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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professional Issues | 3% | - Quality improvement and patient safety - Interprofessional collaboration - Scope and standards of practice - Ethics and legal aspects |
| Topic 2: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Infectious diseases - Eyes, ears, nose and throat - Genetics and congenital anomalies - Hematopoietic and immune system - Gastrointestinal system - Respiratory system - Renal and genitourinary system - Cardiovascular system - Metabolic and endocrine system - Neurological system - Musculoskeletal and integumentary system |
| Topic 3: General Management | 19% | - Fluids, electrolytes and acid-base balance - Pain management and sedation - Nutrition and growth support - Thermoregulation - Care coordination and family education - Resuscitation and stabilization |
| Topic 4: Pharmacology | 9% | - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Adverse effects and interactions |
| Topic 5: General Assessment | 15% | - Growth and development assessment - Systematic physical assessment - Perinatal history collection - Interpretation of diagnostic data |
>> New NCC-NNP Exam Objectives <<
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NEW QUESTION # 156
Transient neonatal strabismus usually clears by the age of
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 # 157
How does the protein content in colostrum compare to the protein content in mature human milk?
Answer: A
Explanation:
The first form of human milk that can be expressed is called colostrum. This is produced for the first few days, up to a week following delivery. It has a higher protein content than mature human milk. Colostrum can contain up to 17% protein, while mature human milk contains only about 1% protein.
NEW QUESTION # 158
While assessing a newborn in the NICU, the NP notices that he has pitting edema on the right side of his scalp. The next step should be to
Answer: A
Explanation:
Pitting edema in the soft tissues of the scalp is not uncommon after birth, due to trauma on the baby/s scalp while moving through the birth canal. This condition is called caput succedaneum and is most evident immediately after birth. It usually resolves rather quickly over the first 24-48 hours following birth and just needs to be monitored for any changes.
NEW QUESTION # 159
What is the ideal timeframe in which surfactant should be given to the newborn with respiratory distress?
Answer: A
Explanation:
Surfactant should be given as soon as the diagnosis of respiratory distress syndrome is made, preferably within 1 hour of birth. A repeat dose is then given 4-12 hours after birth as long as the infant is still intubated and requiring 30-40% oxygen. Surfactant is administered through the endotracheal tube over the course of a few minutes.
NEW QUESTION # 160
When monitoring the fetal heart rate during labor, which of the following is most likely to be most dangerous to the fetus?
Answer: C
Explanation:
Late decelerations present as smooth decreases in heart rate that begin at the peak of a contraction. When late decelerations occur along with tachycardia and without an acceleration, or a return to normal heart rate range, it can be a sign that the fetus is not getting enough oxygen. Early decelerations begin before the contraction peaks and usually occur as the fetus passes through the birth canal and the skull is compressed. They are generally not harmful. Variable decelerations occur when the umbilical cord is temporarily compressed and are very common during labor. They are usually not harmful when they occur later in labor and are followed by an acceleration. When variable decelerations occur early in labor and are severe, emergent delivery of the baby may be necessary.
NEW QUESTION # 161
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