NCC Neonatal Nurse Practitioner Exam Questions with Answers, Exams of Nursing

Download NCC Neonatal Nurse Practitioner Exam Questions with Answers and more Exams Nursing in PDF only on Docsity! NCC Neonatal Nurse Practitioner Exam Questions with Answers GBS occurs during what age ✔1 week of life Signs of neonatal dehyrdation ✔Suken eyes, cold feet, excessive sleepiness, fussiness, suken fontanelles Biophysical Profile (BPP) ✔Assessment of five variables in the fetus that help to evaluate fetal risk: breathing movement, body movement, tone, amniotic fluid volume, and fetal heart rate reactivity. Caput Succedaneum ✔Edema under scalp- pressure part of head against the cervix How does caput succedaneum feel ✔soft, spongy, crosses suture lines When does caput succedaneum resolve? ✔in a few days Fetal fibronectin (fFN) ✔99% probability of birth within 2 weeks Fetal circulation in blood vessels ✔is constricted with very little blood flow due to increase PVR APGAR 4-6 indicates ✔focused resucitation efforts APGAR <3 ✔intensivie rescuitation efforts Fetus responses to hypoxia by ✔redistruction of blood to vital organ, transient bradycardia, and anerobic metabolsim essential fatty acids (EFAs) help to improve ✔visual acuity and congenitive ability Oxygenation ✔partial pressure of oxygen within arterial blood reflects the exchange of oxygen Factors that impact oxygenation ✔percentage of oxygen delivered and mechanical mean airway presse(paw) Ventilation ✔removal of co2 What impacts infant co2 removal ✔pulmonary blood flow and generated infant breath In conventional ventilation strategies for co2 removal is most affected by ✔tidal volume (amp of the bx by PIP -PEEP) and frequency PEEP promotes and improves ✔FRC Mean Airway Pressure (Paw) ✔avg pressure applied to the lung during the respiratory cycle Paw is affected by ✔PIP, PEEP, iT, frequency, & gas flow Time constant ✔resistance x compliance Compliance ✔change in volume divided by change in pressure Resistance ✔change in pressure divided change in flow Acidosis ✔decrease pH, increase cO2, decrease HCO3 Alkalosis ✔increase ph, decrease co2, increase hco3 Metabolic Acidosis Compensation ✔decrease Hco3, decrease CO2 Metabolic Alkalosis Compenstation ✔Increase Hco3 & CO2 Respiratory Acidosis Compensation ✔Increase CO2 & HCO3 Respiratory Alkalosis Compensation ✔Decrease CO2 & HCO3 Metabolic Acidosis with High Anion Gap Causes ✔Lactic Acidosis, IEM, Acute Renal Failure-bicarb wasting Metabolic Acidosis with Normal Anion Gap Causes ✔RTA, hypothyroidism, renal dysplasia, obstructive uropathy Bicarb causes ✔Hyponatremia, Hypocalcemia, and IVH risk increases Metabolic Alkalosis Causes ✔Batter Syndrome, Correction of Chronic Respiratory Acidosis, Pyloric Stenosis, Cystic Fibrosis When compensating for respiratory system you look at ✔CO2 When compensating for metabolic system you look at ✔HC03 Uncompensated Respiratory is a normal ✔bicarb Uncompensated Metabloic is a normal ✔co2 HFJV and CV Decrease C02 ✔Increase PIP & Rate, decrease iTime HFJV and CV Increase CO2 ✔Decrease PIP & Rate, Increase iTime HFJV and CV Decrease 02 ✔decrease Fio2, decrease MAP HFJV and CV Increase 02 ✔Increase Fio2, MAP, iTime HFJV and CV Oxygenation ✔PEEP & Fio2 HFJV and CV Ventilation ✔Difference btw PIP & PEEP HFOV Oxygenation Golden Rule for RDS ✔start 1-4 cm above the MAP set on the CV HFOV Oxygenation Golden Rule for PIE/Air Leak ✔same MAP as CV- adjust your 02 HFOV oxygenation is your ✔MAP HFOV ventilation ✔AMP HFOV Golden Rule increase in increments of _____ until chest wiggle ✔2-4 cmH2o HFOV Range of AMP ✔10-30 cm H2o HFOV Rate is expressed as ✔Frequncy HFOV frequency for <1k ✔15 hz HFOV frequency for 1-2 kg ✔12 hz HFOV frequency for >2kg ✔10 Hz HFOV Parameters Decrease Co2 ✔decrease Hz (Rate) increase AMP HFOV Parameters Increase Co2 ✔Increase Hz (Rate) Decrease AMP HFOV Parameters Increase O2 ✔Increase MAP & FIO2 HFOV Parameters Decrease 02 ✔Decrease MAP & FIO2 iNO age usage ✔>34 weeks Rule of 6 Oral ET ✔kg +6 cm Rule of 6 Nasal ET ✔kg x 1.5 + 6cm