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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Pharmacology9%- Safe administration principles
- Common medications and dosages
- Pharmacokinetics and pharmacodynamics in neonates
- Adverse effects and interactions
Topic 2: Embryology, Physiology, Pathophysiology & Systems Management54%- Gastrointestinal system
- Hematopoietic and immune system
- Respiratory system
- Eyes, ears, nose and throat
- Infectious diseases
- Renal and genitourinary system
- Metabolic and endocrine system
- Cardiovascular system
- Musculoskeletal and integumentary system
- Genetics and congenital anomalies
- Neurological system
Topic 3: General Management19%- Pain management and sedation
- Thermoregulation
- Care coordination and family education
- Fluids, electrolytes and acid-base balance
- Nutrition and growth support
- Resuscitation and stabilization
Topic 4: General Assessment15%- Growth and development assessment
- Perinatal history collection
- Interpretation of diagnostic data
- Systematic physical assessment
Topic 5: Professional Issues3%- Interprofessional collaboration
- Quality improvement and patient safety
- Ethics and legal aspects
- Scope and standards of practice

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Nursing Neonatal Nurse Practitioner Exam 認定 NCC-NNP 試験問題 (Q164-Q169):

質問 # 164
How does the protein content in colostrum compare to the protein content in mature human milk?

正解:B

解説:
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.


質問 # 165
What is the purpose for CCHD screening in newborns?

正解:A

解説:
The CCHD screening identifies those infants who may have a critical congenital heart defect that requires early surgical intervention. This screening is performed using pulse oximetry in the newborn nursery to measure the oxygen saturation in the blood of infants. This screening decreases the risk of overlooking a critical congenital heart defect that may require early intervention.


質問 # 166
When the NP is assessing a newborn's respiratory status, which would indicate the newborn is developing respiratory distress?

正解:C

解説:
Nasal flaring is seen in newborns as an attempt to widen the nares and take in more oxygen.
Other signs of respiratory distress include retractions, tachypnea, grunting, and abnormal breath sounds. Pink skin color is reflective of a health newborn with good perfusion. A respiratory rate of
40 breaths per minute is within the normal range for a newborn.


質問 # 167
During the initial physical examination, the neonate's chest circumference is 34 cm. The expected head circumference is

正解:A

解説:
The head circumference is usually about 2 cm greater than the chest circumference, so the head circumference should be about 36 cm. Normal characteristics of a newborn include the following:


質問 # 168
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

正解:A

解説:
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.


質問 # 169
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