NCC NNP exam with verified solutions
2025
fluid requirement in 1st 48 hrs
<750g - ** VERIFIED ANSWERS **✔✔100-200ml/kg/day
LBW is defined as - ** VERIFIED ANSWERS **✔✔<2500gm
VLBW is defined as - ** VERIFIED ANSWERS **✔✔<1500gm
ELBW is defined as - ** VERIFIED ANSWERS **✔✔<1000gm
Reasons for SGA - ** VERIFIED ANSWERS **✔✔HTN
Chromosomal abnormalies
Infection
Smoking
Reasons for LGA - ** VERIFIED ANSWERS **✔✔Obesity
IDM
When and why does Symmetric IUGR occur - ** VERIFIED ANSWERS **✔✔2nd trimester
Caused by chromosomal or congenital anomalies
When and why does Asymmetric IUGR occur - ** VERIFIED ANSWERS **✔✔3rd trimester
placental insufficiency
,Max weight loss for term - ** VERIFIED ANSWERS **✔✔10%
Max weight loss for preterm - ** VERIFIED ANSWERS **✔✔10-15%
average weight gain for <1kg - ** VERIFIED ANSWERS **✔✔10-15g/kg/day
average weight gain for >1-2kg - ** VERIFIED ANSWERS **✔✔15-20g/kg/day
average weight gain for >2kg - ** VERIFIED ANSWERS **✔✔25-35g/kg/day
Preterm length increase rate - ** VERIFIED ANSWERS **✔✔0.8-1.1cm/wk
term length increase rate - ** VERIFIED ANSWERS **✔✔0.66cm/wk
Preterm OFC increase rate - ** VERIFIED ANSWERS **✔✔0.6-1cm/wk
term ofc increase rate - ** VERIFIED ANSWERS **✔✔0.5cm/wk
where digestion occurs - ** VERIFIED ANSWERS **✔✔stomach, mouth, and small intestine
where absorption of nutrients occurs - ** VERIFIED ANSWERS **✔✔small intestines
what breaks down fat - ** VERIFIED ANSWERS **✔✔lipase and bile salts
If no large bowel is present, what is lost - ** VERIFIED ANSWERS **✔✔increase loss of H20 and
NA
where are vitamins absorbed - ** VERIFIED ANSWERS **✔✔ileum
,Where most nutrients are absorbed - ** VERIFIED ANSWERS **✔✔Dueodenum and jejunum
Kcal of 1 gr CHO - ** VERIFIED ANSWERS **✔✔3.4kcal
min GIR infusion - ** VERIFIED ANSWERS **✔✔4-6mg/kg/min
A GIR >12mg/kg/min can cause - ** VERIFIED ANSWERS **✔✔exceeds max glucose oxidation
point and leads to fat synthesis and increased CO2 production
reasons for hypocalcemia after birth - ** VERIFIED ANSWERS **✔✔reduced Ca intake
impaired PTH response
increased calcitonin
increased urinary loss
If calcium levels are high, then what happens to phos - ** VERIFIED ANSWERS **✔✔phos is low
risks of tpn - ** VERIFIED ANSWERS **✔✔cholestasis
metabolic bone disease
anemia
enzyme that breaks down CHO - ** VERIFIED ANSWERS **✔✔amylase
what does ebm have less of than formula - ** VERIFIED ANSWERS **✔✔protein
calcium
phos
primary CHO in EBM - ** VERIFIED ANSWERS **✔✔lactose
formula for galactacemia - ** VERIFIED ANSWERS **✔✔soy based
, Contraindications for Br feeding - ** VERIFIED ANSWERS **✔✔HIV
HSV on breast
Cocaine use
ratio of whey to casein - ** VERIFIED ANSWERS **✔✔80/20 then 60/40
most variable part of breast milk - ** VERIFIED ANSWERS **✔✔fat
What does soy formulas cause - ** VERIFIED ANSWERS **✔✔hyperchloremia
soy formula is used in - ** VERIFIED ANSWERS **✔✔galactesemia
lactase deficiency
hypochloremia
Advantages for early enteral feedings - ** VERIFIED ANSWERS **✔✔stimulate hormones and gut
maturation. mature small intestine motor activity
why is fat in breast milk well absorbed - ** VERIFIED ANSWERS **✔✔palmitic acid is in beta
position
why is fat in EBM less absorbed in premies - ** VERIFIED ANSWERS **✔✔decrease amt of lipase
and bile salts
feeding whole milk can cause - ** VERIFIED ANSWERS **✔✔Hyperphosphatemia
What gammaglobulin is excreted in EBM - ** VERIFIED ANSWERS **✔✔IgA
What does VitD do for a baby with osteopenia - ** VERIFIED ANSWERS **✔✔stimulates
