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| Section | Weight | Objectives |
|---|
| Topic 1: General Management | 19% | - Thermoregulation
- 1. Temperature stabilization
- Fluids and electrolytes
- 1. Fluid balance management
- Growth and nutrition
- 1. Nutritional management
- Resuscitation and stabilization
- 1. Emergency neonatal care
|
| 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: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
- Common drug therapies
- 1. Medication administration
- Drugs and breastfeeding
|
| Topic 4: General Assessment | 15% | - Maternal history affecting the newborn
- 1. Prenatal and perinatal factors
- 2. Risk assessment
- Neonatal assessment
- 1. Gestational age evaluation
- 2. Physical examination
- Discharge planning and follow-up care
- 1. Post-discharge monitoring
- 2. Care transition
- Family integration
- 1. Family-centered care
- 2. Parent communication
|
| Topic 5: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Cardiac
- 1. Congenital and acquired cardiac disorders
- Respiratory
- 1. Respiratory distress and ventilation
- Renal and genitourinary
- 1. Kidney and urinary conditions
- Hematopoietic - Infectious diseases - Genetics - Musculoskeletal
- 1. Bone and muscle disorders
- Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Integumentary - Neurological
- 1. Neurological disorders
- Gastrointestinal
- 1. Digestive system disorders
- Metabolic and endocrine
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q22-Q27):
NEW QUESTION # 22
If left untreated, coarctation of the aorta can lead to
- A. patent ductus arteriosus
- B. congestive heart failure
- C. Tetralogy of Fallot
Answer: B
Explanation:
Coarctation of the aorta can cause congestive heart failure. It occurs when there is narrowing in the aorta. It is a congenital condition that may not cause any symptoms in the newborn and may not be known to be present until adulthood. If symptomatic, the common symptoms are pallor, difficulty breathing, and poor feeding due to difficulty breathing. If it is left untreated, it can lead to congestive heart failure or even death.
NEW QUESTION # 23
Which breech presentation at birth presents with the buttocks only passing through the birth canal first?
- A. Frank breech
- B. Footling breech
- C. Complete breech
Answer: A
Explanation:
A frank breech presentation is one in which the legs of the fetus are extended upward so that the feet are near the head. This results in the buttocks passing through the birth canal first. A complete breech occurs when the knees of the fetus are bent so that the feet are near the buttocks.
A footling breech occurs when the fetus is foot down and one or both feet present first through the birth canal.
NEW QUESTION # 24
The NP has an order to give dobutamine intravenously. She knows that
- A. this should be given in oral form
- B. this should be given through a peripheral IV site
- C. this should be given through a central line
Answer: C
Explanation:
Whenever possible, dobutamine should be given through a central line because it is caustic to the body's tissues. This medication is primarily used to improve the effectiveness of the heart to work as a pump and, to a lesser degree, can help with hypotension.
NEW QUESTION # 25
The newborn with hypothermia has an increased risk of developing
- A. hypoglycemia
- B. respiratory acidosis
- C. metabolic alkalosis
Answer: A
Explanation:
Persistent hypothermia can lead to hypoglycemia. There may be a period of transient hyperglycemia when glycogen stores are used to increase glucose levels, but this is followed by hypoglycemia as energy demands exceed glucose supply. This can lead to metabolic acidosis, not alkalosis.
NEW QUESTION # 26
To ingest 120 calories/kg/day, an infant breastfeeding or receiving unfortified formula needs to ingest
- A. 3 ounces/kg/day
- B. 8 ounces/kg/day
- C. 6 ounces/kg/day
Answer: C
Explanation:
Unfortified formulas (and most human milk) supply 20 calories per ounce. To ingest 120 cal/kg/day, an infant needs to ingest 6 ounces/kg/day of unfortified formula or human milk. The general requirements for adequate growth include:
*Full-term infants: 100-120 cal/kg/day
*Premature infants: 110-160 cal/kg/day
*Infants who are recovering from surgery or have a chronic illness, such as bronchopulmonary dysplasia (BPD): =180 cal/kg/day The caloric needs of a neonate (preterm or term) depend on postnatal age, activity, current weight, growth rate, thermal environment, and route of nutritional intake. Cold stress increases caloric requirements.
NEW QUESTION # 27
......
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