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A comprehensive study guide for the neonatal nurse practitioner nnp-bc exam, covering key concepts and providing answers to practice questions. It is a valuable resource for students preparing for the exam, offering insights into various aspects of neonatal care, including fluid requirements, growth parameters, nutrition, respiratory distress, and more.
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Course Title and Number: NCC Neonatal Nurse Practitioner NNP-BC Exam Exam Title: Board Exam Exam Date: Exam 2024- 2025 Instructor: [Insert Instructor’s Name] Student Name: [Insert Student’s Name] Student ID: [Insert Student ID]
180 minutes
**1. Read each question carefully.
📧 Hybridgrades101@gmail.com NCC National Certification Corporation 2024- Neonatal Nurse Practitioner NCC NNP Exam Prep Study Guide Questions and Answers | 100% Pass Guaranteed | Graded A+ | Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - fluid requirement in 1st 48 hrs <750g - Answer>> 100-200ml/kg/day LBW is defined as - Answer>> <2500gm VLBW is defined as - Answer>> <1500gm ELBW is defined as - Answer>> <1000gm Reasons for SGA - Answer>> HTN Chromosomal abnormalies Infection Smoking Reasons for LGA - Answer>> Obesity IDM When and why does Symmetric IUGR occur - Answer>> 2nd trimester Caused by chromosomal or congenital anomalies When and why does Asymmetric IUGR occur - Answer>> 3rd trimester placental insufficiency Max weight loss for term - Answer>> 10% Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Kcal of 1 gr CHO - Answer>> 3.4kcal min GIR infusion - Answer>> 4-6mg/kg/min A GIR >12mg/kg/min can cause - Answer>> exceeds max glucose oxidation point and leads to fat synthesis and increased CO2 production reasons for hypocalcemia after birth - Answer>> reduced Ca intake impaired PTH response increased calcitonin increased urinary loss If calcium levels are high, then what happens to phos - Answer>> phos is low risks of tpn - Answer>> cholestasis metabolic bone disease anemia enzyme that breaks down CHO - Answer>> amylase what does ebm have less of than formula - Answer>> protein calcium phos primary CHO in EBM - Answer>> lactose formula for galactacemia - Answer>> soy based Contraindications for Br feeding - Answer>> HIV HSV on breast Cocaine use Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com ratio of whey to casein - Answer>> 80/20 then 60/ most variable part of breast milk - Answer>> fat What does soy formulas cause - Answer>> hyperchloremia soy formula is used in - Answer>> galactesemia lactase deficiency hypochloremia Advantages for early enteral feedings - Answer>> stimulate hormones and gut maturation. mature small intestine motor activity why is fat in breast milk well absorbed - Answer>> palmitic acid is in beta position why is fat in EBM less absorbed in premies - Answer>> decrease amt of lipase and bile salts feeding whole milk can cause - Answer>> Hyperphosphatemia What gammaglobulin is excreted in EBM - Answer>> IgA What does VitD do for a baby with osteopenia - Answer>> stimulates osteoclasts EBM can cause - Answer>> Hypophosphatemia hyponatremia hypocalcemia Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com bradycardia hypotension increase o2 needs - Answer>> S/S of pneumo MAS asphyxia NSAIDS in 3rd trimester SSRI in 2nd trimester - Answer>> Causes of PPHN Single S cyanosis tachypnea Resp distress harsh systolic murmur from TR poor perfusion - Answer>> S/S of PPHN What can a ccam cause - Answer>> fetal hydrops treatment for pulm hemorrhage - Answer>> increase peep Neuromuscular assessment on Ballard. What does advancing gestational age do to square window - Answer>> decreases Neuromuscular assessment on Ballard. What does advancing gestational age do arm recoil - Answer>> increases Neuromuscular assessment on Ballard. What does advancing gestational age do to popiteal angle - Answer>> decreases Neuromuscular assessment on Ballard. What does advancing gestational age do to scarf sign - Answer>> decreases Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Neuromuscular assessment on Ballard. What does advancing gestational age do to heel to ear
