NCC NNP-BC Practice Questions - NCC Neonatal Nurse Practitioner Board Certified (NNP-BC) Exam

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A neonate is born to a mother who took oxycodone throughout pregnancy. At 36 hours, the infant has tremors when undisturbed, hyperactive Moro, mild tachypnea, and excessive crying. Per current AAP NAS/NOWS guidance and the Eat-Sleep-Console (ESC) approach, which is the FIRST-LINE intervention?

Initiate oral morphine 0.04 mg/kg every 3 hours immediately Begin non-pharmacologic care (rooming-in, swaddling, low stimulation, breastfeeding when appropriate) and assess function-based ESC criteria before pharmacotherapy Give phenobarbital 20 mg/kg loading dose Start clonidine 1 mcg/kg every 4 hours

Correct Answer:

Begin non-pharmacologic care (rooming-in, swaddling, low stimulation, breastfeeding when appropriate) and assess function-based ESC criteria before pharmacotherapy

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