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NCC Neonatal Nurse Practitioner (NNP) Practice Tests & Test Prep by Exam Edge - Topics


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NCC Neonatal Nurse Practitioner Exam Blueprint

Understanding the exact breakdown of the NCC Neonatal Nurse Practitioner test will help you know what to expect and how to most effectively prepare. The NCC Neonatal Nurse Practitioner has 150 multiple-choice questions The exam will be broken down into the sections below:

NCC Neonatal Nurse Practitioner Exam Blueprint
Domain Name % Number of
Questions
General Assessment 21% 32
General Management 22% 33
The Disease Process 55% 83
Professional Issues 2% 3

NCC Neonatal Nurse Practitioner - Exam Topics Sample Questions

Which of the following conditions is a rare medical condition characterized by a facial maroon-colored birthmark that causes varying degrees of glaucoma/and or seizure?

Correct Answer:
sturge-weber syndrome


the correct answer to the question is sturge-weber syndrome. this syndrome, also known as encephalotrigeminal angiomatosis, is a rare, congenital (present at birth) disorder. it is not inherited from parents (non-familial) and occurs sporadically in the population. the cause of sturge-weber syndrome is not fully understood, making it difficult to predict or prevent.

sturge-weber syndrome is primarily characterized by a distinct facial birthmark, known as a port-wine stain, which is typically maroon-colored and involves the distribution of the trigeminal nerve on the face. this birthmark is caused by an overabundance of capillaries near the surface of the skin, leading to the visible discoloration.

beyond the cosmetic implications, the syndrome often entails more serious complications. neurological abnormalities are common, including seizures which can vary in severity and frequency. these seizures are believed to be linked to abnormal blood vessel development in the brain, which can also lead to calcification and loss of nerve cells in the affected areas.

glaucoma is another significant concern in individuals with sturge-weber syndrome. this condition, which involves increased pressure within the eye, can be present at birth or develop later. it stems from the abnormal development of blood vessels in the eye, similar to those causing the facial port-wine stain, which can disrupt normal eye pressure regulation. glaucoma can lead to vision loss if not properly managed.

in addition to seizures and glaucoma, individuals with sturge-weber may experience varying degrees of developmental delay and learning difficulties, depending on the severity of the brain involvement. there may also be other organ irregularities, though these are less common.

contrasting conditions mentioned in the options: - cafe au lait spots are typically associated with neurofibromatosis type 1, not sturge-weber syndrome. these spots are light brown, unlike the maroon-colored port-wine stain. - turner syndrome is a genetic condition affecting females, characterized by the absence of all or part of a second x chromosome, and not linked to the symptoms of sturge-weber syndrome. - port-wine stains themselves, without the accompanying neurological and eye abnormalities, do not signify sturge-weber syndrome but are simply a type of birthmark that can occur in the general population without other complications.

About what percentage of fetal cardiac output is located in the placental circulation?

Correct Answer:
40%
the correct answer to the question about what percentage of fetal cardiac output is located in the placental circulation is approximately 40%.

this percentage signifies the proportion of the heart's output that is directed towards the placenta to enable the exchange of oxygen, nutrients, and waste products between the mother and the fetus. the placenta is a critical organ in fetal development; it not only provides oxygen and nutrients but also removes waste products from the fetal blood.

the significance of the 40% cardiac output directed to the placenta is underscored by the placenta's role in supporting the growing fetus. this substantial blood flow ensures that the fetus receives sufficient oxygen and nutrients necessary for growth and development. any variations in this blood flow can have direct implications on fetal health.

moreover, the dependency of the fetus on placental circulation means that any changes in maternal physiology or conditions that affect the uterine environment can impact fetal well-being. for instance, during labor, especially during contractions in the first and second stages, there can be transient reductions in placental blood flow. this is because uterine contractions during labor temporarily reduce the blood flow to the placenta, which can lead to transient fetal stress. this is a critical consideration in labor management, as sustained or significant reductions in placental blood flow can lead to fetal hypoxia and other complications.

in summary, understanding that approximately 40% of fetal cardiac output is directed to the placental circulation highlights the significant role the placenta plays in fetal development and the potential risks associated with reduced placental perfusion during labor. this knowledge is crucial for healthcare providers in managing both prenatal care and labor to ensure fetal well-being.