hematopoietic and immune system
|
| General Assessment | 15% | - Interpretation of diagnostic data - Perinatal history collection - Systematic physical assessment - Growth and development assessment
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q146-Q151):
NEW QUESTION # 146
A newborn has an NG tube in place due to an intestinal obstruction. In order to prevent aspiration of saliva, it is very important to
- A. the aspirate should drain into a drainage bag without any manual aspiration
- B. the aspirate should drain into a drainage bag and the stomach contents should be aspirated
- C. perform continuous oral suction
Answer: B
Explanation:
There is an increased risk of death by aspiration in newborns that have an NG tube. This is due to aspiration of saliva. Because ofthis, a drainage bag should be attached to accept the aspirate.
The stomach contents should also be aspirated at least every 30 minutes to decrease this risk.
NEW QUESTION # 147
Which of the following medications is NOT safe to take while breastfeeding?
- A. diphenhydramine (Benadryl)
- B. clozapine (Clozaril)
- C. ibuprofen (Advil, Motrin)
Answer: B
Explanation:
The antipsychotic medication clozapine should not be taken by mother's who are breastfeeding. It is typically used for schizophrenia and passes through human milk to the infant. It can cause letharg- and agranulocytosis in infants. Infants of breastfed mothers who were taking clozapine have also exhibited speech delay. Ibuprofen and diphenhydramine are both considered safe to take while breastfeeding.
NEW QUESTION # 148
If a pregnant woman contracts measles during pregnancy, the baby is at risk for developing
- A. rubella (German measles)
- B. congenital cataracts
- C. hearing loss
Answer: B
Explanation:
Rubella, or German measles, in the mother can result in congenital cataracts in the newborn. Other infections that can contribute to cataracts developing in the newborn are toxoplasmosis, cytomegalovirus, or chickenpox. Genetic defects can also cause congenital cataracts.
These can be severe enough to require surgical removal and lens replacement.
NEW QUESTION # 149
When administering blood or blood products
- A. a patient with A- blood can receive blood from a donor who is O- or 0+
- B. a patient with AB+ blood can receive blood from a donor of any blood type
- C. a patient with A+ blood can receive blood from a donor who is AB+
Answer: B
Explanation:
A person with AB+ blood is considered a universal recipient because they can receive blood or blood products of any type. A universal donor would be a person with type O- blood. The most restricted recipient blood type is O- because those patients can only receive O- blood or blood products.
NEW QUESTION # 150
Do more males or females develop Turner's syndrome?
- A. It affects females only
- B. It affects males only
- C. It affects both genders equally
Answer: A
Explanation:
Turner's syndrome affects females only. It occurs as a result of a genetic mutation in which the female receives only one X chromosome. This results in females who are short in stature, have delayed puberty, often suffer from infertility problems, and may have learning disabilities. In some cases, it may cause heart defects. Women who want to become pregnant will need to take hormone treatments, but are often unsuccessful at conceiving.
NEW QUESTION # 151
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