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| Section | Objectives |
|---|
| Neonatal Pharmacology and Therapeutics | - Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics
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| Neonatal Health Assessment | - Physical and neurological assessment of the newborn - Identification of normal vs abnormal findings
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| Family-Centered Care and Ethics | - Ethical and legal considerations in neonatal care - Parent education and communication
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| Neonatal Physiology and Pathophysiology | - Cardiovascular adaptation and congenital conditions - Respiratory adaptation and disorders - Thermoregulation, metabolism, and fluid balance
|
| High-Risk Neonatal Management | - Prematurity-related complications - Infectious diseases in neonates - Respiratory distress and ventilation management
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q154-Q159):
NEW QUESTION # 154
Early onset group B strep infection in the newborn is most likely to cause
- A. malabsorption syndromes
- B. meningitis
- C. sepsis
Answer: C
Explanation:
Early onset group B strep infection in the newborn is most likely to cause sepsis. It can also cause pneumonia. Meningitis can occur with early onset group B strep, but it is not as common as sepsis. Meningitis is more likely to occur with late onset of the infection. Group B strep infection is passed from the mother to the fetus. Screening pregnant women for group B strep is routine so that it can be treated with antibiotics to prevent transmission during pregnancy and birth.
NEW QUESTION # 155
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 # 156
The most common craniosynostosis syndrome is
- A. Pichvickian syndrome
- B. Apert syndrome
- C. Crouzon syndrome
Answer: C
Explanation:
Crouzon syndrome is the most common type of craniosynostosis syndrome. It causes fusion of the skull bones prematurely, which results in decreased space where the brain can expand and grow. The fusion of the skull bones also causes wide set, bulging eyes with vision problems due to shallow eye sockets. The nose is beaked and the jaw is under developed in those suffering from this condition. It is an autosomal dominant disease.
NEW QUESTION # 157
The mineral that is often very low after the administration of intravenous Lasix is
- A. calcium
- B. iron
- C. magnesium
Answer: A
Explanation:
Calcium excretion is increased when a person receives Lasix. In the newborn, this can affect bone formation and maturation. Calcium levels should be monitored when a newborn is on Lasix, and supplementation administered if necessary.
NEW QUESTION # 158
To promote family integration, the best time for siblings to visit the mother and neonate is
- A. after discharge from hospital
- B. as soon after delivery as possible
- C. just prior to discharge from hospital
Answer: B
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 # 159
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