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| Section | Weight | Objectives |
|---|
| Topic 1: Pharmacology | 9% | - Drugs and breastfeeding - Common drug therapies
- 1. Medication administration
- Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
|
| Topic 2: 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
|
| Topic 3: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Gastrointestinal
- 1. Digestive system disorders
- Infectious diseases - Renal and genitourinary
- 1. Kidney and urinary conditions
- Integumentary - Metabolic and endocrine - Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Hematopoietic - Cardiac
- 1. Congenital and acquired cardiac disorders
- Respiratory
- 1. Respiratory distress and ventilation
- Musculoskeletal
- 1. Bone and muscle disorders
- Neurological
- 1. Neurological disorders
- Genetics
|
| Topic 4: 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
|
| Topic 5: General Assessment | 15% | - Discharge planning and follow-up care
- 1. Post-discharge monitoring
- 2. Care transition
- Maternal history affecting the newborn
- 1. Risk assessment
- 2. Prenatal and perinatal factors
- Neonatal assessment
- 1. Gestational age evaluation
- 2. Physical examination
- Family integration
- 1. Parent communication
- 2. Family-centered care
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q120-Q125):
NEW QUESTION # 120
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. report the mother to child protective services for neglect
- C. advise the mother to stop breastfeeding and switch to formula
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 # 121
A 64-year-old female has been told that her husband has terminal, metastatic cancer and life expectancy is most likely less than 6 months. She is feeling very anxious, depressed, and moody since he received this diagnosis. These emotions are part of
- A. anticipatory grief
- B. exaggerated grief
- C. delayed grief
Answer: A
Explanation:
Anticipatory grief is the period that some people go through when it is learned that a loved one's death is eminent. Not everyone experiences this, but it can help a person to accept the impending death of their family member or friend. During this time, people often feel depressed or anxious, they may begin plans for the changes that will come when the person has passed, or they may take that time to share feelings and emotions with the loved one they are preparing to lose. If a person experiences anticipatory grief, it may help them to adjust to the changes that will occur once the person has died.
NEW QUESTION # 122
All of the following may be symptoms of hypopituitarism in the newborn EXCEPT
- A. hypoglycemia
- B. increased thirst
- C. jaundice
Answer: B
Explanation:
Of the choices listed, excessive thirst would be seen in an older child with hypopituitarism rather than an infant. The infant with an underfunctioning pituitary gland will exhibit jaundice, hypoglycemia, excessive amounts of urine, sluggishness, and a small penis in male newborns. Older children diagnosed with hypopituitarism will exhibit excessive urination, short stature with weight gain disproportionate to growth, delayed or absent puberty, and delayed tooth eruption.
NEW QUESTION # 123
A woman who is known to have hepatitis B is delivering her first baby. Treatment of the infant should include
- A. hepatitis B vaccine given within the first year of life
- B. hepatitis B vaccine and hepatitis B immunoglobulin given within 12 hours of birth
- C. hepatitis B immunoglobulin within 6 hours of birth and the hepatitis B vaccine at 5 years of
Answer: B
Explanation:
It is imperative to administer the hepatitis B vaccine and hepatitis B immunoglobulin to these infants within 12 hours of birth. Hepatitis B is transmitted from the mother to the fetus during pregnancy. Approximately 40% of infants of hepatitis B positive women will develop the disease, and up to 25% ofthose will die from chronic liver disease. Routine vaccination of all infants is usually given within 24 hours of birth.
NEW QUESTION # 124
Clinical symptoms of neonatal renal vein thrombosis include
- A. Bence-Jones protein in the urine
- B. leukocytosis
- C. thrombocytopenia
Answer: C
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 # 125
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