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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pharmacology | 9% | - Drugs and breastfeeding
|
| Topic 2: General Assessment | 15% | - Neonatal assessment
|
| Topic 3: Professional Issues | 3% | - Legal and ethical principles
|
| Topic 4: General Management | 19% | - Resuscitation and stabilization
|
| Topic 5: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Cardiac
|
>> Valid NCC-NNP Practice Questions <<
At ExamDiscuss, we are aware that every applicant of the Neonatal Nurse Practitioner Exam (NCC-NNP) examination is different. We know that everyone has a distinct learning style, situations, and set of goals, therefore we offer Nursing NCC-NNP updated exam preparation material in three easy-to-use formats to accommodate every exam applicant's needs. This article will go over the three formats of the Neonatal Nurse Practitioner Exam (NCC-NNP) practice material that we offer.
NEW QUESTION # 11
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: A
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 # 12
During pregnancy, a suspicious finding on ultrasound that may indicate an esophageal atresia is
Answer: B
Explanation:
Polyhydramnios is an abnormal finding on ultrasound that may indicate the presence of esophageal atresia. During normal development, the esophagus and trachea form side by side. An abnormality in development in utero may result in the esophagus not fully developing all the way to the stomach. This results in a closed-ended esophagus. The fetus drinks amniotic fluid while in the womb, so if they are not able to do this, polyhydramnios, or an increased volume of amniotic fluid, can occur. Occasionally, a fistula may form betv:een the esophagus and the trachea, resulting in any intake of liquids being bypassed directly into the trachea and lungs.
NEW QUESTION # 13
In which group is hypoxic ischemic encephalopathy more common?
Answer: A
Explanation:
Hypoxic ischemic encephalopathy is more common in full-term infants than premature infants. This condition results in damage or death to brain tissue due to lack of oxygen to the brain.
It can occur when there is any condition, maternal or fetal, that results in a disruption in oxygenation of brain tissue. This can include a prolapsed cord, placental abruption, maternal hypotension, and others. This is the leading cause of impairment in newborns, though severity of the impairment may not be determined until 3 or 4 years of age.
NEW QUESTION # 14
A newborn with congenital cytomegalovirus infection is being treated with IV ganciclovir. W'hen giving this intravenously, over what time period should it be infused?
Answer: B
Explanation:
Ganciclovir should be given over a 60 minute time period when given intravenously. It is used primarily for immunodeficient patients with CMV retinitis. It is a very cytotoxic drug and its cytotoxic effects are increased if given over a shorter period of time than 60 minutes. These adverse effects include thrombocytopenia, granulocytopenia, and anemia. In male patients, it may cause aspermatogenesis.
NEW QUESTION # 15
Evidence that an infant is feeding appropriately for discharge includes
Answer: A
Explanation:
Current discharge requirements are based on physiological and functional readiness.
Requirements generally include:
*The infant is feeding appropriately, as evidenced by:
o Primary caregiver feedingthe infant with the prescribed method (gavage, gastrostomy, or special positioning) consistently.
o Weight gain of 15-30 grams per day over several days.
o Feeds accomplished without any respiratory difficulty.
*All medical or surgical problems that require hospitalization are resolved.
*Temperature stability is maintained in an open crib.
*Parents are trained appropriately concerning administration of medications, CPR, and proper use of car seat.
*Infant has passed all pre-discharge tests.
*Age appropriate immunizations have been administered.
NEW QUESTION # 16
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