NCC NNP EXAMS SCRIPT UPDATED QUESTIONS AND
ANSWERS GRADED A+
✔✔lactose - ✔✔primary CHO in EBM
✔✔soy based - ✔✔formula for galactacemia
✔✔HIV
HSV on breast
Cocaine use - ✔✔Contraindications for Br feeding
✔✔80/20 then 60/40 - ✔✔ratio of whey to casein
✔✔fat - ✔✔most variable part of breast milk
✔✔hyperchloremia - ✔✔What does soy formulas cause
✔✔galactesemia
lactase deficiency
hypochloremia - ✔✔soy formula is used in
✔✔stimulate hormones and gut maturation. mature small intestine motor activity -
✔✔Advantages for early enteral feedings
✔✔palmitic acid is in beta position - ✔✔why is fat in breast milk well absorbed
✔✔decrease amt of lipase and bile salts - ✔✔why is fat in EBM less absorbed in
premies
✔✔Hyperphosphatemia - ✔✔feeding whole milk can cause
✔✔IgA - ✔✔What gammaglobulin is excreted in EBM
✔✔stimulates osteoclasts - ✔✔What does VitD do for a baby with osteopenia
✔✔Hypophosphatemia
hyponatremia
hypocalcemia - ✔✔EBM can cause
✔✔Decrease AA in PN - ✔✔What do you do with a serum protein of 5
✔✔200-250 - ✔✔Upper threshold of Triglycerides
,✔✔0.154 meq/ml - ✔✔NS flush gives how much meq of NA in 1 ml
✔✔tracheomalacia - ✔✔expiratory stridor
collapse of the trachea
✔✔Laryngeomalacia - ✔✔stridor on inspiration
collapse of laryngeal ring
✔✔TTN - ✔✔barrel shaped chest
tachypnea without distress
min o2 needs
mild resp acidosis
hyperexpansion
perihilar infiltrates
✔✔GBS - ✔✔most freq cause of early onset pneumonia
✔✔Apt Test for Fetal Hemoglobin - ✔✔checks for mixing of fetal/maternal blood
✔✔24-28wks - ✔✔When does surfactant production begins
✔✔tx for pie - ✔✔reduce pressures- pip peep, shorten it
put affected side down
✔✔S/S of pneumo - ✔✔bradycardia
hypotension
increase o2 needs
✔✔Causes of PPHN - ✔✔MAS
asphyxia
NSAIDS in 3rd trimester
SSRI in 2nd trimester
✔✔S/S of PPHN - ✔✔Single S2
cyanosis
tachypnea
Resp distress
harsh systolic murmur from TR
poor perfusion
✔✔fetal hydrops - ✔✔What can a ccam cause
✔✔increase peep - ✔✔treatment for pulm hemorrhage
, ✔✔decreases - ✔✔Neuromuscular assessment on Ballard.
What does advancing gestational age do to square window
✔✔increases - ✔✔Neuromuscular assessment on Ballard.
What does advancing gestational age do arm recoil
✔✔decreases - ✔✔Neuromuscular assessment on Ballard.
What does advancing gestational age do to popiteal angle
✔✔decreases - ✔✔Neuromuscular assessment on Ballard.
What does advancing gestational age do to scarf sign
✔✔decreases - ✔✔Neuromuscular assessment on Ballard.
