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| Section | Weight | Objectives |
|---|
| Topic 1: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Respiratory
- 1. Respiratory distress and ventilation
- Metabolic and endocrine - Musculoskeletal
- 1. Bone and muscle disorders
- Infectious diseases - Gastrointestinal
- 1. Digestive system disorders
- Genetics - Cardiac
- 1. Congenital and acquired cardiac disorders
- Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Renal and genitourinary
- 1. Kidney and urinary conditions
- Hematopoietic - Neurological
- 1. Neurological disorders
- Integumentary
|
| Topic 2: General Assessment | 15% | - Family integration
- 1. Parent communication
- 2. Family-centered care
- Neonatal assessment
- 1. Gestational age evaluation
- 2. Physical examination
- Discharge planning and follow-up care
- 1. Care transition
- 2. Post-discharge monitoring
- Maternal history affecting the newborn
- 1. Prenatal and perinatal factors
- 2. Risk assessment
|
| Topic 3: Professional Issues | 3% | - Legal and ethical principles
- 1. Professional responsibility
- Evidence-based practice
- 1. Clinical research application
- Quality improvement and patient safety
- 1. Healthcare quality management
|
| Topic 4: General Management | 19% | - Growth and nutrition
- 1. Nutritional management
- Resuscitation and stabilization
- 1. Emergency neonatal care
- Fluids and electrolytes
- 1. Fluid balance management
- Thermoregulation
- 1. Temperature stabilization
|
| Topic 5: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
- Common drug therapies
- 1. Medication administration
- Drugs and breastfeeding
|
>> NCC-NNP Latest Practice Questions <<
NCC-NNP Latest Practice Questions | High Pass-Rate Reliable NCC-NNP Test Answers: Neonatal Nurse Practitioner Exam
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q106-Q111):
NEW QUESTION # 106
The NP has an order to give dobutamine intravenously. She knows that
- A. this should be given in oral form
- B. this should be given through a peripheral IV site
- C. this should be given through a central line
Answer: C
Explanation:
Whenever possible, dobutamine should be given through a central line because it is caustic to the body's tissues. This medication is primarily used to improve the effectiveness of the heart to work as a pump and, to a lesser degree, can help with hypotension.
NEW QUESTION # 107
The mildest form of an intraventricular hemorrhage of the brain in a newborn is also called
- A. elevated pressure hydrocephalus
- B. normal pressure hydrocephalus
- C. a germinal matrix hemorrhage
Answer: C
Explanation:
An intraventricular hemorrhage in a newborn is classified into grades, depending upon the severity of the bleeding. Grade l, the mildest form, is also called a germinal matrix hemorrhage.
Those infants most at risk for developing an intraventricular hemorrhage are those who are premature, at least 10 weeks preterm. This occurs because the blood vessels in the brain are very weak in the premature infant and can easily rupture, causing a brain bleed. Less than half of infants with a mild bleed will have long-term effects from it. Up to one-third of those with severe bleeds may die.
NEW QUESTION # 108
A neonate suffered perinatal asphyxia and developed moderate hypoxic ischemic encephalopathy (HIE) with neurological dysfunction. The treatment that is LEAST likely to be utilized to treat this condition is
- A. fluid resuscitation
- B. phenobarbital
- C. therapeutic hypothermia
Answer: A
Explanation:
With advancing implementation of therapeutic hypothermia, this method oftreatment has become the first line approach in treating moderate to severe HIE with the target temperature dependent upon the severity of the encephalopathy. Additional treatments include phenobarbital for seizures treatment and/or prevention. Fluid resuscitation is not indicated in HIE; in fact it is common to apply a fluid restriction to a neonate with HIE to control additional swelling. HIE results when oxygen supply to the brain is impaired. HIE is classified as mild, moderate, or severe, depending on the degree of ischemia and symptoms. Mild HIE usually resolves in 3-4 days and moderate HIE in 1-2 weeks, but permanent brain damage can occur with severe HIE.
NEW QUESTION # 109
When placing a temperature probe on a supine neonate to monitor thermoregulation, a good location for the probe is over the
- A. mid-scapular region of the back
- B. mediastinum
- C. liver
Answer: C
Explanation:
A common probe placement for a supine infant is over the liver. The probe should not be placed over a bony area or an area with abundant brown adipose tissue, such as around the neck, the mid-scapular region of the back, the mediastinum, and organs in the thoracic cavity, kidneys, and adrenal glands. If the probe makes poor skin contact, it will indicate that the infant is cold, and the warmer will deliver increased amounts of heat, possibly causing hyperthermia. If the probe is underneath the infant, it may indicate an artificially warm temperature and decrease heat to the infant, causing hypothermia.
NEW QUESTION # 110
A premature infant is in distress and has not responded to resuscitative measures. A volume expander is indicated at this time. What is the risk of giving this type of medication too quickly?
- A. Hypercoagulability resulting in pulmonary emboli
- B. Intraventricular hemorrhage
- C. Supraventricular tachycardia
Answer: B
Explanation:
Acute volume expansion in the neonate can be accomplished with an isotonic crystalloid solution, such as lactated Ringer's solution. This increases the pressure in the intravascular space, which causes water to move from the interstitial to intravascular spaces, which increases the circulating blood volume. Crystalloids have a half-life benveen 30 and 60 minutes and must be given in amounts three times the volume lost If too much is given too quickly, however, fluid overload with intraventricular hemorrhage and pulmonary edema can result
NEW QUESTION # 111
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