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CCRN-Neonatal test Format | CCRN-Neonatal Course Contents | CCRN-Neonatal Course Outline | CCRN-Neonatal test Syllabus | CCRN-Neonatal test Objectives

Exam Code: CCRN-Neonatal

Exam Name: Critical Care Register Nurse (Neonatal)

Total Questions: 150 multiple-choice questions.

Scored Questions: 125 scored- 25 unscored

Time Allotted: 3 hours

Passing Score: 84 correct answers out of the 125 scored questions.



Cardiovascular

- Acquired cardiac conditions

- Alteration in the transition to extrauterine life(e.g.- PDA- PFO- PPHN)

- Cardiac tamponade

- Congenital heart defects

- Dysrhythmias

- Heart failure (e.g.- high output- congestive-secondary)

- Hemodynamic instability

- Surgery

Respiratory

- Acute respiratory distress and/or failure

- Alteration in the transition to extrauterine life(e.g.- surfactant deficiency- secondary apnea)

- Apnea of prematurity

- Aspiration (e.g.- meconium- secretions- milk-gastric contents)

- Chronic conditions (e.g.- CLD/BPD- PIE)

- Congenital anomalies (e.g.- CDH- TEF-EA-choanal atresia- tracheal malacia/stenosis/atresia- CPAM- chylothorax)

- Infection (bacterial- viral- and fungal)

- Pleural space abnormalities (e.g.-pneumothorax- hemothorax- empyema-pleural effusions)

- Pulmonary hemorrhage

- Pulmonary hypertension (e.g.- PPHN-structural failure)

- Respiratory distress syndrome (RDS)

- Surgery

- Transient tachypnea of the newborn (TTN)

Endocrine- Hematology/Immunology- GI- Renal/GU- Integumentary

- Endocrine

- Adrenal disorders

- Calcium homeostatis disorders

- Glucose homeostasis (hypo- andhyperglycemia)

- Metabolism disorders (e.g.- glucose-protein- fat)

- Thyroid disorders

- Hematology and Immunology

- Blood cell disorders (e.g.- anemias-polycythemia- sickle cell disease-leukopenia)

- Coagulopathies (e.g.- DIC-thrombocytopenias- hemorrhagic diseaseof the newborn- factor deficiencies)

- Hemolytic disease of the newborn (e.g.- Rhincompatibilities- ABO incompatibilities)

- Gastrointestinal

- Abnormalities - congenital or acquired (e.g.-omphalocele- gastroschisis- malrotation/volvulus- imperforate anus- Hirschsprungdisease- intussusception- pyloric stenosis-atresias)

- Gastroesophageal reflux

- Hepatic failure (e.g.- portal hypertension-biliary atresia- cholestasis)

- Necrotizing enterocolitis (NEC)

- Nutritional conditions

- Intolerance (e.g.- feeding- proteinabsorption- milk allergy)

- Malabsorption

- Surgery

- Renal and Genitourinary

- Conditions - congenital and acquired (e.g.-hypospadias- polycystic kidney disease-hydronephrosis- bladder exstrophy- posterior urethral valves- ambiguousgenitalia- AKI- CKD)

- Infections

- Surgery

- Integumentary

- Complications related to neonatal skin (e.g.-injury- transepidermal water loss- contactdermatitis)

- Congenital abnormalities(e.g.- epidermolysis bullosa- skin tags-hemangiomas)

- Diaper dermatitis

- Infection (bacterial- viral- and fungal)

- IV infiltration/extravasation

- Skin conditions associated with gestationalage

- Wounds (non-surgical and surgical)

Psychosocial

- Musculoskeletal

- Acquired conditions (e.g.- osteopenia-fractures- brachial plexus injury- infection)

- Congenital conditions (e.g.- craniofacial-limb- muscle- spine- osteogenesisimperfecta)

- Neurological

- Congenital abnormalities (e.g.- AVmalformation- myelomeningocele-encephalocele- hydrocephalus)

- Hemorrhage (e.g.- extracranial- intracranial-intraventricular)

- Infection (bacterial- viral- and fungal)

- Ischemic insult (e.g.- stroke- periventricularleukomalacia- HIE)

- Seizures

- State dysregulation (e.g.- stress- pain-agitation)

- Surgery

- Behavioral and Psychosocial

- Alterations in family systems (e.g.-engagement- resource limitations- caregiverconfidence- PTSD- postpartum mooddisorder)

- Abuse/neglect/maltreatment

- Families in crisis (e.g.- grief- lack of coping-violent behavioral escalation- obstructionof care)

- Culture/communication/language

Multisystem

- Acid-base and fluid/electrolyte imbalance

- Birth trauma

- Conditions requiring advanced therapy(e.g.- ECMO- CRRT- dialysis- therapeutichypothermia)

- Delay in growth and/or developmentalmilestones

- Genetic conditions

- Metabolic

- Syndromes (e.g.- Turner- Noonan- BeckwithWiedemann- Prader-Willi- Angelman-CHARGE)

- Trisomies (13- 18- 21)

- Healthcare-acquired conditions (e.g.- CAUTI-CLABSI- VAE- HAPI- PIVIE- MDRO)

- Hydrops fetalis

- Hyperbilirubinemia

- Infant of a diabetic mother (IDM)

