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| Section | Weight | Objectives |
|---|---|---|
| General Assessment | 15% | - Systematic physical assessment - Perinatal history collection - Interpretation of diagnostic data - Growth and development assessment |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Infectious diseases - Renal and genitourinary system - Cardiovascular system - Gastrointestinal system - Eyes, ears, nose and throat - Metabolic and endocrine system - Neurological system - Hematopoietic and immune system - Genetics and congenital anomalies - Musculoskeletal and integumentary system - Respiratory system |
| Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Adverse effects and interactions - Common medications and dosages - Safe administration principles |
| General Management | 19% | - Thermoregulation - Resuscitation and stabilization - Nutrition and growth support - Fluids, electrolytes and acid-base balance - Care coordination and family education - Pain management and sedation |
| Professional Issues | 3% | - Quality improvement and patient safety - Ethics and legal aspects - Scope and standards of practice - Interprofessional collaboration |
1. What is the difference between measuring a total bilirubin and a direct bilirubin?
A) Total bilirubin is a measure of the bilirubin excreted through the urine, while direct
B) Total bilirubin is the amount of direct and indirect bilirubin, while direct bilirubin is the
C) Total bilirubin is the amount of bilirubin bound to albumin, while direct bilirubin is the total
2. Which of the following infections is the most common in the newborn?
A) Polio virus
B) Enterovirus
C) Varicella virus
3. An infant in the Neonatal Intensive Care Unit is being treated for meningitis with ampicillin. The dosage is 400 mg/kg/day divided over every 8 hours. The infant being cared for weighs 6 pounds 8 ounces. How many milligrams should be given with each dose?
A) 300 mg
B) 393 mg
C) 325 mg
4. A pediatric patient in the NICU is receiving an infusion of dopamine. Once it is completed, the effects from the medication should be gone
A) within I hour
B) within 10 minutes
C) within 30 minutes
5. A female neonate is found to have an imperforate anus with no external opening or dimple on initial physical exam. The abdomen is slightly distended, but the neonate passes some meconium at 24 hours. The type of anomaly this suggests is a
A) high anomaly with rectovaginal fistula
B) intermediate anomaly with a perineal fistula
C) low anomaly with rectourethral fistula
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: A |
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Neonatal Nurse Practitioner Exam
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