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| Section | Weight | Objectives |
|---|
| Topic 1: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Neurological
- 1. Neurological disorders
- Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Gastrointestinal
- 1. Digestive system disorders
- Infectious diseases - Musculoskeletal
- 1. Bone and muscle disorders
- Hematopoietic - Renal and genitourinary
- 1. Kidney and urinary conditions
- Cardiac
- 1. Congenital and acquired cardiac disorders
- Respiratory
- 1. Respiratory distress and ventilation
- Metabolic and endocrine - Genetics - Integumentary
|
| Topic 2: 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
|
| Topic 3: General Management | 19% | - Thermoregulation
- 1. Temperature stabilization
- Fluids and electrolytes
- 1. Fluid balance management
- Resuscitation and stabilization
- 1. Emergency neonatal care
- Growth and nutrition
- 1. Nutritional management
|
| Topic 4: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
- Common drug therapies
- 1. Medication administration
- Drugs and breastfeeding
|
| Topic 5: General Assessment | 15% | - Family integration
- 1. Family-centered care
- 2. Parent communication
- Discharge planning and follow-up care
- 1. Post-discharge monitoring
- 2. Care transition
- Maternal history affecting the newborn
- 1. Prenatal and perinatal factors
- 2. Risk assessment
- Neonatal assessment
- 1. Gestational age evaluation
- 2. Physical examination
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q101-Q106):
NEW QUESTION # 101
The neural tube defect in which there is failure of the vertebral column to close, but no herniation through the opening is
- A. myelomeningocele
- B. spina bifida cystica
- C. spina bifida occulta
Answer: C
Explanation:
Spina bifida occulta is the failure of the vertebral column to close, but no herniation through the opening so the defect may not be obvious. Spina bifida is a defect in which the vertebral column is not closed with varying degrees of herniation through the opening. Spina bifida cystica is a defect in closure with external sac-like protrusion with varying degrees of nerve involvement.
Meningocele is spina bifida cystica with meningeal sac filled with spinal fluid. Myelomeningocele is spina bifida cystica with meningeal sac containing spinal fluid and part of the spinal cord and nerves.
NEW QUESTION # 102
What is the most common cause of direct hyperbilirubinemia in the newborn?
- A. Liver immaturity
- B. Congenital kidney disease
- C. Jaundice
Answer: A
Explanation:
Direct hyperbilirubinemia (also known as jaundice, but not caused by jaundice) is the yellow discoloration of the skin and sclera. The most common cause in newborns is due to the liver being immature and not being able to breakdown bilirubin. It is fairly common and most often responds to phototherapy for a few days.
NEW QUESTION # 103
In which group is hypoxic ischemic encephalopathy more common?
- A. Premature infants
- B. All infants, regardless of age, are at equal risk
- C. Full-term infants
Answer: C
Explanation:
Hypoxic ischemic encephalopathy is more common in full-term infants than premature infants. This condition results in damage or death to brain tissue due to lack of oxygen to the brain.
It can occur when there is any condition, maternal or fetal, that results in a disruption in oxygenation of brain tissue. This can include a prolapsed cord, placental abruption, maternal hypotension, and others. This is the leading cause of impairment in newborns, though severity of the impairment may not be determined until 3 or 4 years of age.
NEW QUESTION # 104
The new parents of a child with Down syndrome tell the NP that they want to have more child in the future, but they are concerned about the risk of having another child with this condition. The most appropriate response is
- A. the chance of that happening is very low, about I out of 100 pregnancies
- B. there is no chance to have this happen again because itis not hereditary
- C. there is a 50% chance they will have another child with Down's syndrome
Answer: A
Explanation:
The risk of having a child with Down's syndrome is approximately 1 in 100 pregnancies.
Advanced maternal age is more of a risk factor for having the genetic mutation that causes this condition. Having one child with this condition does not increase the chances that any future children will also have Down's syndrome.
NEW QUESTION # 105
Signs and symptoms of acute alcohol withdrawal in the newborn with neonatal abstinence syndrome should appear
- A. 3-12 hours after birth
- B. 24-36 hours after birth
- C. <3 hours after birth
Answer: A
Explanation:
Symptoms of alcohol withdrawal in a newborn who was exposed to alcohol regularly during pregnancy generally occur 3-12 hours after birth. Withdrawal symptoms from opiates generally occur 24-36 hours after birth, but may be longer depending on the medication. For example, newborns that were exposed to methadone regularly while in utero may not show withdrawal symptoms until a week or longer after birth due to the long half-life of the drug.
NEW QUESTION # 106
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