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| Section | Objectives |
|---|
| High-Risk Neonatal Management | - Prematurity-related complications - Respiratory distress and ventilation management - Infectious diseases in neonates
|
| Neonatal Pharmacology and Therapeutics | - Drug safety, dosing considerations, and pharmacokinetics - Medication administration in neonates
|
| Neonatal Physiology and Pathophysiology | - Thermoregulation, metabolism, and fluid balance - Cardiovascular adaptation and congenital conditions - Respiratory adaptation and disorders
|
| Family-Centered Care and Ethics | - Parent education and communication - Ethical and legal considerations in neonatal care
|
| Neonatal Health Assessment | - Physical and neurological assessment of the newborn - Identification of normal vs abnormal findings
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q53-Q58):
NEW QUESTION # 53
A full-term neonate fails to pass meconium in the first 48 hours of life. The infant exhibits abdominal distension, poor feeding, and bilious vomiting. An x-ray of the abdomen shows dilated loops of bowel. The diagnostic procedure used both to confirm a diagnosis of meconium plug syndrome and to direct treatment is
- A. contrast enema
- B. MRI
- C. colonoscopy
Answer: A
Explanation:
A contrast enema is used to confirm a diagnosis of meconium plug syndrome and helps differentiate that from other causes of intestinal obstruction. The contrast enema also is often therapeutic and helps the plug to pass. Meconium plug syndrome usually occurs in full-term infants, infants of diabetic mothers, or infants with hypermagnesemia. A small percentage of infants initially identified as having meconium plug syndrome (5-10%) have Hirschsprung disease. The cause of meconium plug syndrome is thought to be immaturity of the ganglion cells of the colon.
NEW QUESTION # 54
An example of an autosomal recessive disease is
- A. cystic fibrosis
- B. Down's syndrome
- C. Edward's syndrome
Answer: A
NEW QUESTION # 55
Clinical symptoms of neonatal renal vein thrombosis include
- A. thrombocytopenia
- B. Bence-Jones protein in the urine
- C. leukocytosis
Answer: A
Explanation:
Clinical symptoms of renal vein thrombosis in the newborn include thrombocytopenia, hypertension, hematuria, proteinuria, and renal insufficiency. This condition is rare, but can occur in infants born to mothers with a history of diabetes mellitus. This is not an infectious condition, so you would not expect to see leukocytosis. Bence-Jones proteins in the urine are specific to multiple myeloma.
NEW QUESTION # 56
Which vitamin should be given to infants at risk for bronchopulmonary dysplasia?
- A. Vitamin A
- B. Vitamin B
- C. Vitamin C
Answer: A
Explanation:
Very low birth weight infants are at risk for developing bronchopulmonary dysplasia.
Nutritional support can possibly help to decrease the development of this condition. Vitamin A helps with lung maturity, and supplementation with this vitamin may help to prevent this condition. Parenteral nutrition also helps with lung development to ensure the infant is receiving the proteins and lipids needed to help with lung maturity.
NEW QUESTION # 57
The four heart defects seen with Tetralogy of Fallot are
- A. a large ventricular septal defect, pulmonary stenosis, right ventricular hypertrophy, and an
- B. a thoracic aortic aneurysm, aortic stenosis, pulmonary stenosis, and a ventricular septal
- C. a patent ductus arteriosus, pulmonary hypertension, cor pulmonale, and aortic stenosis
Answer: A
Explanation:
Tetralogy of Fallot is a very serious congenital heart defect that includes a large ventricular septal defect. pulmonary stenosis, right ventricular hypertrophy, and an overriding aorta. Though this is a serious condition, it is treated surgically during infancy and most children with this condition will go on to live into adulthood.
NEW QUESTION # 58
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