What does advancing gestational age do to heel to ear
✔✔neck hyperextension/breech - ✔✔what can result in flaccid upper arm and lower
extremities
✔✔staph aureus - ✔✔what causes scalded skin
✔✔Hypermetabolic state - ✔✔increased HR, resp, and decreased sats
✔✔BPP - ✔✔Best indicator of fetal asphyxia
✔✔immature vasomotor tone - ✔✔What cause acrocyanosis
✔✔Babinski - ✔✔Which reflex is the last to disappear
✔✔cephlahematoma - ✔✔Blood between periosteum and skull
✔✔caput - ✔✔fluid between aponeurois and periosteum
✔✔chronic hypoxia
IUGR
polycythemia - ✔✔A mother with Sickle cell will have what effect on infant
✔✔5th intercostal space - ✔✔apical pulse at birth
✔✔4th intercostal space mid clavicular - ✔✔apical pulse in older infant
✔✔Volume expansion- NS, blood - ✔✔treatment for velimentous cord insertion and
hypotension
ANSWERS GRADED A+
✔✔lactose - ✔✔primary CHO in EBM
✔✔soy based - ✔✔formula for galactacemia
✔✔HIV
HSV on breast
Cocaine use - ✔✔Contraindications for Br feeding
✔✔80/20 then 60/40 - ✔✔ratio of whey to casein
✔✔fat - ✔✔most variable part of breast milk
✔✔hyperchloremia - ✔✔What does soy formulas cause
✔✔galactesemia
lactase deficiency
hypochloremia - ✔✔soy formula is used in
✔✔stimulate hormones and gut maturation. mature small intestine motor activity -
✔✔Advantages for early enteral feedings
✔✔palmitic acid is in beta position - ✔✔why is fat in breast milk well absorbed
✔✔decrease amt of lipase and bile salts - ✔✔why is fat in EBM less absorbed in
premies
✔✔Hyperphosphatemia - ✔✔feeding whole milk can cause
✔✔IgA - ✔✔What gammaglobulin is excreted in EBM
✔✔stimulates osteoclasts - ✔✔What does VitD do for a baby with osteopenia
✔✔Hypophosphatemia
hyponatremia
hypocalcemia - ✔✔EBM can cause
✔✔Decrease AA in PN - ✔✔What do you do with a serum protein of 5
✔✔200-250 - ✔✔Upper threshold of Triglycerides
,✔✔0.154 meq/ml - ✔✔NS flush gives how much meq of NA in 1 ml
✔✔tracheomalacia - ✔✔expiratory stridor
collapse of the trachea
✔✔Laryngeomalacia - ✔✔stridor on inspiration
collapse of laryngeal ring
✔✔TTN - ✔✔barrel shaped chest
tachypnea without distress
min o2 needs
mild resp acidosis
hyperexpansion
perihilar infiltrates
✔✔GBS - ✔✔most freq cause of early onset pneumonia
✔✔Apt Test for Fetal Hemoglobin - ✔✔checks for mixing of fetal/maternal blood
✔✔24-28wks - ✔✔When does surfactant production begins
✔✔tx for pie - ✔✔reduce pressures- pip peep, shorten it
put affected side down
✔✔S/S of pneumo - ✔✔bradycardia
hypotension
increase o2 needs
✔✔Causes of PPHN - ✔✔MAS
asphyxia
NSAIDS in 3rd trimester
SSRI in 2nd trimester
✔✔S/S of PPHN - ✔✔Single S2
cyanosis
tachypnea
Resp distress
harsh systolic murmur from TR
poor perfusion
✔✔fetal hydrops - ✔✔What can a ccam cause
✔✔increase peep - ✔✔treatment for pulm hemorrhage
, ✔✔decreases - ✔✔Neuromuscular assessment on Ballard.
What does advancing gestational age do to square window
✔✔increases - ✔✔Neuromuscular assessment on Ballard.
What does advancing gestational age do arm recoil
✔✔decreases - ✔✔Neuromuscular assessment on Ballard.
What does advancing gestational age do to popiteal angle
✔✔decreases - ✔✔Neuromuscular assessment on Ballard.
What does advancing gestational age do to scarf sign
✔✔decreases - ✔✔Neuromuscular assessment on Ballard.
What does advancing gestational age do to heel to ear
✔✔neck hyperextension/breech - ✔✔what can result in flaccid upper arm and lower
extremities
✔✔staph aureus - ✔✔what causes scalded skin
✔✔Hypermetabolic state - ✔✔increased HR, resp, and decreased sats
✔✔BPP - ✔✔Best indicator of fetal asphyxia
✔✔immature vasomotor tone - ✔✔What cause acrocyanosis
✔✔Babinski - ✔✔Which reflex is the last to disappear
✔✔cephlahematoma - ✔✔Blood between periosteum and skull
✔✔caput - ✔✔fluid between aponeurois and periosteum
✔✔chronic hypoxia
IUGR
polycythemia - ✔✔A mother with Sickle cell will have what effect on infant
✔✔5th intercostal space - ✔✔apical pulse at birth
✔✔4th intercostal space mid clavicular - ✔✔apical pulse in older infant
✔✔Volume expansion- NS, blood - ✔✔treatment for velimentous cord insertion and
hypotension
