NCC-NNP Fragenkatalog - NCC-NNP Prüfungs-Guide

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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Pharmacology9%- Drugs and breastfeeding
  • 1. Medication safety
- Common drug therapies
  • 1. Medication administration
- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
Topic 2: General Assessment15%- Discharge planning and follow-up care
  • 1. Care transition
  • 2. Post-discharge monitoring
- Family integration
  • 1. Family-centered care
  • 2. Parent communication
- Maternal history affecting the newborn
  • 1. Prenatal and perinatal factors
  • 2. Risk assessment
- Neonatal assessment
  • 1. Gestational age evaluation
  • 2. Physical examination
Topic 3: General Management19%- Fluids and electrolytes
  • 1. Fluid balance management
- Growth and nutrition
  • 1. Nutritional management
- Thermoregulation
  • 1. Temperature stabilization
- Resuscitation and stabilization
  • 1. Emergency neonatal care
Topic 4: Embryology, Physiology, Pathophysiology and Systems Management54%- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Genetics
  • 1. Genetic syndromes
- Musculoskeletal
  • 1. Bone and muscle disorders
- Gastrointestinal
  • 1. Digestive system disorders
- Infectious diseases
  • 1. Neonatal infections
- Respiratory
  • 1. Respiratory distress and ventilation
- Metabolic and endocrine
  • 1. Metabolic regulation
- Integumentary
  • 1. Skin conditions
- Neurological
  • 1. Neurological disorders
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Hematopoietic
  • 1. Blood disorders
Topic 5: Professional Issues3%- Legal and ethical principles
  • 1. Professional responsibility
- Evidence-based practice
  • 1. Clinical research application
- Quality improvement and patient safety
  • 1. Healthcare quality management

>> NCC-NNP Fragenkatalog <<

NCC-NNP Zertifizierungsfragen, Nursing NCC-NNP PrüfungFragen

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Nursing Neonatal Nurse Practitioner Exam NCC-NNP Prüfungsfragen mit Lösungen (Q62-Q67):

62. Frage
A neonate receiving mechanical ventilation has a PaC02 level of 33 mmHg with pH of 7.5 from a blood sample obtained from the umbilical artery. These values indicate

Antwort: B

Begründung:
These values indicate respiratory alkalosis from hyperventilation associated with excessive mechanical ventilation, which decreases the level of carbon dioxide in the blood. Respiratory alkalosis occurs with PaC02 <35 mmHg and pH >7.45. Normal PaC02 is 35-45 mmHg and normal pH
7.35-7.45. Arterial blood gas (ABG) is the most informative measurement of blood gas status.
Venous blood gas (VBG) is easier to obtain if an arterial catheter is not in place. To compare the values in the VBG with an ABG, add 0.05 to the pH of the VBG. Subtract 5-10 mmHg from the PC02 of the VBG. Capillary blood gas (CBG) can be obtained with a heel stick, but the values obtained are the least accurate and rarely useful.


63. Frage
Which of the following potential side effects can occur as a result of forceps being used during delivery?

Antwort: C

Begründung:
There is a risk of facial palsy (usually temporary) and minor facial or external eye injury with forceps use. Forceps may be used during delivery to assist the neonate's passage through the birth canal, especially if the mother or infant are in distress. Rarely, a skull fracture or bleeding within the brain can occur.


64. Frage
The initial treatment for patent ductus arteriosus (PDA) for a preterm neonate is usually

Antwort: B

Begründung:
Patent ductus arteriosus (PDA) is failure of the ductus arteriosus that connects the pulmonary artery and aorta to close after birth, resulting in left to right shunting of blood from the aorta back to the pulmonary artery. This increases the blood flow to the lung and causes an increase in pulmonary hypertension that can result in damage to the lung tissue. Treatment for PDA:
*Indomethacin (Indocin@) or ibuprofen lysine given within 10 days of birth is successful in closing about 80% of defects.
*Surgical repair with ligation of the patent vessel if conservative treatment is unsuccessful.


65. Frage
Parents of a newborn have opted to not have their son circumcised. When providing them with care instructions, they will need to know

Antwort: A

Begründung:
It is recommended that the newborn's foreskin be gently retracted as much as it will naturally allow during baths and diaper changes, but that cleansing the area beneath the foreskin not be done until the foreskin has fully retracted naturally. Forceful retraction should be avoided as it may cause irritation, bleeding, or fibrosis, and should be avoided for that reason. Bacteria, fungus, and moisture can be trapped within the foreskin, which can lead to a painful infection. Infections can become severe enough to cause significant swelling of the foreskin, which can prevent it from being able to be retracted down over the penis.


66. Frage
To promote family integration, the best time for siblings to visit the mother and neonate is

Antwort: B

Begründung:
Children should visit the mother and infant as soon after delivery as possible. Preparation of siblings prior to the birth can decrease anxiety and sibling rivalry by helping the children feel as though they are participants and are valued. Children should be prepared for physical changes in the mother, changing family dynamics, and infant care. A parent/teacher may use dolls to demonstrate childcare and allow the children to practice holding and caring for the baby. When possible, children should have contact with an infant, such as that of a friend or family member.


67. Frage
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