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| Section | Weight | Objectives |
|---|---|---|
| Professional Issues | 3% | - Ethics and legal aspects - Scope and standards of practice - Quality improvement and patient safety - Interprofessional collaboration |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Respiratory system - Gastrointestinal system - Genetics and congenital anomalies - Neurological system - Infectious diseases - Renal and genitourinary system - Eyes, ears, nose and throat - Musculoskeletal and integumentary system - Hematopoietic and immune system - Metabolic and endocrine system - Cardiovascular system |
| Pharmacology | 9% | - Common medications and dosages - Safe administration principles - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates |
| General Assessment | 15% | - Growth and development assessment - Perinatal history collection - Interpretation of diagnostic data - Systematic physical assessment |
| General Management | 19% | - Care coordination and family education - Thermoregulation - Resuscitation and stabilization - Fluids, electrolytes and acid-base balance - Nutrition and growth support - Pain management and sedation |
VCESoft 題庫網承諾所售的 NCC-NNP 題庫都是最新，保證順利通過 NCC-NNP 考試，取得證書。購買我們考題網的任意一科考試題庫都可以免費試用題庫樣品，讓考生確認購買考試題庫的真實性以及適應考題格式。而且購買了我們的 Nursing NCC-NNP 考古題的用戶，可以享有一定的折扣優惠和免費更新題庫一年，對于首次參加考試失敗的客戶，憑蓋有考試中心鋼印的考試成績單，將享有退還購買 NCC-NNP 考古題的全部費用的福利。
問題 #45
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
答案：B
解題說明：
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.
問題 #46
The NP is talking to new parents whose child was born with a cleft lip and palate due to amniotic band syndrome. They are concerned that this may happen to any more children they have in the future. The best response to this is
答案：A
解題說明：
There is no known genetic risk for developing amniotic band syndrome. There are also no known behaviors during pregnancy that increase the risk for this condition. It occurs when thick, fibrous bands within the amniotic fluid wrap around the limb or face of the fetus in utero. It can cut off the blood supply to the affected area and result in amputation or deformity of the affected limb.
If the bands wrap around the face, it can result in cleft lip and palate. There is a greater than 30% chance that amniotic band syndrome will cause a club foot deformity.
問題 #47
The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to
答案：B
解題說明：
The first step should be to assess the rest of the infant to see ifthis is truly cyanosis. It is not uncommon for the face to undergo some trauma while passing through the birth canal, which can cause areas of bruising. It can be differentiated from cyanosis by assessing whether it is present in the distal extremities or if the infant is showing any signs of respiratory distress. Facial bruising may take several days to gradually fade.
問題 #48
Onset of drug withdrawal symptoms for a neonate whose mother used heroin during pregnancy is
答案：A
解題說明：
The onset of withdrawal symptoms in a neonate varies depending on the mother's type of drug use, but the onset of symptoms of narcotics, such as heroin or methadone, is longer than for other drugs, ranging from 48-72 hours for most but can be up to one month, so many of these neonates may be discharged prior to onset of symptoms. Mothers should be carefully screened to try to identify infants at risk.
問題 #49
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
答案：B
解題說明：
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.
問題 #50
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NCC-NNP考題資訊: https://www.vcesoft.com/NCC-NNP-pdf.html