NRNP 6552 LATEST WITH 120 COMPLETE ACTUAL QUESTIONS AND VERIFIED ACTUAL ANSWERS NEW!!!!!!!!!!!!!!!!!!

Pass NRNP 6552 (Advanced Practice Nursing – Women's Health and Pediatrics) with this comprehensive exam guide featuring actual questions and verified answers. Covers obstetrics (prenatal care: recommended weight gain 1st trimester underweight 5 lb, average weight woman 300 extra calories/day; gestational diabetes screening 75g OGTT at 24-28 weeks all pregnant women; fetal development: brain configuration complete at 12 weeks, uterus palpable above pubic symphysis at 12 weeks, fetal heart tones audible with conventional fetoscope at 18-20 weeks, crown-rump measurement best indicator of gestational age at 9 weeks; Naegele's rule calculation: LMP September 23 → EDD June 30; danger signs 1st trimester: vaginal bleeding and persistent vomiting; Braxton Hicks contractions: go for a walk; Piskacek's sign: asymmetric softened uterine enlargement; Hegar's sign: softness of uterus and ballottement at isthmus; Chadwick's sign, quickening, lightening, effacement, dilation, Leopold maneuvers, Bishop's score cervical readiness), high-risk pregnancy (abruptio placentae after blunt trauma, placenta previa, incompetent cervix cerclage purse-string stitch, hyperemesis gravidarum → nursing diagnosis anxiety, Rh status screening early pregnancy, direct Coombs test for newborn jaundice, Spalding's sign overlapping skull bones for intrauterine fetal death, abortion types: incomplete: products of conception retained, threatened, inevitable, missed; stillbirth grief: searching and yearning phase, VBAC, TOLAC), postpartum and lactation (mastitis: breastfeeding continue start with unaffected side, nipple tenderness apply dry heat, postpartum blues transient emotional disturbances days 1-10 resolving by 2 weeks, postpartum depression, postpartum psychosis; breastfeeding: 6-10 wet diapers/day indicates adequate intake, gradual weaning over 3 weeks to suppress lactation, breastfeeding after bariatric surgery: iron deficiency most common), neonatal and pediatric conditions (neonatal abstinence syndrome: quiet corner crib positioning; oral candidiasis thrush: nystatin treatment; nursemaid's elbow reduction, fever without source, bronchiolitis: AAP no longer recommends bronchodilators, RSV prophylaxis palivizumab, otitis media: omnicef for penicillin allergy, cough and cold medications: none recommended under 4 years, head lice: AAP discourages "no nit" school exclusion policies, first-line permethrin Nix, Lindane not recommended), pediatric growth and development (Denver Developmental Screening Test: compliance, alertness, attention span — fearlessness not included; BMI screening begin at age 2, blood pressure screening begin at age 3, lead screening at 12 months, cholesterol screening: all children at 9-11 years and 17-21 years; milk intake after 12 months: AAP/AHA 16 oz/day, vitamin D 400 IU daily, solid food introduction sequence: cereal first, then fruits/vegetables, then meats), genetic and congenital disorders (trisomy 21 Down syndrome: hypotonia, simian crease, epicanthal folds, Brushfield spots; Williams syndrome: cardiovascular disease; Angelman syndrome: happy demeanor frequent smiling/laughing, developmental delay, ataxia, seizures; spina bifida neural tube defect prevention: folic acid 4 mg/day preconception for women with prior affected pregnancy; fetal alcohol syndrome: dysmorphic facial features short palpebral fissures, thin upper lip, flattened philtrum; autism spectrum disorder: 20-30% develop epilepsy by adulthood, no cure, early intervention ABA; von Willebrand disease: most common inherited bleeding disorder, menorrhagia, easy bruising, normal PT/PTT, treat desmopressin DDAVP; hemophilia X-linked recessive), immunization schedule (MMR at 12 months, influenza vaccine, HPV vaccine, meningococcal vaccine, Tdap, DTaP, IPV, Hib, hepatitis B, hepatitis A, rotavirus, pneumococcal PCV13, varicella, yellow fever contraindicated in pregnancy, rubella vaccine contraindicated in pregnancy), pediatric infectious diseases (Koplik spots: measles/rubeola; varicella: chickenpox teardrop vesicles; fifth disease: parvovirus B19 slapped cheek; roseola: HHV-6 sudden high fever then rash; Kawasaki disease: leading cause acquired heart disease in children, minimum aspirin treatment 6-8 weeks, IVIG), pediatric dermatology (cafe-au-lait spots: more than 5 concerning for neurofibromatosis; Mongolian spot: blue-black macule on trunk/buttocks, benign, fades by school age; hemangioma: red-blue purple nodule that blanches with pressure), pediatric orthopedics (developmental dysplasia of the hip DDH: Barlow test posterior dislocation, Ortolani maneuver reduction; scoliosis screening: idiopathic scoliosis generally painless, curve usually right-sided; Nursemaid's elbow radial head subluxation reduction), pediatric neurology (atlantoaxial instability in Down syndrome: screening for Special Olympics participation in high-risk sports alpine skiing, equestrian, diving; ADHD attention deficit/hyperactivity disorder: methylphenidate Daytrana patch maximum 9 hours wear time; lacosamide Vimpat approved for monotherapy partial-onset seizures age 17+ years; desmopressin for primary nocturnal enuresis age 6+ years; risperidone Risperdal for autism-associated behaviors side effect fatigue), teratogens and medications in pregnancy (FDA pregnancy categories A, B, C, D, X: Category D positive evidence of human fetal risk but benefits may outweigh risks in certain situations; phenytoin Dilantin category D, mineral oil contraindicated in pregnancy, HPV vaccine contraindicated in pregnancy, yellow fever vaccine contraindicated in pregnancy, asthma management in pregnancy differs little from nonpregnant women, rheumatoid arthritis 75% remission during pregnancy), prenatal diagnostic tests (maternal serum alpha-fetoprotein MSAFP elevated → increased risk open neural tube defect, low MSAFP → increased risk trisomy 21; chorionic villus sampling CVS at 11-14 weeks detects chromosomal anomalies but NOT open neural tube defects; amniocentesis at 15-20 weeks, quad screen, cell-free fetal DNA NIPT, nuchal translucency ultrasound, detailed anatomy scan at 18-22 weeks), pediatric ethics and advocacy (AAP policy on medical marijuana: exceptions for compassionate use in children with debilitating or life-limiting diseases; child maltreatment: children of active duty service members face stressors that can lead to child maltreatment; SIDS prevention: bare crib firm sleep surface no soft objects; tooth avulsion: rinse gently with cold milk/saline/room temperature water and replant; international adoption post-arrival examination within 2 weeks of arrival in US), and pediatric endocrinology (short stature evaluation: auxiological evaluation comparing to standardized norms; growth hormone treatment; Turner syndrome, Noonan syndrome, Prader-Willi syndrome, Russell-Silver syndrome, constitutional growth delay, familial short stature). Essential for advanced practice nursing students.