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| Section | Weight | Objectives |
|---|
| General Assessment | 15% | - Family integration
- 1. Parent communication
- 2. Family-centered care
- Neonatal assessment
- 1. Physical examination
- 2. Gestational age evaluation
- Discharge planning and follow-up care
- 1. Care transition
- 2. Post-discharge monitoring
- Maternal history affecting the newborn
- 1. Risk assessment
- 2. Prenatal and perinatal factors
|
| Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Metabolic and endocrine - Renal and genitourinary
- 1. Kidney and urinary conditions
- Gastrointestinal
- 1. Digestive system disorders
- Integumentary - Infectious diseases - Respiratory
- 1. Respiratory distress and ventilation
- Hematopoietic - Musculoskeletal
- 1. Bone and muscle disorders
- Neurological
- 1. Neurological disorders
- Genetics - Cardiac
- 1. Congenital and acquired cardiac disorders
|
| General Management | 19% | - Growth and nutrition
- 1. Nutritional management
- Thermoregulation
- 1. Temperature stabilization
- Resuscitation and stabilization
- 1. Emergency neonatal care
- Fluids and electrolytes
- 1. Fluid balance management
|
| 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
|
| Pharmacology | 9% | - Common drug therapies
- 1. Medication administration
- Drugs and breastfeeding - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q69-Q74):
NEW QUESTION # 69
The mechanism of action of surfactant is to
- A. dilate the pulmonary artery to allow the passage of more oxygen-rich blood into the heart
- B. strengthen the diaphragm to make breathing easier for the premature infant
- C. prevent the alveoli in the lungs from collapsing so that they can expand and contract
Answer: C
Explanation:
The inside of the alveoli in the lungs are wet and can easily stick together when air is exhaled. Surfactant decreases the surface tension within the alveoli so they can easily expand when a breath is taken, making it easier to breath. The human body produces surfactant on its own, buT not until after 36 weeks gestation. Sometimes it is necessary to administer surfactant directly into the lungs through the endotracheal tube.
NEW QUESTION # 70
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 # 71
Which of the following electrolytes can help to reduce the incidence of neurological deficits in premature infants?
- A. Phosphorous
- B. Calcium
- C. Magnesium
Answer: C
Explanation:
Studies have shown that maintaining a higher serum magnesium level can help to reduce the incidence of neurological developmental delay. It has been found to be helpful with advancing brain development in premature infants, and to some degree, in term infants who have suffered from asphyxia during labor and delivery. It is thought that magnesium can serve a neuroprotective role in early brain development.
NEW QUESTION # 72
All of the following may be symptoms of hypopituitarism in the newborn EXCEPT
- A. increased thirst
- B. hypoglycemia
- C. jaundice
Answer: A
Explanation:
Of the choices listed, excessive thirst would be seen in an older child with hypopituitarism rather than an infant. The infant with an underfunctioning pituitary gland will exhibit jaundice, hypoglycemia, excessive amounts of urine, sluggishness, and a small penis in male newborns. Older children diagnosed with hypopituitarism will exhibit excessive urination, short stature with weight gain disproportionate to growth, delayed or absent puberty, and delayed tooth eruption.
NEW QUESTION # 73
A condition that prevents a newborn from being able to pass air to breathe after birth is
- A. pneumonia
- B. meconium aspiration
- C. bilateral choanal atresia
Answer: C
Explanation:
Bilateral choanal atresia occurs when the back of the nasal passages are blocked, preventing a newborn from being able to breathe. This occurs due to a bony or soft tissue abnormality during development in utero. The back of the nasal passages fail to open, resulting in the inability to pass air. Infants are obligatory nasal breathers and immediate airway assistance is usually necessary at birth. This condition can be surgically corrected, but may require additional surgeries to widen the opening as the child matures. Neither meconium aspiration nor pneumonia affect the neonate's ability to pass air through the lungs, though both can also lead to respiratory distress.
NEW QUESTION # 74
......
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