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| Section | Weight | Objectives |
|---|
| Professional Issues | 3% | - Evidence-based practice
- 1. Clinical research application
- Legal and ethical principles
- 1. Professional responsibility
- Quality improvement and patient safety
- 1. Healthcare quality management
|
| Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
- Common drug therapies
- 1. Medication administration
- Drugs and breastfeeding
|
| Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Respiratory
- 1. Respiratory distress and ventilation
- Gastrointestinal
- 1. Digestive system disorders
- Genetics - Hematopoietic - Metabolic and endocrine - Integumentary - Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Renal and genitourinary
- 1. Kidney and urinary conditions
- Infectious diseases - Musculoskeletal
- 1. Bone and muscle disorders
- Cardiac
- 1. Congenital and acquired cardiac disorders
- Neurological
- 1. Neurological disorders
|
| General Assessment | 15% | - Maternal history affecting the newborn
- 1. Risk assessment
- 2. Prenatal and perinatal factors
- Family integration
- 1. Parent communication
- 2. Family-centered care
- Discharge planning and follow-up care
- 1. Care transition
- 2. Post-discharge monitoring
- Neonatal assessment
- 1. Gestational age evaluation
- 2. Physical examination
|
| General Management | 19% | - Fluids and electrolytes
- 1. Fluid balance management
- Growth and nutrition
- 1. Nutritional management
- Resuscitation and stabilization
- 1. Emergency neonatal care
- Thermoregulation
- 1. Temperature stabilization
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q154-Q159):
NEW QUESTION # 154
The grief theory that identifies that griefis not a linear process, but rather, a more fluid and ever-changing process was outlined in
- A. Kubler-Ross Grief Cycle
- B. Freud's Model of Bereavement
- C. Bowlby's Attachment Theory
Answer: A
Explanation:
Kubler-Ross identified 5 phases that a person will go through during the grieving process.
These are denial, anger, bargaining, depression, and acceptance. A person does not pass through these phases during the grieving process on a step-by-step basis. They may drift in and out of one phase and into another very fluidly. They may also go back to phases they experienced and go through them again.
NEW QUESTION # 155
An infant with a known congenital diaphragmatic hernia is born at 38 weeks gestation.
He requires resuscitation shortly after delivery due to the weakening of the diaphragm from the herni a. Generally speaking, survival rate for this infant is
- A. lower than another infant requiring resuscitation without a diaphragmatic hernia
- B. higher than another infant requiring resuscitation without a diaphragmatic hernia
- C. equal to that of another infant requiring resuscitation without a diaphragmatic hernia
Answer: A
Explanation:
With a diaphragmatic hernia, the diaphragm becomes weakened and this can result in the stomach and other abdominal contents expending into the chest cavity. This, along with the weakened diaphragm, can result in a decreased ability to breathe. If detected in the prenatal period, assistance can standby during delivery to begin resuscitative measures promptly and improve the chances for survival.
NEW QUESTION # 156
A female neonate is found to have an imperforate anus with no external opening or dimple on initial physical exam. The abdomen is slightly distended, but the neonate passes some meconium at 24 hours. The type of anomaly this suggests is a
- A. high anomaly with rectovaginal fistula
- B. intermediate anomaly with a perineal fistula
- C. low anomaly with rectourethral fistula
Answer: A
Explanation:
In a high anomaly, the rectum ends above the puborectalis muscles, and internal sphincter is absent. Frequently, there is a rectourethral fistula in males or a rectovaginal fistula in females, allowing passage of some meconium. There may be fistulas to the bladder or perineum. Low anomalies have no external opening, but rectum is otherwise in normal position through the puborectalis muscle, with normal function, and no connection to the genitourinary tract.
Intermediate anomalies have rectum at or below the level of puborectalis muscle and an anal dimple. The external sphincter is in normal position.
NEW QUESTION # 157
On the APGAR scale, a good score is
Answer: A
Explanation:
A total score of 27 is a sign of good health with a perfect score being 10. APGAR is a quick evaluation of a newborn's physical condition to determine if emergency medical care is needed and is administered 1 minute and 5 minutes after birth.

NEW QUESTION # 158
A term neonate is diagnosed at birth with osteogenesis imperfecta (01) type 1. The information that the parents should receive before taking the infant home includes
- A. close monitoring for breathing problems common to this defect
- B. correct methods of handling, bathing, and placing their child in the crib
- C. correct methods for feeding to prevent aspiration
Answer: B
Explanation:
The parents of an infant with 01 type 1 should receive information about methods of handling, bathing, and placing their child in the crib to minimize trauma and avoid fractures. 01 is a genetic disorder of collagen synthesis that results in brittle, easily fractured bones. Common features of 01 include brittle bones, bowing of long bones, shortened limbs, blue sclera, skeletal deformities (including scoliosis), respiratory difficulties, and weak muscles. Type I is non-lethal and the mildest of 4 types of 01.01 type 2 causes severe breathing problems that often prevent the neonate's survival. 01 infants do not generally require feeding tubes or have aspiration risks. 01 is usually inherited in a dominant fashion, but a new mutation may cause the disorder in approximately 25% of cases.
NEW QUESTION # 159
......
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