効果的なNCC-NNP模擬試験試験-試験の準備方法-最新のNCC-NNP復習テキスト

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Nursing NCC-NNP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|
| Topic 1: General Assessment | 15% | - Family integration
- 1. Family-centered care
- 2. Parent communication
- Discharge planning and follow-up care
- 1. Post-discharge monitoring
- 2. Care transition
- Maternal history affecting the newborn
- 1. Risk assessment
- 2. Prenatal and perinatal factors
- Neonatal assessment
- 1. Physical examination
- 2. Gestational age evaluation
|
| Topic 2: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Respiratory
- 1. Respiratory distress and ventilation
- Musculoskeletal
- 1. Bone and muscle disorders
- Cardiac
- 1. Congenital and acquired cardiac disorders
- Integumentary - Infectious diseases - Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Metabolic and endocrine - Hematopoietic - Genetics - Renal and genitourinary
- 1. Kidney and urinary conditions
- Neurological
- 1. Neurological disorders
- Gastrointestinal
- 1. Digestive system disorders
|
| Topic 3: Professional Issues | 3% | - Quality improvement and patient safety
- 1. Healthcare quality management
- Legal and ethical principles
- 1. Professional responsibility
- Evidence-based practice
- 1. Clinical research application
|
| 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% | - Drugs and breastfeeding - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
- Common drug therapies
- 1. Medication administration
|
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NCC-NNP復習テキスト & NCC-NNP資格受験料
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Nursing Neonatal Nurse Practitioner Exam 認定 NCC-NNP 試験問題 (Q138-Q143):
質問 # 138
The mechanism of action of surfactant is to
- A. prevent the alveoli in the lungs from collapsing so that they can expand and contract
- B. strengthen the diaphragm to make breathing easier for the premature infant
- C. dilate the pulmonary artery to allow the passage of more oxygen-rich blood into the heart
正解:A
解説:
The inside of the alveoli in the lungs are wet and can easily stick together when air is exhaled. Surfactant decreases the surface tension within the alveoli so they can easily expand when a breath is taken, making it easier to breath. The human body produces surfactant on its own, buT not until after 36 weeks gestation. Sometimes it is necessary to administer surfactant directly into the lungs through the endotracheal tube.
質問 # 139
What is the most common cause of a cardiac tamponade in the newborn?
- A. Chest wall trauma during passage through the birth canal
- B. Chest compressions in the event of cardiac arrest
- C. Incorrect location of a central venous catheter tip
正解:C
解説:
Cardiac tamponade occurs when fluid accumulates with the pericardial sac, causing pressure on the outside of the heart. It is treated by inserting a needle through the chest wall, into the pericardium, and withdrawing the fluid. Though cardiac tamponade in neonates is rare, it can occur in this population when a central venous catheter is in an incorrect position, applying pressure at the juncture of the inferior vena cava and the right atrium. Ensuring correct placement of the catheter is imperative to prevent this life-threatening complication.
質問 # 140
A newborn in the NICU has been receiving gentamicin and ampicillin for the treatment of gram negative sepsis. He is on a fairly high dose of gentamicin and has been for the past 3 days. In addition to the risk of developing renal impairment from the medication, he is also at risk for
- A. hearing loss
- B. permanent discoloration of his teeth later in life
- C. cataract development
正解:A
解説:
When gentamicin is given for more than 2 days, there is an increased risk of hearing loss. In order to decrease this risk, drug levels are measured at the point at which the drug level is highest and again when it is at its lowest (a peak and trough). This is to ensure the antibiotic remains at a therapeutic level rather than a toxic level.
質問 # 141
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
正解:A
解説:
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.
質問 # 142
Which combination of drugs is compatible when given together intravenously?
- A. Phenytoin (Dilantin) with D5W
- B. Sodium bicarbonate and furosemide (Lasix)
- C. Amiodarone and atropine
正解:A
解説:
Of the choices listed, phenytoin (Dilantin) is safe to mix with D5W. Some medications are incompatible with each other when given intravenously. This can be a chemical incompatibility, a physical incompatibility, a therapeutic incompatibility, or a drug IV container incompatibility. The other two choices are not compatible with each other. It is advised that an IV drug compatibility chart be available for reference at all nursing stations.
質問 # 143
......
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