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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pharmacology | 9% | - Safe administration principles - Adverse effects and interactions - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates |
| Topic 2: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Metabolic and endocrine system - Infectious diseases - Musculoskeletal and integumentary system - Gastrointestinal system - Genetics and congenital anomalies - Eyes, ears, nose and throat - Renal and genitourinary system - Respiratory system - Neurological system - Hematopoietic and immune system - Cardiovascular system |
| Topic 3: Professional Issues | 3% | - Quality improvement and patient safety - Scope and standards of practice - Ethics and legal aspects - Interprofessional collaboration |
| Topic 4: General Assessment | 15% | - Growth and development assessment - Perinatal history collection - Systematic physical assessment - Interpretation of diagnostic data |
| Topic 5: General Management | 19% | - Fluids, electrolytes and acid-base balance - Resuscitation and stabilization - Care coordination and family education - Pain management and sedation - Thermoregulation - Nutrition and growth support |
>> NCC-NNP Test Objectives Pdf <<
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NEW QUESTION # 71
What injection do newborns receive at birth to decrease the risk of hemorrhage?
Answer: A
Explanation:
At birth, newborns are given an injection of vitamin K to prevent hemorrhage. Infants are borne with a deficient amount of vitamin K, which can cause a condition known as vitamin K deficiency bleeding, or VKDB. Internal bleeding can be difficult in the newborn until serious complications are developing. so a routine injection of vitamin K is given at birth to decrease the risk of bleeding. Erythromycin ointment is applied to the eyes of the newborn to prevent neonatal gonococcal ophthalmia.
NEW QUESTION # 72
Which of the following medications is NOT safe to take while breastfeeding?
Answer: C
Explanation:
The antipsychotic medication clozapine should not be taken by mother's who are breastfeeding. It is typically used for schizophrenia and passes through human milk to the infant. It can cause letharg- and agranulocytosis in infants. Infants of breastfed mothers who were taking clozapine have also exhibited speech delay. Ibuprofen and diphenhydramine are both considered safe to take while breastfeeding.
NEW QUESTION # 73
A full-term neonate fails to pass meconium in the first 48 hours of life. The infant exhibits abdominal distension, poor feeding, and bilious vomiting. An x-ray of the abdomen shows dilated loops of bowel. The diagnostic procedure used both to confirm a diagnosis of meconium plug syndrome and to direct treatment is
Answer: C
Explanation:
A contrast enema is used to confirm a diagnosis of meconium plug syndrome and helps differentiate that from other causes of intestinal obstruction. The contrast enema also is often therapeutic and helps the plug to pass. Meconium plug syndrome usually occurs in full-term infants, infants of diabetic mothers, or infants with hypermagnesemia. A small percentage of infants initially identified as having meconium plug syndrome (5-10%) have Hirschsprung disease. The cause of meconium plug syndrome is thought to be immaturity of the ganglion cells of the colon.
NEW QUESTION # 74
An intestinal disorder that can occur as a result of malrotation is
Answer: C
Explanation:
A volvulus can occur as a result of malrotation. Around the 10th week of gestation, the intestines are forming and settle within the abdominal cavity. As the large intestine begins to further develop, it repositions itself above and on either side of the small intestine, which is centrally located in the abdomen. With malrotation, the large intestine remains positioned on the left side of the abdomen and the small intestine remains on the right. This can result in a tv,'isting of the intestine, or a volvulus, which can cause ischemia of the area affected and even result in death if not treated. Surgical intervention is often necessary to correct this condition.
NEW QUESTION # 75
Which of the following infants is most likely to develop necrotizing enterocolitis?
Answer: C
Explanation:
Necrotizing enterocolitis is most common in premature infants who are being formula fed rather than breastfed. With lung prematurity in the premature infant, there is an increased risk of decreased oxygenation to the lining of the intestines. Formula fed infants are not receiving any of the immune mediators that are helpful in fighting infection and which help to build up the normal protective microorganisms in the intestines. This can result in a necrotizing infection in the intestines that can lead to intestinal rupture and even death. This condition affects 10% of premature infants, but is rare in full-term infants.
NEW QUESTION # 76
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