NCC-NNP日本語pdf問題 & NCC-NNP日本語版参考書

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Nursing NCC-NNP Exam Syllabus Topics:

SectionObjectives
Neonatal Pharmacology and Therapeutics- Drug safety, dosing considerations, and pharmacokinetics
- Medication administration in neonates
High-Risk Neonatal Management- Prematurity-related complications
- Respiratory distress and ventilation management
- Infectious diseases in neonates
Neonatal Health Assessment- Physical and neurological assessment of the newborn
- Identification of normal vs abnormal findings
Family-Centered Care and Ethics- Parent education and communication
- Ethical and legal considerations in neonatal care
Neonatal Physiology and Pathophysiology- Cardiovascular adaptation and congenital conditions
- Respiratory adaptation and disorders
- Thermoregulation, metabolism, and fluid balance

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Nursing Neonatal Nurse Practitioner Exam 認定 NCC-NNP 試験問題 (Q106-Q111):

質問 # 106
The NP is assessing a newborn diagnosed with tracheomalaci
a. An exam finding that
may be seen is

正解:A

解説:
Tracheomalacia can cause expiratory stridor. It is a softening of the cartilage in the trachea that results in partial or total collapse of the airway during expiration. Depending upon the severity of the condition, mechanical ventilation, CPAP, or BiPAP therapy may be necessary. In severe cases, surgical correction may be necessary to reinforce the airway so that it can remain open.


質問 # 107
The four heart defects seen with Tetralogy of Fallot are

正解:A

解説:
Tetralogy of Fallot is a very serious congenital heart defect that includes a large ventricular septal defect. pulmonary stenosis, right ventricular hypertrophy, and an overriding aorta. Though this is a serious condition, it is treated surgically during infancy and most children with this condition will go on to live into adulthood.


質問 # 108
A full-term neonate fails to pass meconium in the first 48 hours of life. The infant exhibits abdominal distension, poor feeding, and bilious vomiting. An x-ray of the abdomen shows dilated loops of bowel. The diagnostic procedure used both to confirm a diagnosis of meconium plug syndrome and to direct treatment is

正解:B

解説:
A contrast enema is used to confirm a diagnosis of meconium plug syndrome and helps differentiate that from other causes of intestinal obstruction. The contrast enema also is often therapeutic and helps the plug to pass. Meconium plug syndrome usually occurs in full-term infants, infants of diabetic mothers, or infants with hypermagnesemia. A small percentage of infants initially identified as having meconium plug syndrome (5-10%) have Hirschsprung disease. The cause of meconium plug syndrome is thought to be immaturity of the ganglion cells of the colon.


質問 # 109
An example of an autosomal recessive disease is

正解:A

解説:
An autosomal recessive disease is one that requires 2 copies of the gene in order for the disease or trait to occur. For example, both the mother and father of an infant would need to pass on a copy of the gene for cystic fibrosis in order for their child to develop the disease. Down's syndrome and Edward's syndrome are both genetic mutations that occur during fetal development and are not genetically inherited conditions.


質問 # 110
The parents of a neonate are considering genetic testing for their son because the father was recently diagnosed with Huntington's disease. They ask the NP's opinion. The most appropriate response is

正解:A

解説:
The information derived from testing for Huntington's disease cannot be used for health promotion or disease prevention, so the parents should be counseled to wait until the child is at the age to make an informed decision about whether to have testing. This type of information can be devastating to young people who are not provided adequate support and counseling prior to testing. Some people with adult-onset diseases choose not to be tested, and childhood testing robs them of this choice.


質問 # 111
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