- Answer>> decreases what can result in flaccid upper arm and lower extremities - Answer>> neck hyperextension/breech what causes scalded skin - Answer>> staph aureus increased HR, resp, and decreased sats - Answer>> Hypermetabolic state Best indicator of fetal asphyxia - Answer>> BPP What cause acrocyanosis - Answer>> immature vasomotor tone Which reflex is the last to disappear - Answer>> Babinski Blood between periosteum and skull - Answer>> cephlahematoma fluid between aponeurois and periosteum - Answer>> caput A mother with Sickle cell will have what effect on infant - Answer>> chronic hypoxia IUGR polycythemia apical pulse at birth - Answer>> 5th intercostal space apical pulse in older infant - Answer>> 4th intercostal space mid clavicular Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com gi suctioning diuretics - Answer>> Causes of metabolic alkalosis v/q mismatch not enough blood getting to alveoli or not enough o2 in alveoli - Answer>> causes of resp acidosis increase in o decrease in tv decrease in vent causing increase in Co2 - Answer>> increasing the peep results in increase map increase in sats increases barotrauma - Answer>> Increasing the pip causes Fio2 x MAP x 100 / PaO2 - Answer>> oi calculation when does methemoglobin toxicity occur - Answer>>
40 ppm What does the intracellular/extracellular water do with increasing gestation - Answer>> intracellular increases
extracellular decreases What does total body fluid do with increasing gestational age - Answer>> decreases with age Weight loss and return to birth weight in term - Answer>> 5-10% with a return at 10days Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Weight loss and return to birth weight in Preterm - Answer>> 10-20% with return by 2 weeks in preterm, 3 wks in micro Why do premies loose so much fluid - Answer>> Distal tubules are more impermeable to water decreased gfr decreased concentration of urine Where does ADH work - Answer>> Distal tubule weight gain hyponatremia decreased urine output increased urine osmolality- more stuff makes it concentrate decreased plasma osmolality- dilute - Answer>> S/S of SIDH fluid restrict Nacl replacement lasix - Answer>> treatment for siadh hypernatremia hypotonic urine increase serum osmo decrease urine osmo increased ca decreased k - Answer>> s/s of diabetes insipidus fluid thiazides lytes - Answer>> treatment for Diabetes insipidus hypernatremia increase serum osmo Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com range for Creatinine - Answer>> 0.3- range for Ca - Answer>> 8- most common cause of hypokalemia in NICU - Answer>> medication If low, which lyte can cause hypokalemia - Answer>> Magnesium give calcium to protect heart bicarb insulin+ dextrose albuterol- beta 2 adrenergic keep calcium and mag in range correct acidosis - Answer>> treatment for hyperkalemia- push it into cell lasix kayexalate exchange transfusion - Answer>> how to remove potassium from body if high what can a low chloride low mean. - Answer>> metabolic alkalosis because of bicarb absorption how does acidosis cause hyperkalemia - Answer>> cell exchanges H ions and pushes K into plasma cause of hyperchloride - Answer>> too much intake low serum Co2 (bicarb of blood)means - Answer>> metabolic acidosis Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com high serum Co2 (bicarb of blood) means - Answer>> metabolic alkalosis ratio of calcium to phos - Answer>> 1.3: What lytes look like in volume overload - Answer>> decrease na increase k increase CL GIR equation - Answer>> mg/kg/min= ml/kg/day x % dex divided by 144 or mg/kg/min- rate (ml) x % Dex divided by kg x 6 what lytes look like in hypovolemia - Answer>> high Na low K low Cl fluid requirement in 1st 48 hrs 1000-1500g - Answer>> 60-100 ml/kg/day fluid requirement in 1st 48 hrs
1500g - Answer>> 30-60 ml/kg/day fluid requirement in 1st 48 hrs