osteoclasts
2025
fluid requirement in 1st 48 hrs
<750g - ** VERIFIED ANSWERS **✔✔100-200ml/kg/day
LBW is defined as - ** VERIFIED ANSWERS **✔✔<2500gm
VLBW is defined as - ** VERIFIED ANSWERS **✔✔<1500gm
ELBW is defined as - ** VERIFIED ANSWERS **✔✔<1000gm
Reasons for SGA - ** VERIFIED ANSWERS **✔✔HTN
Chromosomal abnormalies
Infection
Smoking
Reasons for LGA - ** VERIFIED ANSWERS **✔✔Obesity
IDM
When and why does Symmetric IUGR occur - ** VERIFIED ANSWERS **✔✔2nd trimester
Caused by chromosomal or congenital anomalies
When and why does Asymmetric IUGR occur - ** VERIFIED ANSWERS **✔✔3rd trimester
placental insufficiency
,Max weight loss for term - ** VERIFIED ANSWERS **✔✔10%
Max weight loss for preterm - ** VERIFIED ANSWERS **✔✔10-15%
average weight gain for <1kg - ** VERIFIED ANSWERS **✔✔10-15g/kg/day
average weight gain for >1-2kg - ** VERIFIED ANSWERS **✔✔15-20g/kg/day
average weight gain for >2kg - ** VERIFIED ANSWERS **✔✔25-35g/kg/day
Preterm length increase rate - ** VERIFIED ANSWERS **✔✔0.8-1.1cm/wk
term length increase rate - ** VERIFIED ANSWERS **✔✔0.66cm/wk
Preterm OFC increase rate - ** VERIFIED ANSWERS **✔✔0.6-1cm/wk
term ofc increase rate - ** VERIFIED ANSWERS **✔✔0.5cm/wk
where digestion occurs - ** VERIFIED ANSWERS **✔✔stomach, mouth, and small intestine
where absorption of nutrients occurs - ** VERIFIED ANSWERS **✔✔small intestines
what breaks down fat - ** VERIFIED ANSWERS **✔✔lipase and bile salts
If no large bowel is present, what is lost - ** VERIFIED ANSWERS **✔✔increase loss of H20 and
NA
where are vitamins absorbed - ** VERIFIED ANSWERS **✔✔ileum
,Where most nutrients are absorbed - ** VERIFIED ANSWERS **✔✔Dueodenum and jejunum
Kcal of 1 gr CHO - ** VERIFIED ANSWERS **✔✔3.4kcal
min GIR infusion - ** VERIFIED ANSWERS **✔✔4-6mg/kg/min
A GIR >12mg/kg/min can cause - ** VERIFIED ANSWERS **✔✔exceeds max glucose oxidation
point and leads to fat synthesis and increased CO2 production
reasons for hypocalcemia after birth - ** VERIFIED ANSWERS **✔✔reduced Ca intake
impaired PTH response
increased calcitonin
increased urinary loss
If calcium levels are high, then what happens to phos - ** VERIFIED ANSWERS **✔✔phos is low
risks of tpn - ** VERIFIED ANSWERS **✔✔cholestasis
metabolic bone disease
anemia
enzyme that breaks down CHO - ** VERIFIED ANSWERS **✔✔amylase
what does ebm have less of than formula - ** VERIFIED ANSWERS **✔✔protein
calcium
phos
primary CHO in EBM - ** VERIFIED ANSWERS **✔✔lactose
formula for galactacemia - ** VERIFIED ANSWERS **✔✔soy based
, Contraindications for Br feeding - ** VERIFIED ANSWERS **✔✔HIV
HSV on breast
Cocaine use
ratio of whey to casein - ** VERIFIED ANSWERS **✔✔80/20 then 60/40
most variable part of breast milk - ** VERIFIED ANSWERS **✔✔fat
What does soy formulas cause - ** VERIFIED ANSWERS **✔✔hyperchloremia
soy formula is used in - ** VERIFIED ANSWERS **✔✔galactesemia
lactase deficiency
hypochloremia
Advantages for early enteral feedings - ** VERIFIED ANSWERS **✔✔stimulate hormones and gut
maturation. mature small intestine motor activity
why is fat in breast milk well absorbed - ** VERIFIED ANSWERS **✔✔palmitic acid is in beta
position
why is fat in EBM less absorbed in premies - ** VERIFIED ANSWERS **✔✔decrease amt of lipase
and bile salts
feeding whole milk can cause - ** VERIFIED ANSWERS **✔✔Hyperphosphatemia
What gammaglobulin is excreted in EBM - ** VERIFIED ANSWERS **✔✔IgA
What does VitD do for a baby with osteopenia - ** VERIFIED ANSWERS **✔✔stimulates
osteoclasts
