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| Section | Weight | Objectives |
|---|
| Topic 1: 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 2: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Neurological
- 1. Neurological disorders
- Integumentary - Metabolic and endocrine - Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Gastrointestinal
- 1. Digestive system disorders
- Cardiac
- 1. Congenital and acquired cardiac disorders
- Respiratory
- 1. Respiratory distress and ventilation
- Hematopoietic - Infectious diseases - Renal and genitourinary
- 1. Kidney and urinary conditions
- Musculoskeletal
- 1. Bone and muscle disorders
- Genetics
|
| Topic 3: Pharmacology | 9% | - Common drug therapies
- 1. Medication administration
- Drugs and breastfeeding - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
|
| Topic 4: General Assessment | 15% | - Maternal history affecting the newborn
- 1. Prenatal and perinatal factors
- 2. Risk assessment
- Neonatal assessment
- 1. Physical examination
- 2. Gestational age evaluation
- Discharge planning and follow-up care
- 1. Post-discharge monitoring
- 2. Care transition
- Family integration
- 1. Parent communication
- 2. Family-centered care
|
| Topic 5: General Management | 19% | - Fluids and electrolytes
- 1. Fluid balance management
- Resuscitation and stabilization
- 1. Emergency neonatal care
- Growth and nutrition
- 1. Nutritional management
- Thermoregulation
- 1. Temperature stabilization
|
>> Latest NCC-NNP Practice Materials <<
High Pass-Rate Latest NCC-NNP Practice Materials – Newest New Exam Topics for NCC-NNP: Neonatal Nurse Practitioner Exam
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q81-Q86):
NEW QUESTION # 81
The mildest form of an intraventricular hemorrhage of the brain in a newborn is also called
- A. normal pressure hydrocephalus
- B. elevated 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 # 82
The NP is administering blood to a premature infant who is anemic. A possible transfusion reaction may be occurring if the patient develops
- A. dysuria
- B. the hiccups
- C. tenderness at the IV site
Answer: C
Explanation:
One of the first signs that an acute intravascular hemolytic reaction is occurring is pain at the IV site. Other early signs include fever, chills, elevated heart rate, nausea, and dyspnea. This potentially life-threatening reaction usually occurs within 10 minutes of the beginning of the infusion of blood or blood products.
NEW QUESTION # 83
A premature infant in the NICU has a nasogastric drain. The results ofher arterial blood gases are as follows:
*ph -7.5
*HCOs - 29
*pC02 - 37
Based on these values, which acid-base disorder has this infant developed?
- A. Respiratory alkalosis
- B. Metabolic acidosis
- C. Metabolic alkalosis
Answer: C
Explanation:
Metabolic alkalosis will cause the arterial blood pH and bicarbonate levels to increase.
Conversely, metabolic acidosis will cause arterial pH and bicarbonate levels to decrease.
Respiratory acidosis will increase the arterial carbon dioxide level while decreasing the PH, and respiratory alkalosis will have the opposite results with a decrease in carbon dioxide level and an increased PH.
NEW QUESTION # 84
The parents of a neonate are considering genetic testing for their son because the father was recently diagnosed with Huntington's disease. They ask the NP's opinion. The most appropriate response is
- A. "The information can't be used for health purposes now, and your child may wantto make
- B. "Testing is available for individuals older than ten years of age."
- C. 'Testing the infant now may help relieve your anxiety, but will not change the outcome."
Answer: A
Explanation:
The information derived from testing for Huntington's disease cannot be used for health promotion or disease prevention, so the parents should be counseled to wait until the child is at the age to make an informed decision about whether to have testing. This type of information can be devastating to young people who are not provided adequate support and counseling prior to testing. Some people with adult-onset diseases choose not to be tested, and childhood testing robs them of this choice.
NEW QUESTION # 85
Five minutes after birth, a newborn infant is actively moving, crying, skin is pink all over, and heart rate is 132. Based on this information, you know this infant's Apgar score is
Answer: A
Explanation:
The Apgar score is assessed one minute and again five minutes after birth. The initial reading is to assess how the newborn did through the birthing process. The second is done to assess how the newborn is doing outside the womb. The infant's activity level, heart rate, breathing pattern, skin color, and grimacing response are assessed and 0-2 points are assigned based on their condition. This infant is showing all signs of a healthy newborn, scoring 2 points in each section for a total of a perfect 10.
NEW QUESTION # 86
......
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