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| Section | Weight | Objectives |
|---|
| 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
|
| 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
|
| Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Renal and genitourinary
- 1. Kidney and urinary conditions
- Musculoskeletal
- 1. Bone and muscle disorders
- Cardiac
- 1. Congenital and acquired cardiac disorders
- Hematopoietic - Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Genetics - Infectious diseases - Respiratory
- 1. Respiratory distress and ventilation
- Gastrointestinal
- 1. Digestive system disorders
- Integumentary - Neurological
- 1. Neurological disorders
- Metabolic and endocrine
|
| General Assessment | 15% | - Discharge planning and follow-up care
- 1. Post-discharge monitoring
- 2. Care transition
- Neonatal assessment
- 1. Gestational age evaluation
- 2. Physical examination
- Maternal history affecting the newborn
- 1. Risk assessment
- 2. Prenatal and perinatal factors
- Family integration
- 1. Family-centered care
- 2. Parent communication
|
| 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 (Q170-Q175):
NEW QUESTION # 170
A neonate suffered perinatal asphyxia and developed moderate hypoxic ischemic encephalopathy (HIE) with neurological dysfunction. The treatment that is LEAST likely to be utilized to treat this condition is
- A. fluid resuscitation
- B. phenobarbital
- C. therapeutic hypothermia
Answer: A
Explanation:
With advancing implementation of therapeutic hypothermia, this method oftreatment has become the first line approach in treating moderate to severe HIE with the target temperature dependent upon the severity of the encephalopathy. Additional treatments include phenobarbital for seizures treatment and/or prevention. Fluid resuscitation is not indicated in HIE; in fact it is common to apply a fluid restriction to a neonate with HIE to control additional swelling. HIE results when oxygen supply to the brain is impaired. HIE is classified as mild, moderate, or severe, depending on the degree of ischemia and symptoms. Mild HIE usually resolves in 3-4 days and moderate HIE in 1-2 weeks, but permanent brain damage can occur with severe HIE.
NEW QUESTION # 171
An example of an autosomal recessive disease is
- A. cystic fibrosis
- B. Edward's syndrome
- C. Down's syndrome
Answer: A
Explanation:
An autosomal recessive disease is one that requires 2 copies of the gene in order for the disease or trait to occur. For example, both the mother and father of an infant would need to pass on a copy of the gene for cystic fibrosis in order for their child to develop the disease. Down's syndrome and Edward's syndrome are both genetic mutations that occur during fetal development and are not genetically inherited conditions.
NEW QUESTION # 172
If a mother suffers from pregnancy-induced hypertension (preeclampsia) during pregnancy, the primary detrimental effect on the fetus is
- A. spontaneous abortion
- B. placental abruption
- C. intrauterine grovfth restriction (IUGR)
Answer: C
Explanation:
Preeclampsia is a disorder that develops in approximately 5% of all pregnancies. Its main feature is new onset elevated blood pressure that develops around 20 weeks of gestation.
Proteinuria is no longer a diagnostic requirement, but is a common feature accompanying the hypertension. The main detrimental effect on the fetus occurs because of longstanding hypertension that leads to utero-placental vascular insufficiency, which impairs the transfer of nutrients and oxygen to the fetus, resulting in intra-uterine growth restriction (IUGR). The IUGR is usually asymmetric (fetal head size is normal for gestational age). Placental abruption occurrence is also more common in fetuses exposed to longstanding hypertension, but not as common as IUGR.
NEW QUESTION # 173
What is the purpose for CCHD screening in newborns?
- A. To identify infants born with a cleft lip or palate
- B. To identify infants born with chromosomal abnormalities
- C. To identify infants with severe congenital heart disease
Answer: C
Explanation:
The CCHD screening identifies those infants who may have a critical congenital heart defect that requires early surgical intervention. This screening is performed using pulse oximetry in the newborn nursery to measure the oxygen saturation in the blood of infants. This screening decreases the risk of overlooking a critical congenital heart defect that may require early intervention.
NEW QUESTION # 174
When placing a temperature probe on a supine neonate to monitor thermoregulation, a good location for the probe is over the
- A. mediastinum
- B. mid-scapular region of the back
- C. liver
Answer: C
Explanation:
A common probe placement for a supine infant is over the liver. The probe should not be placed over a bony area or an area with abundant brown adipose tissue, such as around the neck, the mid-scapular region of the back, the mediastinum, and organs in the thoracic cavity, kidneys, and adrenal glands. If the probe makes poor skin contact, it will indicate that the infant is cold, and the warmer will deliver increased amounts of heat, possibly causing hyperthermia. If the probe is underneath the infant, it may indicate an artificially warm temperature and decrease heat to the infant, causing hypothermia.
NEW QUESTION # 175
......
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