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| Section | Weight | Objectives |
|---|
| Topic 1: Professional Issues | 3% | - Evidence-based practice
- 1. Clinical research application
- Legal and ethical principles
- 1. Professional responsibility
- Quality improvement and patient safety
- 1. Healthcare quality management
|
| Topic 2: General Assessment | 15% | - Maternal history affecting the newborn
- 1. Risk assessment
- 2. Prenatal and perinatal factors
- Discharge planning and follow-up care
- 1. Post-discharge monitoring
- 2. Care transition
- Family integration
- 1. Family-centered care
- 2. Parent communication
- Neonatal assessment
- 1. Gestational age evaluation
- 2. Physical examination
|
| Topic 3: 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
|
| Topic 4: Pharmacology | 9% | - Drugs and breastfeeding - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
- Common drug therapies
- 1. Medication administration
|
| Topic 5: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Cardiac
- 1. Congenital and acquired cardiac disorders
- Hematopoietic - Musculoskeletal
- 1. Bone and muscle disorders
- Infectious diseases - Integumentary - Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Gastrointestinal
- 1. Digestive system disorders
- Neurological
- 1. Neurological disorders
- Metabolic and endocrine - Respiratory
- 1. Respiratory distress and ventilation
- Genetics - Renal and genitourinary
- 1. Kidney and urinary conditions
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q157-Q162):
NEW QUESTION # 157
A mother brings her term infant (and first child) for an exam at 2 weeks after birth. The baby has not regained birth weight, appears listless, face drawn, and skin turgor is poor. The mother is breastfeeding. The most appropriate first action is
- A. question mother about nursing technique and frequency, and observe the infant nursing
- B. advise the mother to stop breastfeeding and switch to formula
- C. report the mother to child protective services for neglect
Answer: A
Explanation:
The mother should be questioned about her nursing technique and frequency and observed while nursing the child. Since this is her first child, she may need further assistance in nursing properly to ensure the infant receives adequate nutrition. While further tests may be indicated, these signs are indicative of dehydration and poor nutrition, so that should be dealt with first. As there are no other indications of neglect, referral to child protective services is not appropriate at this time. Switching from human milk to formula is rarely necessary if mothers receive adequate support and instruction.
NEW QUESTION # 158
Transient neonatal strabismus usually clears by the age of
- A. 4 weeks
- B. 4 months
- C. 4 days
Answer: B
Explanation:
Because oculomotor control is poor in the neonate, transient neonatal strabismus involving intermittent exotropia or esotropia is common and usually clears by about 4 months without treatment. Strabismus occurs when the muscles of the eyes are not coordinated so that one eye deviates from the axis of the other. Deviations include:
*Tropia, which is consistent or intermittent deviation in which the child is unable to maintain alignment of the eyes.
*Esotropia, in which both eyes turning inwards (cross eyes) and exotropia is both eyes turning outward (wall eyes).
NEW QUESTION # 159
How does the protein content in colostrum compare to the protein content in mature human milk?
- A. The protein content is lower in colostrum than mature human milk
- B. The protein content is higher in colostrum than mature human milk.
- C. The protein content is equal in both.
Answer: B
Explanation:
The first form of human milk that can be expressed is called colostrum. This is produced for the first few days, up to a week following delivery. It has a higher protein content than mature human milk. Colostrum can contain up to 17% protein, while mature human milk contains only about 1% protein.
NEW QUESTION # 160
The parents of a newborn ask the NP about the white bumps they have noticed along their baby's upper gum line. The best response is that
- A. these are skin lesions on his gums that need to be evaluated by a dentist
- B. he is starting to develop teeth at a very young age
- C. these are small cysts that will go away on their own within 1-2 weeks
Answer: C
Explanation:
Vvhitish bumps, or cysts, along the gum or roof of the mouth are called Epstein's pearls. They are very common and occur in about 80% of newborns. These will resolve on their own within the first couple of weeks of life and do not require any treatment.
NEW QUESTION # 161
On the APGAR scale, a good score is
Answer: C
Explanation:
A total score of 27 is a sign of good health with a perfect score being 10. APGAR is a quick evaluation of a newborn's physical condition to determine if emergency medical care is needed and is administered 1 minute and 5 minutes after birth.

NEW QUESTION # 162
......
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