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| Section | Objectives |
|---|
| High-Risk Neonatal Management | - Respiratory distress and ventilation management - Prematurity-related complications - Infectious diseases in neonates
|
| Neonatal Pharmacology and Therapeutics | - Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics
|
| Neonatal Health Assessment | - Physical and neurological assessment of the newborn - Identification of normal vs abnormal findings
|
| Neonatal Physiology and Pathophysiology | - Respiratory adaptation and disorders - Cardiovascular adaptation and congenital conditions - Thermoregulation, metabolism, and fluid balance
|
| Family-Centered Care and Ethics | - Ethical and legal considerations in neonatal care - Parent education and communication
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q60-Q65):
NEW QUESTION # 60
The genetic condition that results in a bluish tinge to the sclera of the eyes and multiple bone fractures is
- A. congenital hyperparathyroidism
- B. osteogenesis imperfecta
- C. osteoporosis
Answer: B
Explanation:
Osteogenesis imperfecta is a genetic disorder that causes bones to be weak and fracture easily. It can also cause a bluish tone to the sclera of the eyes, scoliosis, short stature, and hearing loss. The condition occurs due to a genetic defect that results in problems with the body producing collagen, which strengthens bones. There is no cure for osteogenesis imperfecta, but bone strengthening medications and splinting/casting may help to protect the strength of the bones.
NEW QUESTION # 61
A preterm infant in the NICU is receiving tube feedings until he is able to attempt oral feedings. What activity can help him with the transition from tube to oral feedings?
- A. Playing soft music during tube feedings
- B. Give him a pacifier to suck on during the tube feedings
- C. Gently rub his stomach during tube feedings
Answer: B
Explanation:
Non-nutritive sucking, such as that with a pacifier, is having an infant suck on something that does not give them milk. For infants who are tube fed, it can trigger an association with them between having a full stomach and sucking, which can help when transitioning to oral feedings. The sucking activity is also helpful in strengthening the oral muscles needed to suck, as well as being soothing and calming for the infant.
NEW QUESTION # 62
The electrolytes that are of primary concern in the neonate are
- A. calcium, sodium, and potassium
- B. calcium, chloride, and magnesium
- C. sodium, phosphorous, and potassium
Answer: A
Explanation:

NEW QUESTION # 63
The NP is administering blood to a premature infant who is anemic. A possible transfusion reaction may be occurring if the patient develops
- A. tenderness at the IV site
- B. dysuria
- C. the hiccups
Answer: A
Explanation:
One of the first signs that an acute intravascular hemolytic reaction is occurring is pain at the IV site. Other early signs include fever, chills, elevated heart rate, nausea, and dyspnea. This potentially life-threatening reaction usually occurs within 10 minutes of the beginning of the infusion of blood or blood products.
NEW QUESTION # 64
The NP is talking to new parents whose child was born with a cleft lip and palate due to amniotic band syndrome. They are concerned that this may happen to any more children they have in the future. The best response to this is
- A. this is an autosomal dominant genetic traitand there is a 50% chance this could happen in
- B. once one child is born with this condition, all future children will also inheritit
- C. there is no known genetic cause of amniotic band syndrome and it is very rare this will
Answer: C
Explanation:
There is no known genetic risk for developing amniotic band syndrome. There are also no known behaviors during pregnancy that increase the risk for this condition. It occurs when thick, fibrous bands within the amniotic fluid wrap around the limb or face of the fetus in utero. It can cut off the blood supply to the affected area and result in amputation or deformity of the affected limb.
If the bands wrap around the face, it can result in cleft lip and palate. There is a greater than 30% chance that amniotic band syndrome will cause a club foot deformity.
NEW QUESTION # 65
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