NCC-NNP Pass Leader Dumps & Exam NCC-NNP Certification Cost

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q121-Q126):

NEW QUESTION # 121
When evaluating cord blood values 30 minutes after birth, the following arterial POZ is within normal limits

Answer: A

Explanation:
Umbilical cord blood gas testing, preferably arterial, should be done minutes after birth for infants who are at risk or depressed to determine pH and acid-base balance. Testing is most applicable to infants with low APGAR scores (0-3) persisting for 25 minutes. Normal values:


NEW QUESTION # 122
A neonate, 2 days after birth, develops a generalized rash with erythematous papules, vesicles, and some pustules everywhere but on the palms and soles of feet. The most likely diagnosis is

Answer: C

Explanation:
Erythema toxicum is a skin eruption of erythematous papules, vesicles, and sometimes pustules. Erythema toxicum is essentially benign and occurs in 250% of newborns. It is a generalized rash everywhere except the palms and soles of the feet, usually occurring 2-3 days after birth. Neonatal pustular melanosis is a benign rash (vesicles and macules) but not associated with erythema. Cutis marmorata is a disorder in which the infant's skin mottles or marbles when exposed to cold, because the superficial blood vessels dilate and contract at the same time.


NEW QUESTION # 123
The NP is assessing a newborn diagnosed with tracheomalaci
a. An exam finding that
may be seen is

Answer: B

Explanation:
Tracheomalacia can cause expiratory stridor. It is a softening of the cartilage in the trachea that results in partial or total collapse of the airway during expiration. Depending upon the severity of the condition, mechanical ventilation, CPAP, or BiPAP therapy may be necessary. In severe cases, surgical correction may be necessary to reinforce the airway so that it can remain open.


NEW QUESTION # 124
The NP is caring for a child with end stage renal disease. A sign that he may be in fluid overload is

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 # 125
Transient neonatal strabismus usually clears by the age of

Answer: B

Explanation:
Because oculomotor control is poor in the neonate, transient neonatal strabismus involving intermittent exotropia or esotropia is common and usually clears by about 4 months without treatment. Strabismus occurs when the muscles of the eyes are not coordinated so that one eye deviates from the axis of the other. Deviations include:
*Tropia, which is consistent or intermittent deviation in which the child is unable to maintain alignment of the eyes.
*Esotropia, in which both eyes turning inwards (cross eyes) and exotropia is both eyes turning outward (wall eyes).


NEW QUESTION # 126
......

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