- Life-threatening maternal/fetal complications(e.g.- eclampsia- HELLP syndrome- maternalfetal transfusion- placental abruption- placenta previa)

- 1Multi-organ failure

- Sensory impairment (e.g.- retinopathy ofprematurity- glaucoma- congenital hearingimpairment)

- Sepsis (early and late onset)

- Sequences (e.g.- VACTERL- Pierre Robin)

- Shock states (e.g.- hypovolemic- septic-cardiogenic- obstructive)

- Terminal conditions (e.g.- end-of-life- palliativecare- death and dying)

- Thermoregulation

- Toxin/drug exposure (e.g.- withdrawal frommaternal or iatrogenic substances- fetal alcoholspectrum syndrome)

General

- Anticipate and recognize signs and systems ofevolving patient condition

- Assess and monitor based on patient's gestationalage

- Identify and monitor normal and abnormaldiagnostic test results (e.g.- labs- radiology-pathology)

- Implement interventions to keep the neonatessafe (e.g.- transport- security- safe sleep- safe infanthandling- infection prevention)

- Manage equipment and/or devices relevant topatient care

- Manage patients receiving enteral/oral andparenteral medications based on gestational age andweight

- Provide age-appropriate developmental care

- Provide care for families considering equity- diversity-and inclusion

- Provide pre- intra- and post-operative/proceduralcare

- Recognize indications for advanced therapies andfollow protocols

- Recognize signs and systems of emergencies- initiateinterventions- and seek assistance as needed

- Recognize the impact of genetics on postnatal care

- Cardiovascular

- Identify- interpret and monitor cardiac rhythms

- Recognize normal fetal circulation and transition toextrauterine life

- Recognize signs and symptoms of hemodynamicinstability

- Recognize indications for and manage patients with/requiring:

- congenital cardiovascular abnormalities

- hemodynamic monitoring (non-invasive andinvasive)

- patent ductus arteriosus (PDA)

- pharmacologic and mechanic cardioversion

- vascular access (e.g.- PIVS- UVC- UAC- Midline-PICC- tunneled- non-tunneled)

- Respiratory

- Interpret blood gas results

- Manage medications and monitor patients requiringrapid sequence intubation (RSI)

- Prevent complications related to respiratory support

- Recognize indications for and manage patients with/requiring:

- alternative airways (e.g.- endotracheal tube-laryngeal mask airway (LMA))

- assisted ventilation (traditional and highfreqency)

- chest tubes

- congenital respiratory/pulmonaryabnormalities

- non-invasive positive pressure ventilation(e.g.- CPAP- NIPPV- high-flow nasal cannula)

- respiratory monitoring devices (e.g.- SP02-SV02- ETC02)

- therapeutic gases (e.g.- oxygen- nitric oxide-heliox- CO2)

- thoracentesis

- tracheostomy

- Hematology and Immunology

- Recognize indications for and manage patients with/requiring:

- bleeding disorders and other bloodpathophysiology

- blood conservation techniques

- congenital hematology/immunologyabnormalities

- transfusion of blood products

- Neurological

- Implement strategies for neurologic protection/promotion

- Recognize indications for and manage patients with/requiring:

- congenital neurological abnormailities

- neurologic monitoring devices and drains (e.g.-ICP- ventricular drain)

- pain (non-pharmacologic and pharmacologic)

- sedation (e.g.- procedural- intermittent-continuous)

- therapeutic hypothermia

- Integumentary

- Recognize indications for- and manage patients with/requiring:

- altered skin integrity based on gestational age

- congenital integumentary abnormalities

- infiltration/extravasation

- preventative and therapeutic intervention(e.g.- neonatal skin care- humidity- bathing-adhesives)

- therapeutic devices (e.g.- wound VACs- pressurereduction surfaces- ostomy device)

- Gastrointestinal

- Recognize indications for and manage patients with/requiring:

- congenital GI abnormalities

- enteral and parenteral nutrition

- enteral tubes (gastic and post-pyloric)

- feeding diffulties and disorders

- lactation support

- necrotizing enterocolities (NEC)

- peritoneal drains

- transition to oral feedings

- Renal and Genitourinary

- Recognize indications for and manage patients with/requiring:

- congenital renal and genitourinaryabnormalities

- fluid/electrolyte management

- diagnostic procedures (e.g.- renal biopsy-ultrasound)

- Multisystem

- Follow protocol for newborn screening (e.g.- car seattesting- metabolic- hearing and congenital heartdisease)

- Recognize the impact of developmental physiologyon postnatal care

- Promote thermoregulation based on gestational age

- Recognize indications for and manage patients with/requiring:

- birth trauma

- early and late onset sepsis

- acid-base and fluid/electrolyte management

- palliative and end of life care

- toxin/drug exposure (e.g.- withdrawal frommaternal or iatrogenic substances- fetal alcoholspectrum syndrome)

- Behavioral and Psychosocial

- Faciliate progressive family involvement in care

- Recognize indications of stress and provide supportto family

- Respond to behavioral emergencies (e.g.- nonviolentcrisis intervention- de-escalation techniques)

- Provide care for diverse families (e.g.- cultural-spiritual- LGBTQ+ community)

- Recognize the impacts of social determinants ofhealth

- Facilitate trauma informed care for families

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