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| Section | Weight | Objectives |
|---|
| Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Gastrointestinal
- 1. Digestive system disorders
- Hematopoietic - Neurological
- 1. Neurological disorders
- Integumentary - Infectious diseases - Renal and genitourinary
- 1. Kidney and urinary conditions
- Metabolic and endocrine - Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Genetics - Musculoskeletal
- 1. Bone and muscle disorders
- Cardiac
- 1. Congenital and acquired cardiac disorders
- Respiratory
- 1. Respiratory distress and ventilation
|
| General Assessment | 15% | - Neonatal assessment
- 1. Physical examination
- 2. Gestational age evaluation
- Discharge planning and follow-up care
- 1. Post-discharge monitoring
- 2. Care transition
- Family integration
- 1. Family-centered care
- 2. Parent communication
- Maternal history affecting the newborn
- 1. Prenatal and perinatal factors
- 2. Risk assessment
|
| General Management | 19% | - Resuscitation and stabilization
- 1. Emergency neonatal care
- Growth and nutrition
- 1. Nutritional management
- Thermoregulation
- 1. Temperature stabilization
- Fluids and electrolytes
- 1. Fluid balance management
|
| Professional Issues | 3% | - Quality improvement and patient safety
- 1. Healthcare quality management
- Evidence-based practice
- 1. Clinical research application
- Legal and ethical principles
- 1. Professional responsibility
|
| Pharmacology | 9% | - Drugs and breastfeeding - Common drug therapies
- 1. Medication administration
- Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q150-Q155):
NEW QUESTION # 150
The feces of house cats can cause a parasitic infection called
- A. shigella
- B. toxoplasmosis
- C. giardia
Answer: B
Explanation:
Cat feces can contain a parasite called toxoplasmosis. A pregnant woman may contract this parasite and then pass it onto the fetus through the placenta. For this reason, pregnant women should avoid contact with cat feces, such as when cleaning a litter box. Most pregnant women who become infected will not be aware of the infection. It can cause prematurity in about half of those infants who contract the parasite in utero. The infection can cause damage to the eyes, ears, nervous system, and skin in infants,
NEW QUESTION # 151
An infant in the Neonatal Intensive Care Unit is receiving carbamazepine (Tegretol) for seizure control. When would be the best time to obtain a blood sample to check a drug level?
- A. Just before giving a regular scheduled dose
- B. Two hours after giving a dose
- C. Mid-way between doses
Answer: A
Explanation:
There are some medications that require drug levels be drawn to ensure the drug concentration is at a therapeutic level and not too high or too low. For carbamazepine (Tegretol), the best time to check the drug level is just prior to giving a dose. The therapeutic drug level for this medication is 4-12 mg/L.
NEW QUESTION # 152
Which of the following electrolytes can help to reduce the incidence of neurological deficits in premature infants?
- A. Magnesium
- B. Phosphorous
- C. Calcium
Answer: A
Explanation:
Studies have shown that maintaining a higher serum magnesium level can help to reduce the incidence of neurological developmental delay. It has been found to be helpful with advancing brain development in premature infants, and to some degree, in term infants who have suffered from asphyxia during labor and delivery. It is thought that magnesium can serve a neuroprotective role in early brain development.
NEW QUESTION # 153
Which of the following medications is NOT safe to take while breastfeeding?
- A. ibuprofen (Advil, Motrin)
- B. clozapine (Clozaril)
- C. diphenhydramine (Benadryl)
Answer: B
Explanation:
The antipsychotic medication clozapine should not be taken by mother's who are breastfeeding. It is typically used for schizophrenia and passes through human milk to the infant. It can cause letharg- and agranulocytosis in infants. Infants of breastfed mothers who were taking clozapine have also exhibited speech delay. Ibuprofen and diphenhydramine are both considered safe to take while breastfeeding.
NEW QUESTION # 154
The following drug(s) should always be included with infant resuscitation equipment
- A. surfactant and naloxone
- B. epinephrine and naloxone
- C. prostaglandin and epinephrine
Answer: B
Explanation:
Medications that should always be included as part of the minimum neonatal resuscitation equipment include epinephrine and naloxone. Epinephrine is the AHA recommended pharmacologic intervention in the case of ineffective CPR in neonatal resuscitation. Naloxone is indicated in the case of respiratory distress in infants with opioid withdraw after the administrations of opioids as pain control in the labor process. Surfactant (indicated in respiratory distress, particularly in preterm neonates) and prostaglandins (indicated for cyanotic congenital heart defects) are useful in specific cases, but are not part of the minimum resuscitation equipment.
NEW QUESTION # 155
......
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