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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Management | 19% | - Pain management and sedation - Nutrition and growth support - Care coordination and family education - Fluids, electrolytes and acid-base balance - Thermoregulation - Resuscitation and stabilization |
| Topic 2: General Assessment | 15% | - Systematic physical assessment - Perinatal history collection - Growth and development assessment - Interpretation of diagnostic data |
| Topic 3: Professional Issues | 3% | - Interprofessional collaboration - Quality improvement and patient safety - Scope and standards of practice - Ethics and legal aspects |
| Topic 4: Pharmacology | 9% | - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Adverse effects and interactions |
| Topic 5: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Metabolic and endocrine system - Infectious diseases - Respiratory system - Neurological system - Musculoskeletal and integumentary system - Gastrointestinal system - Cardiovascular system - Hematopoietic and immune system - Genetics and congenital anomalies - Renal and genitourinary system - Eyes, ears, nose and throat |
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The RealVCE offers latest Neonatal Nurse Practitioner Exam NCC-NNP exam questions and answers, with Nursing NCC-NNP exam practice test questions you can ace your Nursing NCC-NNP exam preparation simply and quickly and pass the final NCC-NNP Exam easily. The Nursing NCC-NNP exam practice test questions will assist you in Nursing NCC-NNP exam preparation.
NEW QUESTION # 89
When monitoring the fetal heart rate during labor, which of the following is most likely to be most dangerous to the fetus?
Answer: A
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 # 90
A neonate exhibits the following:
*Long narrow torso with short arms and legs.
*Proximal segment of the limbs (upper arms and thighs) disproportionately short.
*Head large with frontal bossing and midface hypoplasia.
These characteristics are consistent with
Answer: A
Explanation:
Achondroplasia is the most common cause of dwarfism. Bone growth is inhibited as the result of an abnormal gene on chromosome 4. Achondroplasia can be inherited in an autosomal dominant fashion, but the majority of cases (75-80%) occur with spontaneous mutations. Clinical features apparent at birth include a long narrow torso with short arms and legs. The proximal segment of the limbs (upper arms and thighs) is disproportionately short. The head is large, with frontal bossing and midface hypoplasia. A small hump (gibbus) may be present in the mid-to-lower back. Mild, generalized hypotonia may be present.
NEW QUESTION # 91
Which of the following potential side effects can occur as a result of forceps being used during delivery?
Answer: B
Explanation:
There is a risk of facial palsy (usually temporary) and minor facial or external eye injury with forceps use. Forceps may be used during delivery to assist the neonate's passage through the birth canal, especially if the mother or infant are in distress. Rarely, a skull fracture or bleeding within the brain can occur.
NEW QUESTION # 92
Which of the following is an indication for parenteral nutrition in the premature infant?
Answer: C
Explanation:
Parenteral nutrition is given via intravenous route. It is used when enteral feeding via a tube directly in the GI tract is not possible. This is most often due to a very low birth weight, less than
1500 g. Enteral feedings are delayed in these infants due to immature lung function requiring intubation, hypotension, hypothermia, and infection risk. Also, the GI tract in these infants may not tolerate feedings that require digestion by normal means.
NEW QUESTION # 93
On examining the neonate, the NP notes 9 cafe au lait spots with a diameter greater than
5 mm and freckles on the axilla and inguinal are
a. The infant should be tested for
Answer: A
Explanation:
Cafe au lait spots (CAL) are flat skin lesions with increased melanin content and regular or irregular borders. If the CAL spots are faint, one can use a Wood lamp to make them easier to see.
Fewer than 3 cafe au lait spots have no clinical significance. However, 6 or more cafe au lait spots with a diameter larger than 5 mm occur in 95% of patients with neurofibromatosis type 1 (NFI), a disorder of chromosome 17. Lisch nodules on the child's iris and Crowe's sign (freckles on the axilla and inguinal area) corroborate the diagnosis of NFI.
NEW QUESTION # 94
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