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| Section | Weight | Objectives |
|---|
| General Management | 19% | - Fluids and electrolytes
- 1. Fluid balance management
- Thermoregulation
- 1. Temperature stabilization
- Growth and nutrition
- 1. Nutritional management
- Resuscitation and stabilization
- 1. Emergency neonatal care
|
| Pharmacology | 9% | - Drugs and breastfeeding - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
- Common drug therapies
- 1. Medication administration
|
| General Assessment | 15% | - Family integration
- 1. Family-centered care
- 2. Parent communication
- Neonatal assessment
- 1. Physical examination
- 2. Gestational age evaluation
- Maternal history affecting the newborn
- 1. Prenatal and perinatal factors
- 2. Risk assessment
- Discharge planning and follow-up care
- 1. Post-discharge monitoring
- 2. Care transition
|
| 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
|
| Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Cardiac
- 1. Congenital and acquired cardiac disorders
- Metabolic and endocrine - Musculoskeletal
- 1. Bone and muscle disorders
- Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Respiratory
- 1. Respiratory distress and ventilation
- Neurological
- 1. Neurological disorders
- Renal and genitourinary
- 1. Kidney and urinary conditions
- Infectious diseases - Hematopoietic - Genetics - Integumentary - Gastrointestinal
- 1. Digestive system disorders
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q120-Q125):
NEW QUESTION # 120
A neonate exhibits signs of hypoglycemia after birth and is treated only with a bolus of glucose. This treatment puts the infant at risk for
- A. bolus-associated hyperglycemia
- B. bolus-associated hypoglycemia
- C. hyperinsulinism
Answer: B
Explanation:
A glucose bolus-associated occurrence of acute hypoglycemia can arise if a glucose bolus is given and not followed up with a continuous infusion because the body will produce more insulin to cover the bolus which will then start to use glucose stores as soon as the bolus stops. To prevent this, a steady infusion should be continued for a time period that is sufficient for the infant's insulin production to stabilize. Bedside tests for hypoglycemia with reagent sticks may overestimate hypoglycemia and should be confirmed with a serum level.
NEW QUESTION # 121
A new mother is visiting her infant in the NICU. She expresses concern over the tiny white bumps on her child's nose and chin. The NP explains to her that
- A. this is due to pluced pores in the skin and it will go away on its own
- B. the bumps can usually be removed by applying some pressure and pinching the bumps
- C. a referral to dermatology can be ordered for further evaluation of this
Answer: A
Explanation:
Milia are very common and occur when flakes of skin become trapped within pores. It is most common in newborns and occurs most often on the nose and chin. It is important to not pick or pinch these lesions because this could damage the tissue or lead to a skin infection. The lesions usually resolve on their own within a few weeks.
NEW QUESTION # 122
Clinical symptoms of neonatal renal vein thrombosis include
- A. Bence-Jones protein in the urine
- B. leukocytosis
- C. thrombocytopenia
Answer: C
Explanation:
Clinical symptoms of renal vein thrombosis in the newborn include thrombocytopenia, hypertension, hematuria, proteinuria, and renal insufficiency. This condition is rare, but can occur in infants born to mothers with a history of diabetes mellitus. This is not an infectious condition, so you would not expect to see leukocytosis. Bence-Jones proteins in the urine are specific to multiple myeloma.
NEW QUESTION # 123
W'hen do symptoms of biliary atresia develop in the newborn?
- A. Immediately after birth
- B. Within 3-5 days after birth
- C. 2-8 weeks after birth
Answer: C
Explanation:
Symptoms of biliary atresia appear in the newborn approximately Ovo to eight weeks after birth. This condition occurs when the biliary system in the liver is not fully developed, resulting in obstruction of the flow of bile from the liver to the gallbladder for storage. It causes damage to the liver as the bile builds up, causing cirrhosis and eventually liver failure. It can be treated surgically.
NEW QUESTION # 124
A neonate develops tremors of the chin and extremities with the following observations:
*Lack of ocular deviations or other abnormalities.
*Gentle restraint halts tremors.
*Stimulation elicits tremors.
*Clonic jerking has both fast and slow elements.
*Autonomic changes involving the heart rate, respirations, and blood pressure are not present.
*EEG is normal.
The most likely cause is
- A. shivering
- B. jitteriness
- C. seizures
Answer: B
Explanation:
Jitteriness is distinct from shuddering, a 10-15 second period of fast tremors that may recur SIOO times daily. Both jitteriness and shuddering are benign findings. Seizures indicate that there is an abnormality of the central nervous system and are differentiated by their associated abnormal movements:
*Subtle: Feet pedaling, chewing, apnea, eye movements, or blank stare.
*Tonic: Tonic flexion or extension of the limbs, focal (one limb) or generalized.
*Clonic: Slow, clonic movements (1-3 per second), often in one extremity or one side of the body.
*Myoclonic: Focal, multi-focal, or generalized, with rapid jerking movements of the extremities.
NEW QUESTION # 125
......
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