750-1000g - Answer>> 80-150ml/kg/day ekg changes with hypokalemia - Answer>> st depression flat t waves u wave prolonged QT causes of early hyponatremia - Answer>> dilution Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com low dose aspirin can - Answer>> reduce risk of preterm birth What growth issue will diabetic mothers with vasculopathy have - Answer>> asymetrical iugr What is a complication of ace inhibitors and/or angiotension receptor blockers - Answer>> renal failure maternal cardiac disease can result in - Answer>> iugr maternal lupus is associated with - Answer>> heart block murmur that radiates to the axilla and back are - Answer>> pulmonary flow or Pulm Branch Stenosis When is full tesicular decent noted in full term males - Answer>> 75% by 9 months What is the most severe form of epispadias - Answer>> cloacal extrophy Syndactyly is - Answer>> autosomal dominent Autosomal Dominant: IUGR; microcephaly; hirutism; down-turned mouth; heart defects; micrognathia; low hairline; long eyelashes; thin upper lip; 2,3 syndactyly of toes - Answer>> Cornelia de Lange Syndrome Colobomas involving the iris and retina are associated with - Answer>> CHARGE Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Port-wine stains can indicate - Answer>> Sturge-Weber syndrome What is Doll eyes - Answer>> When head is turned, the eyes move away from direction turned What is injured when Doll eyes is present - Answer>> Brain stem Suck/swallow/breath reflex is seen by - Answer>> 32- 34 weeks lesion that is elevated, fluid filled, circumscribed and
1cm - Answer>> Bulla Phrenic nerve injury is associated to what other nerve injury - Answer>> Erb's Palsy Depth of LP - Answer>> term 1-1.5cm preterm <1cm L4- What can help differentiate from pneumothorax and pneumomedistum - Answer>> Debubitus xray What is the most common problem with a peripheral IV
- Answer>> phlebitis How much volume does a double exchange transfusion achieve? - Answer>> 85% of blood volume What are extramedullary hematopoesis - Answer>> Blueberry muffin What type of hem issue is blueberry muffin rash - Answer>> extramedullary hematopoesis Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com apical pulse 1st wk of life - Answer>> 5th intercostal space d/t rt ventricular dominance LL sternal border apical pulse after 1st week of life - Answer>> 4th intercostal space, midclavicular S/S of otitis media - Answer>> inflammation of the middle ear, purulent effusion behind bulging tympanic membrane When is rooting reflex - Answer>> 24wks in utero when is sucking reflex present - Answer>> in utero at 28 wks when is moro present - Answer>> 28 weeks when is palmar grasp present - Answer>> 32 wks when is plantar grasp - Answer>> 32 wks gestation Where is a PDA heard - Answer>> 2nd LICS, radiates to left clavicle or down left sternal border What does a VSD murmur sound like - Answer>> harsh, pansystolic heard over LLSB Where is a coarc murmur heard - Answer>> radiates down sternum, loudest on back signs of pulmonary atresia - Answer>> single heart sound decreased pulmonary markings Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com When does an endocushion defect occur. - Answer>> 5th week of development What types of defects is seen with endocushion defect - Answer>> inappropriate fusion of AV canal ASD cleft in mitral valve cleft in tricuspid valve Treatment for SVT - Answer>> digoxin Treatment for Wolfe Parkinson White - Answer>> Propanolol When does the liver take over producing RBC - Answer>> 4-5 weeks At 6-8 weeks what makes definitive erythro (5- months- peak) - Answer>> 6-8 weeks gestation When does bone marrow take over erythrocyte production - Answer>> 8 weeks What does a relative hypoxic state cause in the infant (hemo) - Answer>> increase NRBC increase Retic Normal Hgb level - Answer>> 14- What is the most common cause of fetal bleeding - Answer>> fetal-maternal hemorrhage What test is used to check for amount of fetal hemoglobin transferred from a fetus to a mother's bloodstream. - Answer>> Kleuhauer-Betke test Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