NCC-NNP認定テキスト、NCC-NNP日本語認定対策

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Nursing NCC-NNP Exam Syllabus Topics:

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

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試験NCC-NNP認定テキスト & 権威のあるNCC-NNP日本語認定対策 | 大人気NCC-NNP {Keyword3Neonatal Nurse Practitioner Exam

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Nursing Neonatal Nurse Practitioner Exam 認定 NCC-NNP 試験問題 (Q165-Q170):

質問 # 165
The NP is caring for a child with end stage renal disease. A sign that he may be in fluid overload is

正解：A

解説：
Some of the signs of fluid overload include increased blood pressure, swelling in the extremities and face, abdominal bloating, shortness of breath, and tachycardia. The NP will monitor the patient regularly for any of these symptoms. If the patient will be discharged home, the parents and/or caregivers will also need to be educated on these symptoms.


質問 # 166
On examining the neonate, the NP notes 9 cafe au lait spots with a diameter greater than
5 mm and freckles on the axilla and inguinal are
a. The infant should be tested for

正解：B

解説：
Cafe au lait spots (CAL) are flat skin lesions with increased melanin content and regular or irregular borders. If the CAL spots are faint, one can use a Wood lamp to make them easier to see.
Fewer than 3 cafe au lait spots have no clinical significance. However, 6 or more cafe au lait spots with a diameter larger than 5 mm occur in 95% of patients with neurofibromatosis type 1 (NFI), a disorder of chromosome 17. Lisch nodules on the child's iris and Crowe's sign (freckles on the axilla and inguinal area) corroborate the diagnosis of NFI.


質問 # 167
The mineral that is often very low after the administration of intravenous Lasix is

正解：C

解説：
Calcium excretion is increased when a person receives Lasix. In the newborn, this can affect bone formation and maturation. Calcium levels should be monitored when a newborn is on Lasix, and supplementation administered if necessary.


質問 # 168
The mechanism of action of surfactant is to

正解：C

解説：
The inside of the alveoli in the lungs are wet and can easily stick together when air is exhaled. Surfactant decreases the surface tension within the alveoli so they can easily expand when a breath is taken, making it easier to breath. The human body produces surfactant on its own, buT not until after 36 weeks gestation. Sometimes it is necessary to administer surfactant directly into the lungs through the endotracheal tube.


質問 # 169
What is the most common cause of respiratory distress in the newborn?

正解：C

解説：
Transient tachypnea of the newborn is the most common cause of respiratory distress in the newborn. It is triggered by excessive fluid in the lungs and usually resolves on its own. It occurs shortly after delivery. Supportive care with oxygen or CPAP may be necessary until the symptoms resolve. It is most common in babies born via Cesarean section.


質問 # 170
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