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| Section | Weight | Objectives |
|---|
| Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Cardiac
- 1. Congenital and acquired cardiac disorders
- Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Integumentary - Respiratory
- 1. Respiratory distress and ventilation
- Musculoskeletal
- 1. Bone and muscle disorders
- Infectious diseases - Genetics - Hematopoietic - Metabolic and endocrine - Neurological
- 1. Neurological disorders
- Renal and genitourinary
- 1. Kidney and urinary conditions
- Gastrointestinal
- 1. Digestive system disorders
|
| Professional Issues | 3% | - Legal and ethical principles
- 1. Professional responsibility
- Evidence-based practice
- 1. Clinical research application
- Quality improvement and patient safety
- 1. Healthcare quality management
|
| General Assessment | 15% | - Maternal history affecting the newborn
- 1. Prenatal and perinatal factors
- 2. Risk assessment
- Discharge planning and follow-up care
- 1. Care transition
- 2. Post-discharge monitoring
- Family integration
- 1. Parent communication
- 2. Family-centered care
- Neonatal assessment
- 1. Gestational age evaluation
- 2. Physical examination
|
| General Management | 19% | - Growth and nutrition
- 1. Nutritional management
- Fluids and electrolytes
- 1. Fluid balance management
- Resuscitation and stabilization
- 1. Emergency neonatal care
- Thermoregulation
- 1. Temperature stabilization
|
| Pharmacology | 9% | - Common drug therapies
- 1. Medication administration
- Drugs and breastfeeding - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
|
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The Neonatal Nurse Practitioner Exam certification has become very popular to survive in today's difficult job market in the technology industry. Every year, hundreds of Nursing aspirants attempt the NCC-NNP exam since passing it results in well-paying jobs, salary hikes, skills validation, and promotions. Lack of Real NCC-NNP Exam Questions is their main obstacle during NCC-NNP certification test preparation.
Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q157-Q162):
NEW QUESTION # 157
A medical emergency that can lead to hypovolemic shock in the newborn is
- A. caput succedaneum
- B. cephalohematoma
- C. subgaleal hemorrhage
Answer: C
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 # 158
Early-onset sepsis (S72 hours) in the neonate most often presents as
- A. meningitis
- B. bacteremia
- C. pneumonia
Answer: C
Explanation:
Early onset sepsis most often presents as pneumonia and late onset as bacteremia and/or meningitis. Neonatal sepsis is a particular risk for preterm infants <IOOO g and may be associated with a wide range of pathogens, both bacterial and viral. Early onset (02 hours) is usually related to maternal transmission and late onset (4-90 days) to invasive devices. Septic pneumonia usually presents with tachypnea, sternal retraction, grunting respirations, cyanosis, and apneic periods.
NEW QUESTION # 159
Parents of a newborn have opted to not have their son circumcised. When providing them with care instructions, they will need to know
- A. though the circumcision was not done in the hospital, they will need to follow-up with their
- B. The foreskin should only be retracted as much as it allows during bathing and diaper
- C. the child should receive an annual exam by a urologist to evaluate the uncircumcised penis
Answer: B
Explanation:
It is recommended that the newborn's foreskin be gently retracted as much as it will naturally allow during baths and diaper changes, but that cleansing the area beneath the foreskin not be done until the foreskin has fully retracted naturally. Forceful retraction should be avoided as it may cause irritation, bleeding, or fibrosis, and should be avoided for that reason. Bacteria, fungus, and moisture can be trapped within the foreskin, which can lead to a painful infection. Infections can become severe enough to cause significant swelling of the foreskin, which can prevent it from being able to be retracted down over the penis.
NEW QUESTION # 160
The parents of a neonate are considering genetic testing for their son because the father was recently diagnosed with Huntington's disease. They ask the NP's opinion. The most appropriate response is
- A. "The information can't be used for health purposes now, and your child may wantto make
- B. 'Testing the infant now may help relieve your anxiety, but will not change the outcome."
- C. "Testing is available for individuals older than ten years of age."
Answer: A
Explanation:
The information derived from testing for Huntington's disease cannot be used for health promotion or disease prevention, so the parents should be counseled to wait until the child is at the age to make an informed decision about whether to have testing. This type of information can be devastating to young people who are not provided adequate support and counseling prior to testing. Some people with adult-onset diseases choose not to be tested, and childhood testing robs them of this choice.
NEW QUESTION # 161
The NP is caring for a child with end stage renal disease. A sign that he may be in fluid overload is
- A. an increase in blood pressure
- B. a decrease in blood pressure
- C. bradycardia
Answer: A
Explanation:
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.
NEW QUESTION # 162
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