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| Section | Weight | Objectives |
|---|
| Topic 1: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Infectious diseases - Eyes, ears, nose and throat - Renal and genitourinary system - Musculoskeletal and integumentary system - Respiratory system - Cardiovascular system - Gastrointestinal system - Hematopoietic and immune system - Metabolic and endocrine system - Genetics and congenital anomalies - Neurological system
|
| Topic 2: Professional Issues | 3% | - Quality improvement and patient safety - Ethics and legal aspects - Interprofessional collaboration - Scope and standards of practice
|
| Topic 3: General Management | 19% | - Nutrition and growth support - Resuscitation and stabilization - Care coordination and family education - Fluids, electrolytes and acid-base balance - Thermoregulation - Pain management and sedation
|
| Topic 4: General Assessment | 15% | - Perinatal history collection - Interpretation of diagnostic data - Growth and development assessment - Systematic physical assessment
|
| Topic 5: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages - Safe administration principles - Adverse effects and interactions
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q85-Q90):
NEW QUESTION # 85
A premature infant is in distress and has not responded to resuscitative measures. A volume expander is indicated at this time. What is the risk of giving this type of medication too quickly?
- A. Hypercoagulability resulting in pulmonary emboli
- B. Intraventricular hemorrhage
- C. Supraventricular tachycardia
Answer: B
Explanation:
Acute volume expansion in the neonate can be accomplished with an isotonic crystalloid solution, such as lactated Ringer's solution. This increases the pressure in the intravascular space, which causes water to move from the interstitial to intravascular spaces, which increases the circulating blood volume. Crystalloids have a half-life benveen 30 and 60 minutes and must be given in amounts three times the volume lost If too much is given too quickly, however, fluid overload with intraventricular hemorrhage and pulmonary edema can result
NEW QUESTION # 86
The most common cause of ambiguous genitalia in a genetic female newborn is
- A. developmental anomaly of having only one ovary
- B. congenital adrenal hyperplasia
- C. insufficient maternal folic acid during pregnancy
Answer: B
Explanation:
In newborns that are genetically female, the most common cause of ambiguous genitalia is congenital adrenal hyperplasia. Ambiguous genitalia result in genital characteristics that are not wholly female or wholly male. There can be features of both, externally and internally. Congenital adrenal hyperplasia results in the overproduction of male hormones, which causes the genitalia to take on both male and female features during development. This condition can result in a great deal of stress for the parents. Genetic testing is usually done to determine if the infant is genetically a male or female.
NEW QUESTION # 87
A neonate develops early-onset bacterial meningitis. Typical early symptoms include
- A. temperature instability, lethargy, poor feeding, and hypotension
- B. hyperthermia, lethargy, nuchal rigidity
- C. bulging fontanels, seizures, nuchal rigidity
Answer: A
Explanation:
Meningitis is often difficult to diagnose in the neonate because it has early nonspecific clinical findings of irritability, lethargv, poor feeding, temperature instability, and hypotension. The more specific neurological symptoms of seizures or bulging fontanels are seen in late onset infection.
Nuchal rigidity does not usually occur with neonates. Bacterial infections usually arise from spread of distant infections but can enter the CNS from surgical wounds, invasive devices, or nasal colonization. CSF findings suggestive of bacterial meningitis include:
*Decreased glucose.
*Elevated protein.
*White blood cell values in CSF greater than 100 WBC/dL
NEW QUESTION # 88
Onset of drug withdrawal symptoms for a neonate whose mother used heroin during pregnancy is
- A. 4-7 days (upto 14 days) postnatal
- B. 3-12 hours postnatal
- C. 248 hours (up to I month) postnatal
Answer: C
Explanation:
The onset of withdrawal symptoms in a neonate varies depending on the mother's type of drug use, but the onset of symptoms of narcotics, such as heroin or methadone, is longer than for other drugs, ranging from 48-72 hours for most but can be up to one month, so many of these neonates may be discharged prior to onset of symptoms. Mothers should be carefully screened to try to identify infants at risk.
NEW QUESTION # 89
To promote family integration, the best time for siblings to visit the mother and neonate is
- A. after discharge from hospital
- B. just prior to discharge from hospital
- C. as soon after delivery as possible
Answer: C
Explanation:
Children should visit the mother and infant as soon after delivery as possible. Preparation of siblings prior to the birth can decrease anxiety and sibling rivalry by helping the children feel as though they are participants and are valued. Children should be prepared for physical changes in the mother, changing family dynamics, and infant care. A parent/teacher may use dolls to demonstrate childcare and allow the children to practice holding and caring for the baby. When possible, children should have contact with an infant, such as that of a friend or family member.
NEW QUESTION # 90
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