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| Section | Weight | Objectives |
|---|
| Topic 1: General Management | 19% | - Fluids and electrolytes
- 1. Fluid balance management
- Thermoregulation
- 1. Temperature stabilization
- Growth and nutrition
- 1. Nutritional management
- Resuscitation and stabilization
- 1. Emergency neonatal care
|
| Topic 2: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
- Common drug therapies
- 1. Medication administration
- Drugs and breastfeeding
|
| Topic 3: Professional Issues | 3% | - Quality improvement and patient safety
- 1. Healthcare quality management
- Evidence-based practice
- 1. Clinical research application
- Legal and ethical principles
- 1. Professional responsibility
|
| Topic 4: General Assessment | 15% | - Maternal history affecting the newborn
- 1. Prenatal and perinatal factors
- 2. Risk assessment
- Family integration
- 1. Family-centered care
- 2. Parent communication
- Neonatal assessment
- 1. Gestational age evaluation
- 2. Physical examination
- Discharge planning and follow-up care
- 1. Post-discharge monitoring
- 2. Care transition
|
| Topic 5: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Cardiac
- 1. Congenital and acquired cardiac disorders
- Gastrointestinal
- 1. Digestive system disorders
- Infectious diseases - Genetics - Respiratory
- 1. Respiratory distress and ventilation
- Musculoskeletal
- 1. Bone and muscle disorders
- Renal and genitourinary
- 1. Kidney and urinary conditions
- Neurological
- 1. Neurological disorders
- Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Hematopoietic - Metabolic and endocrine - Integumentary
|
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NCC-NNP New Practice Questions | NCC-NNP Valid Study Plan
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q51-Q56):
NEW QUESTION # 51
The parents of a newborn are asking the NP what PKU is and if it is really necessary to have this tested as part of the newborn screening process. The best response is
- A. PW can be a fatal illness and it is highly recommended that this be performed
- B. the test can be postponed until the newborn is a few months old
- C. the PKU screen is nota necessary test and can be eliminated from the tests to be performed
Answer: A
Explanation:
PW, or phenylketonuria, is a metabolic disorder in which the body is not able to break down some of the amino acids in proteins. This leads to poor brain development and intellectual disabilities. It is highly recommended that this test be performed on all newborns so that treatment can be started and the devastating effects of this illness can be avoided.
NEW QUESTION # 52
Identifying and treating congenital hypothyroidism within the first month oflife is especially critical to prevent
- A. intellectual disability
- B. respiratory abnormalities
- C. thyroid cancer
Answer: A
Explanation:
Untreated congenital hypothyroidism can result in profound intellectual disability, so diagnosing the disorder and beginning thyroxine treatment within the first month of life is essential. Newborn screening tests in most states mandate checking for hypothyroidism. Infants whose mothers received radioactive iodine treatment for thyroid cancer during pregnancy are especially at risk Signs of congenital hypothyroidism include hypotonia, growth restriction, poor feeding, wide hands with stunted fingers, short extremities, edematous face, and thick protruding tongue.
NEW QUESTION # 53
A medical emergency that can lead to hypovolemic shock in the newborn is
- A. subgaleal hemorrhage
- B. caput succedaneum
- C. cephalohematoma
Answer: A
Explanation:
A subgaleal hemorrhage can be massive and may lead to hypovolemic shock. This condition occurs when there is bleeding in the loose connective tissue of the subgaleal space. The subgaleal space is composed of loose connective tissue that allows the scalp to slide easily on the cranium.
There is an increased risk of a subgaleal hemorrhage with vacuum and forceps use during delivery.
The trauma to the scalp results in rupture of the blood vessels in this space. This usually develops over several hours to several days with the first clinical sign being an increase in head circumference.
NEW QUESTION # 54
When the NP is assessing a newborn, the reflex that results in abduction and extension of the infant's arms as the hands open is the
- A. asymmetrical tonic reflex
- B. grasp reflex
- C. Moro reflex
Answer: C
Explanation:
The Moro reflex is checked by quickly lowering the infant's head relative to the trunk and is present as early as 32 weeks gestation. Positive signs ofthis reflex include the abduction and extension of the infant's arms as the hands open. It is no longer present by the time the infant is 6- months-old. The grasp reflex is the reflexive action of bending the fingers around an object placed in the palm. The asymmetrical tonic reflex is also called the "fencing" reflex. When the infants head is turned to one side, the arm and leg of the side at which the face is turned extend and the arm and leg on the opposite side flex.
NEW QUESTION # 55
A newborn has an NG tube in place due to an intestinal obstruction. In order to prevent aspiration of saliva, it is very important to
- A. perform continuous oral suction
- B. the aspirate should drain into a drainage bag and the stomach contents should be aspirated
- C. the aspirate should drain into a drainage bag without any manual aspiration
Answer: B
Explanation:
There is an increased risk of death by aspiration in newborns that have an NG tube. This is due to aspiration of saliva. Because ofthis, a drainage bag should be attached to accept the aspirate.
The stomach contents should also be aspirated at least every 30 minutes to decrease this risk.
NEW QUESTION # 56
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