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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Management | 19% | - Pain management and sedation - Resuscitation and stabilization - Fluids, electrolytes and acid-base balance - Care coordination and family education - Thermoregulation - Nutrition and growth support |
| Topic 2: General Assessment | 15% | - Interpretation of diagnostic data - Perinatal history collection - Systematic physical assessment - Growth and development assessment |
| Topic 3: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Respiratory system - Renal and genitourinary system - Cardiovascular system - Metabolic and endocrine system - Neurological system - Infectious diseases - Musculoskeletal and integumentary system - Hematopoietic and immune system - Genetics and congenital anomalies - Gastrointestinal system - Eyes, ears, nose and throat |
| Topic 4: Professional Issues | 3% | - Interprofessional collaboration - Quality improvement and patient safety - Scope and standards of practice - Ethics and legal aspects |
| Topic 5: Pharmacology | 9% | - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates - Common medications and dosages - Safe administration principles |
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NEW QUESTION # 36
The NP is caring for an infant in the NICU. The newborn has not had a bowel movement in the first 48 hours of his life and has vomited whenever oral feedings are attempted. What is one of the problems that may be present?
Answer: A
Explanation:
Hirschsprungs disease is a congenital condition in which nerve cells are absent from the lower part of the GI tract. This prevents the normal peristaltic movement to occur in the intestines, which pushes waste material through, resulting in a BM. The infant will usually have a distended abdomen and vomiting with this disease. It is treated with surgery to remove the affected part of the colon.
NEW QUESTION # 37
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: C
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 # 38
A preterm infant in the NICU is receiving tube feedings until he is able to attempt oral feedings. What activity can help him with the transition from tube to oral feedings?
Answer: A
Explanation:
Non-nutritive sucking, such as that with a pacifier, is having an infant suck on something that does not give them milk. For infants who are tube fed, it can trigger an association with them between having a full stomach and sucking, which can help when transitioning to oral feedings. The sucking activity is also helpful in strengthening the oral muscles needed to suck, as well as being soothing and calming for the infant.
NEW QUESTION # 39
If a patient's membranes rupture and meconium-stained amniotic fluid is noted, the next step should be
Answer: C
Explanation:
While previous standards advised for immediate Cesarean in the context of meconium-stained amniotic fluid, this is no longer advised. Instead, the fetus should be closely monitored for signs of distress and the appropriate team should be present at the birth of the neonate due to risks for respiratory distress secondary to aspiration. These neonates should not be routinely suctioned and/or intubated unless they are nonvigorous and do not respond to noninvasive interventions.
NEW QUESTION # 40
The NP accidentally administers the wrong dosage of medication to an infant in the NICU, resulting in a poor outcome. This is an example of
Answer: C
Explanation:
Medical negligence is any action that results in a bad outcome for a patient as a result of carelessness or medical error. This is not an intentional act, but occurs as a result of the actions of the healthcare provider. On the other hand, medical malpractice occurs when the standard norms or accepted standards of practice are not followed, resulting in an injury or bad outcome for the patient.
NEW QUESTION # 41
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The NCC-NNP Certification Exam is one of the top-rated and career-oriented certificates that are designed to validate an Nursing professional's skills and knowledge level. These Neonatal Nurse Practitioner Exam (NCC-NNP) practice questions have been inspiring those who want to prove their expertise with the industrial-recognized credential. By cracking it you can gain several personal and professional benefits.
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