Pass Guaranteed Quiz Nursing - NCC-NNP - Neonatal Nurse Practitioner Exam Updated Valid Test Dumps

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| Section | Weight | Objectives |
|---|
| Topic 1: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Cardiac
- 1. Congenital and acquired cardiac disorders
- Genetics - Musculoskeletal
- 1. Bone and muscle disorders
- Infectious diseases - Gastrointestinal
- 1. Digestive system disorders
- Respiratory
- 1. Respiratory distress and ventilation
- Metabolic and endocrine - Hematopoietic - Renal and genitourinary
- 1. Kidney and urinary conditions
- Neurological
- 1. Neurological disorders
- Integumentary - Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
|
| Topic 2: Pharmacology | 9% | - Common drug therapies
- 1. Medication administration
- Drugs and breastfeeding - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
|
| Topic 3: Professional Issues | 3% | - Evidence-based practice
- 1. Clinical research application
- Quality improvement and patient safety
- 1. Healthcare quality management
- Legal and ethical principles
- 1. Professional responsibility
|
| Topic 4: General Assessment | 15% | - Maternal history affecting the newborn
- 1. Risk assessment
- 2. Prenatal and perinatal factors
- Discharge planning and follow-up care
- 1. Care transition
- 2. Post-discharge monitoring
- Family integration
- 1. Parent communication
- 2. Family-centered care
- Neonatal assessment
- 1. Gestational age evaluation
- 2. Physical examination
|
| Topic 5: General Management | 19% | - Thermoregulation
- 1. Temperature stabilization
- Resuscitation and stabilization
- 1. Emergency neonatal care
- Growth and nutrition
- 1. Nutritional management
- Fluids and electrolytes
- 1. Fluid balance management
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q64-Q69):
NEW QUESTION # 64
The NP has received a lab report on the CSF of a newborn who underwent a lumbar puncture. The lab report shows the glucose level in the sample is 100 mg/dL. This value is interpreted to mean
- A. the newborn likely has meningitis
- B. the newborn has a normal CSF glucose level
- C. the newborn is most likely diabetic
Answer: B
Explanation:
The normal glucose level in cerebrospinal fluid in a newborn is 35-120 mg/dL A value of 100 would be normal for this infant. Diabetes mellitus may cause CSF glucose levels to be elevated.
Meningitis can cause CSF glucose to be normal with viral meningitis, low with bacterial meningitis, and normal to low in fungal meningitis.
NEW QUESTION # 65
A nevus flammeus is commonly known as
- A. a wart
- B. a port wine stain
- C. a benign mole
Answer: B
Explanation:
A nevus flammeus, or port wine stain, is a birth mark that results from a malformation of capillaries. Though they appear pink at birth, they will become a darker reddish or purplish color in adulthood. Port wine stains are not inherited genetically and they have no known cause. Laser treatments may help to lighten these birth marks, especially if they are done while the child is young and the lesion is lighter in color.
NEW QUESTION # 66
A mother brings her term infant (and first child) for an exam at 2 weeks after birth. The baby has not regained birth weight, appears listless, face drawn, and skin turgor is poor. The mother is breastfeeding. The most appropriate first action is
- A. advise the mother to stop breastfeeding and switch to formula
- B. question mother about nursing technique and frequency, and observe the infant nursing
- C. report the mother to child protective services for neglect
Answer: B
Explanation:
The mother should be questioned about her nursing technique and frequency and observed while nursing the child. Since this is her first child, she may need further assistance in nursing properly to ensure the infant receives adequate nutrition. While further tests may be indicated, these signs are indicative of dehydration and poor nutrition, so that should be dealt with first. As there are no other indications of neglect, referral to child protective services is not appropriate at this time. Switching from human milk to formula is rarely necessary if mothers receive adequate support and instruction.
NEW QUESTION # 67
Transient neonatal strabismus usually clears by the age of
- A. 4 months
- B. 4 weeks
- C. 4 days
Answer: A
Explanation:
Because oculomotor control is poor in the neonate, transient neonatal strabismus involving intermittent exotropia or esotropia is common and usually clears by about 4 months without treatment. Strabismus occurs when the muscles of the eyes are not coordinated so that one eye deviates from the axis of the other. Deviations include:
*Tropia, which is consistent or intermittent deviation in which the child is unable to maintain alignment of the eyes.
*Esotropia, in which both eyes turning inwards (cross eyes) and exotropia is both eyes turning outward (wall eyes).
NEW QUESTION # 68
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
- A. obstructive apnea
- B. central apnea
- C. normal neonatal breathing pattern
Answer: B
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 # 69
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