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| Section | Weight | Objectives |
|---|
| Topic 1: Pharmacology | 9% | - Drugs and breastfeeding - Common drug therapies
- 1. Medication administration
- Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
|
| Topic 2: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Renal and genitourinary
- 1. Kidney and urinary conditions
- Hematopoietic - Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Genetics - Musculoskeletal
- 1. Bone and muscle disorders
- Infectious diseases - Gastrointestinal
- 1. Digestive system disorders
- Cardiac
- 1. Congenital and acquired cardiac disorders
- Metabolic and endocrine - Respiratory
- 1. Respiratory distress and ventilation
- Neurological
- 1. Neurological disorders
- Integumentary
|
| Topic 3: General Assessment | 15% | - Discharge planning and follow-up care
- 1. Post-discharge monitoring
- 2. Care transition
- Family integration
- 1. Parent communication
- 2. Family-centered care
- Neonatal assessment
- 1. Gestational age evaluation
- 2. Physical examination
- Maternal history affecting the newborn
- 1. Risk assessment
- 2. Prenatal and perinatal factors
|
| Topic 4: Professional Issues | 3% | - Quality improvement and patient safety
- 1. Healthcare quality management
- Legal and ethical principles
- 1. Professional responsibility
- Evidence-based practice
- 1. Clinical research application
|
| Topic 5: 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
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q24-Q29):
NEW QUESTION # 24
The most common type of short-limbed dwarfism is
- A. Trisomy 13
- B. ichthyosis
- C. achondroplasia
Answer: C
Explanation:
The most common type of short-limbed dwarfism is achondroplasia. This condition follows an autosomal dominant pattern, meaning that only one parent needs to pass on the gene for this condition to occur. It results in an average-sized trunk with short arms and legs, a large head with a high forehead, and short fingers. The middle finger and ring finger may diverge which gives the hand a trident appearance. There are no common learning disabilities associated with achondroplasia.
NEW QUESTION # 25
A congenital diaphragmatic eventration is as associated finding with
- A. meconium ileus
- B. Horners syndrome
- C. polycystic kidney disease
Answer: B
Explanation:
Congenital diaphragmatic eventration is associated with Horner's syndrome. It occurs as a result of a congenital thinning of the diaphragm or because of underdevelopment of the phrenic nerve. This results in an abnormally high portion of the diaphragm and causes dyspnea, cyanosis, and tachypnea. Surgical correction is usually necessary.
NEW QUESTION # 26
Which of the following infections is the most common in the newborn?
- A. Polio virus
- B. Varicella virus
- C. Enterovirus
Answer: C
Explanation:
Enterovirus is a very common cause of infections. It often creates no symptoms in the infant, but can be very serious if it occurs in the first 2 weeks of life. Enterovirus infections are usually transmitted from the mother to the infant. They can cause cold symptoms, or be so severe that sepsis, meningitis, or respiratory failure develop. Enterovirus infections are most common in the summer and fall.
NEW QUESTION # 27
The parents of a neonate are considering genetic testing for their son because the father was recently diagnosed with Huntington's disease. They ask the NP's opinion. The most appropriate response is
- A. "Testing is available for individuals older than ten years of age."
- B. 'Testing the infant now may help relieve your anxiety, but will not change the outcome."
- C. "The information can't be used for health purposes now, and your child may wantto make
Answer: C
Explanation:
The information derived from testing for Huntington's disease cannot be used for health promotion or disease prevention, so the parents should be counseled to wait until the child is at the age to make an informed decision about whether to have testing. This type of information can be devastating to young people who are not provided adequate support and counseling prior to testing. Some people with adult-onset diseases choose not to be tested, and childhood testing robs them of this choice.
NEW QUESTION # 28
Which of the following heart conditions will cause weak peripheral pulses and cool extremities?
- A. Pulmonary stenosis
- B. Hypoplastic left heart syndrome
- C. Patent ductus arteriosus
Answer: B
Explanation:
Hypoplastic left heart syndrome can cause decreased peripheral pulses due to left ventricular dysfunction. It is a congenital heart defect that results in the left side of the heart being smaller than normal. This decreases the amount of oxygenated blood that can be delivered through the body. Peripheral cyanosis will also occur due to the decrease in oxygen being sent to the extremities. Patent ductus arteriosus and pulmonary stenosis do not result in peripheral cyanosis.
NEW QUESTION # 29
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