Nursing NCC-NNP試験合格攻略、NCC-NNP日本語版

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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam 認定 NCC-NNP 試験問題 (Q77-Q82):

質問 # 77
What injection do newborns receive at birth to decrease the risk of hemorrhage?

正解：A

解説：
At birth, newborns are given an injection of vitamin K to prevent hemorrhage. Infants are borne with a deficient amount of vitamin K, which can cause a condition known as vitamin K deficiency bleeding, or VKDB. Internal bleeding can be difficult in the newborn until serious complications are developing. so a routine injection of vitamin K is given at birth to decrease the risk of bleeding. Erythromycin ointment is applied to the eyes of the newborn to prevent neonatal gonococcal ophthalmia.


質問 # 78
To ingest 120 calories/kg/day, an infant breastfeeding or receiving unfortified formula needs to ingest

正解：B

解説：
Unfortified formulas (and most human milk) supply 20 calories per ounce. To ingest 120 cal/kg/day, an infant needs to ingest 6 ounces/kg/day of unfortified formula or human milk. The general requirements for adequate growth include:
*Full-term infants: 100-120 cal/kg/day
*Premature infants: 110-160 cal/kg/day
*Infants who are recovering from surgery or have a chronic illness, such as bronchopulmonary dysplasia (BPD): =180 cal/kg/day The caloric needs of a neonate (preterm or term) depend on postnatal age, activity, current weight, growth rate, thermal environment, and route of nutritional intake. Cold stress increases caloric requirements.


質問 # 79
The most common type of short-limbed dwarfism is

正解：A

解説：
The most common type of short-limbed dwarfism is achondroplasia. This condition follows an autosomal dominant pattern, meaning that only one parent needs to pass on the gene for this condition to occur. It results in an average-sized trunk with short arms and legs, a large head with a high forehead, and short fingers. The middle finger and ring finger may diverge which gives the hand a trident appearance. There are no common learning disabilities associated with achondroplasia.


質問 # 80
The most common craniosynostosis syndrome is

正解：B

解説：
Crouzon syndrome is the most common type of craniosynostosis syndrome. It causes fusion of the skull bones prematurely, which results in decreased space where the brain can expand and grow. The fusion of the skull bones also causes wide set, bulging eyes with vision problems due to shallow eye sockets. The nose is beaked and the jaw is under developed in those suffering from this condition. It is an autosomal dominant disease.


質問 # 81
At which point in a pregnancy is the fetus most likely to suffer birth defects due to a Varicella infection in the mother?

正解：B

解説：
The risk of birth defects due to Varicella infection is greatest in the second trimester. The risk at that point is approximately 2%, up from 0.5-1% in the first trimester. If the fetus contracts Varicella late in the pregnancy, there is a chance they will develop chicken pox rather than birth defects. Varicella infection can be severe in utero and may lead to small head size and intellectual disabilities.


質問 # 82
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