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| Section | Weight | Objectives |
|---|---|---|
| General Management | 19% | - Fluids, electrolytes and acid-base balance - Nutrition and growth support - Resuscitation and stabilization - Pain management and sedation - Thermoregulation - Care coordination and family education |
| Pharmacology | 9% | - Adverse effects and interactions - Safe administration principles - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Renal and genitourinary system - Hematopoietic and immune system - Musculoskeletal and integumentary system - Respiratory system - Genetics and congenital anomalies - Metabolic and endocrine system - Cardiovascular system - Gastrointestinal system - Eyes, ears, nose and throat - Infectious diseases - Neurological system |
| Professional Issues | 3% | - Quality improvement and patient safety - Interprofessional collaboration - Ethics and legal aspects - Scope and standards of practice |
| General Assessment | 15% | - Growth and development assessment - Interpretation of diagnostic data - Perinatal history collection - Systematic physical assessment |
>> New NCC-NNP Exam Practice <<
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NEW QUESTION # 104
What is the most common cause of a cardiac tamponade in the newborn?
Answer: C
Explanation:
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.
NEW QUESTION # 105
A premature infant with apnea of prematurity (AOP) exhibits periods of apnea lasting seconds in which the child has no airflow or effort to breathe. This type of apnea is classified as
Answer: A
Explanation:
Premature infants (especially those <34 weeks) often exhibit apnea of prematurity (AOP).
AOP begins at birth and is believed caused by immaturity of the nervous system, improving as the brain matures. It may persist for 4-8 weeks. There are 3 types of apnea:
*Central: no airflow or effort to breathe.
*Obstructive: no airflow, but effort to breathe.
Mixed: both central and obstructive elements (75% of AOP).
AOP symptoms include swallowing during apneic periods, apnea seconds, apnea <20 seconds with bradycardia 30 beats below normal, oxygen saturation <85% persisting 25 seconds, and cyanosis.
NEW QUESTION # 106
Signs and symptoms of acute alcohol withdrawal in the newborn with neonatal abstinence syndrome should appear
Answer: A
Explanation:
Symptoms of alcohol withdrawal in a newborn who was exposed to alcohol regularly during pregnancy generally occur 3-12 hours after birth. Withdrawal symptoms from opiates generally occur 24-36 hours after birth, but may be longer depending on the medication. For example, newborns that were exposed to methadone regularly while in utero may not show withdrawal symptoms until a week or longer after birth due to the long half-life of the drug.
NEW QUESTION # 107
The major route in a full-term neonate for rapidly increasing body temperature in response to cold stress is
Answer: B
Explanation:
Non-shivering thermogenesis (NST) is the major route of rapid increase of body temperature in response to cold stress in the term neonate. NST is the oxidation of brown fat to create heat.
Brown adipose tissue contains a high concentration of stored triglycerides, a rich capillary network, and is controlled by the sympathetic nervous system. When brown fat is metabolized, heat is created. When a cold body temperature is detected, the posterior hypothalamus responds by triggering the adrenal glands to release norepinephrine and the pituitary gland to release thyroxine. Both stimulate NST.
NEW QUESTION # 108
The genetic condition that results in a bluish tinge to the sclera of the eyes and multiple bone fractures is
Answer: A
Explanation:
Osteogenesis imperfecta is a genetic disorder that causes bones to be weak and fracture easily. It can also cause a bluish tone to the sclera of the eyes, scoliosis, short stature, and hearing loss. The condition occurs due to a genetic defect that results in problems with the body producing collagen, which strengthens bones. There is no cure for osteogenesis imperfecta, but bone strengthening medications and splinting/casting may help to protect the strength of the bones.
NEW QUESTION # 109
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