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| Section | Weight | Objectives |
|---|
| Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Integumentary - Renal and genitourinary
- 1. Kidney and urinary conditions
- Musculoskeletal
- 1. Bone and muscle disorders
- Metabolic and endocrine - Respiratory
- 1. Respiratory distress and ventilation
- Cardiac
- 1. Congenital and acquired cardiac disorders
- Infectious diseases - Gastrointestinal
- 1. Digestive system disorders
- Hematopoietic - Genetics - Neurological
- 1. Neurological disorders
|
| Professional Issues | 3% | - Legal and ethical principles
- 1. Professional responsibility
- Evidence-based practice
- 1. Clinical research application
- Quality improvement and patient safety
- 1. Healthcare quality management
|
| General Assessment | 15% | - Discharge planning and follow-up care
- 1. Care transition
- 2. Post-discharge monitoring
- Maternal history affecting the newborn
- 1. Prenatal and perinatal factors
- 2. Risk assessment
- Neonatal assessment
- 1. Physical examination
- 2. Gestational age evaluation
- Family integration
- 1. Family-centered care
- 2. Parent communication
|
| Pharmacology | 9% | - Drugs and breastfeeding - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
- Common drug therapies
- 1. Medication administration
|
| General Management | 19% | - Fluids and electrolytes
- 1. Fluid balance management
- Growth and nutrition
- 1. Nutritional management
- Thermoregulation
- 1. Temperature stabilization
- Resuscitation and stabilization
- 1. Emergency neonatal care
|
>> Nursing NCC-NNP Examcollection Questions Answers <<
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q90-Q95):
NEW QUESTION # 90
How many calories does a preterm infant require per day?
- A. 150-200 kcal/kg/day
- B. 100-150 kcal/kg/day
- C. 50-100 kcal/kg/day
Answer: B
Explanation:
The preterm infant needs 100-150 kcal/kg/day in order to complete development and gain weight. A term infant generally needs 100-120 kcal/kg/day for normal growth and development Adequate nutrition to meet the nutritional needs of the preterm infant can help to prevent poor outcomes and help to improve adequate nervous system development.
NEW QUESTION # 91
An elevated serum lactate level in an infant in the Neonatal Intensive Care Unit is associated with
- A. poor GI absorption of nutrients
- B. rapid lung maturation
- C. increased risk of death
Answer: C
Explanation:
Lactic acid is increased in situations of tissue hypoxia, which can lead to severe metabolic acidosis. This can occur with sepsis, heart failure, shock, and multisystem organ failure. Studies have shown that elevations in serum lactate in the first week of life correlate with an increase in mortality rates. This risk is higher in infants born less than 1000 g.
NEW QUESTION # 92
Transient neonatal strabismus usually clears by the age of
- A. 4 days
- B. 4 weeks
- C. 4 months
Answer: C
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 # 93
The mildest form of an intraventricular hemorrhage of the brain in a newborn is also called
- A. a germinal matrix hemorrhage
- B. elevated pressure hydrocephalus
- C. normal pressure hydrocephalus
Answer: A
Explanation:
An intraventricular hemorrhage in a newborn is classified into grades, depending upon the severity of the bleeding. Grade l, the mildest form, is also called a germinal matrix hemorrhage.
Those infants most at risk for developing an intraventricular hemorrhage are those who are premature, at least 10 weeks preterm. This occurs because the blood vessels in the brain are very weak in the premature infant and can easily rupture, causing a brain bleed. Less than half of infants with a mild bleed will have long-term effects from it. Up to one-third of those with severe bleeds may die.
NEW QUESTION # 94
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 # 95
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