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| Section | Weight | Objectives |
|---|
| Topic 1: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
- Drugs and breastfeeding - Common drug therapies
- 1. Medication administration
|
| Topic 2: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Integumentary - Respiratory
- 1. Respiratory distress and ventilation
- Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Cardiac
- 1. Congenital and acquired cardiac disorders
- Neurological
- 1. Neurological disorders
- Genetics - Metabolic and endocrine - Musculoskeletal
- 1. Bone and muscle disorders
- Gastrointestinal
- 1. Digestive system disorders
- Infectious diseases - Hematopoietic - Renal and genitourinary
- 1. Kidney and urinary conditions
|
| Topic 3: 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
|
| Topic 4: 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 5: General Assessment | 15% | - 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. Physical examination
- 2. Gestational age evaluation
- Maternal history affecting the newborn
- 1. Prenatal and perinatal factors
- 2. Risk assessment
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q136-Q141):
NEW QUESTION # 136
How does the protein content in colostrum compare to the protein content in mature human milk?
- A. The protein content is equal in both.
- B. The protein content is lower in colostrum than mature human milk
- C. The protein content is higher in colostrum than mature human milk.
Answer: C
Explanation:
The first form of human milk that can be expressed is called colostrum. This is produced for the first few days, up to a week following delivery. It has a higher protein content than mature human milk. Colostrum can contain up to 17% protein, while mature human milk contains only about 1% protein.
NEW QUESTION # 137
A nevus flammeus is commonly known as
- A. a benign mole
- B. a port wine stain
- C. a wart
Answer: B
Explanation:
A nevus flammeus, or port wine stain, is a birth mark that results from a malformation of capillaries. Though they appear pink at birth, they will become a darker reddish or purplish color in adulthood. Port wine stains are not inherited genetically and they have no known cause. Laser treatments may help to lighten these birth marks, especially if they are done while the child is young and the lesion is lighter in color.
NEW QUESTION # 138
How is hypospadias diagnosed?
- A. Physical exam
- B. Pelvic MRI without contrast
- C. Testicular ultrasound
Answer: A
Explanation:
Hypospadias is a congenital condition in which the urethral opening is on the underside of the penis. It is diagnosed by physical exam and no diagnostic testing is necessary. This condition results in the urine being sprayed during urination and the penis may curve down slightly. Surgical correction may be necessary if the condition is bothersome.
NEW QUESTION # 139
Periventricular leukomalacia is often the cause of which chronic condition?
- A. Acute lymphocytic leukemia
- B. Cerebral palsy
- C. Systolic ejection murmurs
Answer: B
Explanation:
Periventricular leukomalacia often causes cerebral palsy in the affected child. It has also been associated with an increased chance of epilepsy. Periventricular leukomalacia occurs when there is necrosis of the white matter in the brain near the lateral ventricles. Premature infants are at greatest risk for developing this condition due to the risk of neonatal encephalopathy.
NEW QUESTION # 140
The following drug(s) should always be included with infant resuscitation equipment
- A. prostaglandin and epinephrine
- B. epinephrine and naloxone
- C. surfactant and naloxone
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 # 141
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