Nursing - Efficient NCC-NNP - Valid Neonatal Nurse Practitioner Exam Learning Materials

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| Section | Weight | Objectives |
|---|
| Topic 1: General Assessment | 15% | - Maternal history affecting the newborn
- 1. Prenatal and perinatal factors
- 2. Risk assessment
- Family integration
- 1. Parent communication
- 2. Family-centered care
- Neonatal assessment
- 1. Gestational age evaluation
- 2. Physical examination
- Discharge planning and follow-up care
- 1. Care transition
- 2. Post-discharge monitoring
|
| Topic 2: General Management | 19% | - Resuscitation and stabilization
- 1. Emergency neonatal care
- Thermoregulation
- 1. Temperature stabilization
- Fluids and electrolytes
- 1. Fluid balance management
- Growth and nutrition
- 1. Nutritional management
|
| Topic 3: Professional Issues | 3% | - Legal and ethical principles
- 1. Professional responsibility
- Quality improvement and patient safety
- 1. Healthcare quality management
- Evidence-based practice
- 1. Clinical research application
|
| Topic 4: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
- Common drug therapies
- 1. Medication administration
- Drugs and breastfeeding
|
| Topic 5: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Cardiac
- 1. Congenital and acquired cardiac disorders
- Musculoskeletal
- 1. Bone and muscle disorders
- Renal and genitourinary
- 1. Kidney and urinary conditions
- Integumentary - Infectious diseases - Neurological
- 1. Neurological disorders
- Metabolic and endocrine - Gastrointestinal
- 1. Digestive system disorders
- Hematopoietic - Genetics - Respiratory
- 1. Respiratory distress and ventilation
|
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NCC-NNP Lab Questions | NCC-NNP Training Solutions
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q61-Q66):
NEW QUESTION # 61
Which of the following heart conditions will cause weak peripheral pulses and cool extremities?
- A. Hypoplastic left heart syndrome
- B. Pulmonary stenosis
- C. Patent ductus arteriosus
Answer: A
Explanation:
Hypoplastic left heart syndrome can cause decreased peripheral pulses due to left ventricular dysfunction. It is a congenital heart defect that results in the left side of the heart being smaller than normal. This decreases the amount of oxygenated blood that can be delivered through the body. Peripheral cyanosis will also occur due to the decrease in oxygen being sent to the extremities. Patent ductus arteriosus and pulmonary stenosis do not result in peripheral cyanosis.
NEW QUESTION # 62
An infant in the Neonatal Intensive Care Unit is receiving carbamazepine (Tegretol) for seizure control. When would be the best time to obtain a blood sample to check a drug level?
- A. Two hours after giving a dose
- B. Mid-way between doses
- C. Just before giving a regular scheduled dose
Answer: C
Explanation:
There are some medications that require drug levels be drawn to ensure the drug concentration is at a therapeutic level and not too high or too low. For carbamazepine (Tegretol), the best time to check the drug level is just prior to giving a dose. The therapeutic drug level for this medication is 4-12 mg/L.
NEW QUESTION # 63
Which of the following infections is the most common in the newborn?
- A. Enterovirus
- B. Varicella virus
- C. Polio virus
Answer: A
Explanation:
Enterovirus is a very common cause of infections. It often creates no symptoms in the infant, but can be very serious if it occurs in the first 2 weeks of life. Enterovirus infections are usually transmitted from the mother to the infant. They can cause cold symptoms, or be so severe that sepsis, meningitis, or respiratory failure develop. Enterovirus infections are most common in the summer and fall.
NEW QUESTION # 64
When conducting research, the type of bias that occurs when there is an error in classification is
- A. indication bias
- B. selection bias
- C. information bias
Answer: C
Explanation:
Information bias occurs with errors in classification, so an estimate of association is incorrect. Non-differential misclassification occurs when there is similar misclassification of disease or exposure among both those who are diseased/exposed and those who are not. Differential misclassification occurs when there is a differing misclassification of disease or exposure among both those who are diseased/exposed and those who are not. Selection bias occurs when the method of selecting subjects results in a cohort that is not representative of the target population because of inherent error in design. Indication bias occurs when factors prevent differentiating between cause and effect.
NEW QUESTION # 65
Which of the following infants is most likely to develop necrotizing enterocolitis?
- A. A full-term infant being formula fed
- B. A premature infant being fed human milk expressed by his mother
- C. A premature infant being formula fed
Answer: C
Explanation:
Necrotizing enterocolitis is most common in premature infants who are being formula fed rather than breastfed. With lung prematurity in the premature infant, there is an increased risk of decreased oxygenation to the lining of the intestines. Formula fed infants are not receiving any of the immune mediators that are helpful in fighting infection and which help to build up the normal protective microorganisms in the intestines. This can result in a necrotizing infection in the intestines that can lead to intestinal rupture and even death. This condition affects 10% of premature infants, but is rare in full-term infants.
NEW QUESTION # 66
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