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| Section | Weight | Objectives |
|---|
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Musculoskeletal and integumentary system - Metabolic and endocrine system - Gastrointestinal system - Cardiovascular system - Respiratory system - Hematopoietic and immune system - Eyes, ears, nose and throat - Genetics and congenital anomalies - Neurological system - Renal and genitourinary system - Infectious diseases
|
| General Assessment | 15% | - Growth and development assessment - Systematic physical assessment - Interpretation of diagnostic data - Perinatal history collection
|
| General Management | 19% | - Nutrition and growth support - Care coordination and family education - Resuscitation and stabilization - Pain management and sedation - Fluids, electrolytes and acid-base balance - Thermoregulation
|
| Pharmacology | 9% | - Safe administration principles - Common medications and dosages - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates
|
| Professional Issues | 3% | - Scope and standards of practice - Quality improvement and patient safety - Interprofessional collaboration - Ethics and legal aspects
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q96-Q101):
NEW QUESTION # 96
What does it mean if a disease is autosomal dominant?
- A. One parent needs to pass on the gene for the disease to occur.
- B. Neither parent passes on the gene for the disease to occur; itis a genetic mutation that occurs during fetal development.
- C. Both parents need to pass on the gene for the disease to occur.
Answer: A
Explanation:
An autosomal dominant disorder only requires one parent to pass on the gene for a disease to occur. Examples of autosomal dominant conditions including Huntington's disease, polycystic kidney disease, and neurofibromatosis. Often, one of the parents will have the disease and can pass it onto their children.
NEW QUESTION # 97
The NP is assessing a newborn diagnosed with tracheomalaci
a. An exam finding that
may be seen is
- A. a webbed neck
- B. inspiratory wheezing
- C. expiratory stridor
Answer: C
Explanation:
Tracheomalacia can cause expiratory stridor. It is a softening of the cartilage in the trachea that results in partial or total collapse of the airway during expiration. Depending upon the severity of the condition, mechanical ventilation, CPAP, or BiPAP therapy may be necessary. In severe cases, surgical correction may be necessary to reinforce the airway so that it can remain open.
NEW QUESTION # 98
A newborn has an NG tube in place due to an intestinal obstruction. In order to prevent aspiration of saliva, it is very important to
- A. the aspirate should drain into a drainage bag without any manual aspiration
- B. the aspirate should drain into a drainage bag and the stomach contents should be aspirated
- C. perform continuous oral suction
Answer: B
Explanation:
There is an increased risk of death by aspiration in newborns that have an NG tube. This is due to aspiration of saliva. Because ofthis, a drainage bag should be attached to accept the aspirate.
The stomach contents should also be aspirated at least every 30 minutes to decrease this risk.
NEW QUESTION # 99
The electrolytes that are of primary concern in the neonate are
- A. calcium, chloride, and magnesium
- B. sodium, phosphorous, and potassium
- C. calcium, sodium, and potassium
Answer: C
Explanation:

NEW QUESTION # 100
Onset of drug withdrawal symptoms for a neonate whose mother used heroin during pregnancy is
- A. 3-12 hours postnatal
- B. 4-7 days (upto 14 days) postnatal
- C. 248 hours (up to I month) postnatal
Answer: C
Explanation:
The onset of withdrawal symptoms in a neonate varies depending on the mother's type of drug use, but the onset of symptoms of narcotics, such as heroin or methadone, is longer than for other drugs, ranging from 48-72 hours for most but can be up to one month, so many of these neonates may be discharged prior to onset of symptoms. Mothers should be carefully screened to try to identify infants at risk.
NEW QUESTION # 101
......
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