Undoubtedly, passing the Nursing NCC-NNP Certification Exam is one big achievement. Regardless of how tough the Neonatal Nurse Practitioner Exam (NCC-NNP) exam is, it serves an important purpose of improving your skills and knowledge of a specific field. Once you become certified by Nursing, a whole new career scope will open up to you.
| Section | Weight | Objectives |
|---|---|---|
| General Assessment | 15% | - Perinatal history collection - Systematic physical assessment - Growth and development assessment - Interpretation of diagnostic data |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Musculoskeletal and integumentary system - Gastrointestinal system - Respiratory system - Eyes, ears, nose and throat - Genetics and congenital anomalies - Cardiovascular system - Hematopoietic and immune system - Neurological system - Metabolic and endocrine system - Infectious diseases - Renal and genitourinary system |
| Pharmacology | 9% | - Safe administration principles - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates - Adverse effects and interactions |
| General Management | 19% | - Pain management and sedation - Care coordination and family education - Thermoregulation - Nutrition and growth support - Resuscitation and stabilization - Fluids, electrolytes and acid-base balance |
| Professional Issues | 3% | - Quality improvement and patient safety - Scope and standards of practice - Interprofessional collaboration - Ethics and legal aspects |
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NEW QUESTION # 135
The NP is evaluating a newborn. The infant is having retractions with respirations and a low grunting sound can be heard with his rapid breathing. The most likely diagnosis is
Answer: C
Explanation:
Meconium aspiration syndrome occurs when the infant inhales meconium during the labor and delivery process. It presents as labored or rapid breathing with retractions and grunting sounds with each breath. The infant may begin to appear cyanotic as this progresses. To treat this condition, surfactant may be given which has proven to be helpful. A laryngoscope may be inserted to perform suction below the level of the vocal cords. Mortality rates are higher for these infants than others and there may be some residual respiratory problems for the first 5-10 years of life.
NEW QUESTION # 136
What is the difference between an omphalocele and a gastroschisis?
Answer: C
Explanation:
Omphalocele is a condition in which there is an opening at the umbilicus through which the abdominal organs can protrude. A gastroschisis occurs when all of the abdominal organs are exposed because the outer membrane does not form over the abdomen to cover them. Both of these are congenital defects that occur early in development. The abdominal organs usually form outside the abdomen, but then return to the abdomen during development. There is no definitive known cause for either condition.
NEW QUESTION # 137
When the NP is assessing a newborn's respiratory status, which would indicate the newborn is developing respiratory distress?
Answer: B
Explanation:
Nasal flaring is seen in newborns as an attempt to widen the nares and take in more oxygen.
Other signs of respiratory distress include retractions, tachypnea, grunting, and abnormal breath sounds. Pink skin color is reflective of a health newborn with good perfusion. A respiratory rate of
40 breaths per minute is within the normal range for a newborn.
NEW QUESTION # 138
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: B
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 # 139
Parents of a newborn in the NICU are concerned about their baby having an IV placed in their scalp. To reassure them, the NP explains that
Answer: C
Explanation:
Though not the first choice for an IV site, the scalp is used once other sites in the hands and feet have already been used. The scalp is a good site because there is very little fat under the skin so the veins are easily visible.
NEW QUESTION # 140
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