NCC believes the individual certified nurse is the best person CERTIFIED to determine the specialty code for their CE, as they have the specific content of the CE program. RNC-LRN® There are two sets of CE codes in this book.

The first set corresponds to Continuing Competency Low Risk Neonatal Assessments (CCAs) taken before April 1, 2020 and the 2nd set corresponds to CCAs taken on or after Intensive Care April 1, 2020.

Please look at the header on Nursing each page to determine if the listing corresponds to your CCA. NCC Maintenance Requirements

The standard process for the NCC Professional Development Certification Maintenance Program makes use of a Continuing Competency Assessment (CCA) and resulting individualized education plan:

• Complete the Continuing Competency Assessment (CCA) that reflects the current knowledge competencies aligned with your certification specialty at the beginning of each new certification maintenance cycle.

• Earn CE as specified by the education plan developed from your CCA. Your education plan outlines the CE needed to maintain your NCC certification. Only CE earned after you have taken your CCA can be used to maintain your certification. It must address the requirements of your education plan.

© 2020 National Certification Corporation (NCC) All Rights Reserved. CERTIFIED CONTINUING COMPETENCY RNC-LRN ASSESSMENT (CCA) ®

The CE requirements for your NCC maintenance will be outlined in your education plan! Your educational plan is derived from your Continuing Competency Assessment (CCA) and outlines for you the CE needed in each of your core competency areas. Each core area has a code and that code is provided for you as well. Take the CCA as soon as you can in the beginning of your maintenance cycle. The CCA may be taken early, up to 3 months prior to the start of your new maintenance cycle date. The start day for earning CE remains at the first day of the new maintenance cycle.

YOU CAN ONLY USE CE EARNED AFTER YOU HAVE TAKEN YOUR CCA FOR MAINTENANCE. ANY CE EARNED BEFORE YOU TOOK THE CCA CANNOT BE USED (EVEN IF IT MEETS YOUR EDUCATION PLAN).

YOUR CE AND NCC MAINTENANCE REQUIREMENTS All CE must be earned during your current maintenance cycle and after you have taken the CCA. All CE used for NCC maintenance is defined by the individuals Education Plan. All CE must be submitted online at NCCwebsite.org. All CE must be coded to the applicable core content area. See listing in this brochure. CE can be entered into the maintenance application any time after the assessment has been taken and on an ongoing basis. All activities will be saved until the application is submitted. All CE must be accredited by an agency recognized by NCC.

ACCREDITING AGENCIES

Academic credit is accepted as is CME credit. For continuing education credit to be accepted for the purpose of maintenance, the continuing education activity must be accredited by one of the agencies below. • NCC • Colleges or universities • State boards of nursing • For profit or not-for-profit continuing education • State nursing associations organizations such as Contemporary Forums, • Nursing, medical or health care organizations Western Schools, Professional Education (this would include, for example, such Consultants, Perifacts etc. provided that organizations as: AWHONN, NPWH, NANN, programs sponsored by such organizations ACOG, AMA etc.) have been accredited for continuing education.

Most of the for-profit organizations have achieved accreditation for their offering through a state board of nursing or health care organization. Review accreditation details in the registration brochure you received when registering for the particular continuing education activity.

THE NATIONAL CERTIFICATION CORPORATION 2 CERTIFIED COMMON CODING QUESTIONS RNC-LRN®

I went to a You have two options: conference with You can code to the content area that represents the majority of the content topics that reflect presented. many different OR codes, how do I You can breakout content per code (You may combine different sessions of the code them? same content code.) and record total hours for each code, listing the same conference for every content code entry. I could not list all Once you meet or the CE requirements designated by your education plan my CE. I have many the application will automatically take you to the payment page. There is no more hours but the need to enter more CE than is required. maintenance application would not let me list them. I was a preceptor 10 hours of CE can be used for precepting students, in your same certification for new students, specialty area and role. (e.g. In order for a WHNP to use the credit they cannot can I use this for preceptor nurse midwives or residents – only WHNP students.) Orienting new maintenance and staff is NOT considered as preceptor hours. On the application select the how do I list it on more information link for the preceptorship code 24 and it will give you the application. information on how to list the information. This is also applicable to any How do I code it? of the “other” codes. You can only use these hours for baseline hours and not hours designated in the education plan assigned to a specific competency area. Baseline hours are listed as hours that are assigned to any competency area and appear at the bottom of your plan. I have multiple If the CE is applicable to both areas and was earned in the appropriate certifications. time frame for each certification, yes. But you still need to file a separate Can I use the same maintenance application and fee for each certification. Each CE activity will CE for both. How be coded to each application. can I code it for two different certifications. Do I have to submit Maintenance Pre-Approval is optional and not required. If you are unsure a “Maintenance your continuing education activities will meet your NCC maintenance Pre-approval”? requirements, you can ask NCC to pre-approve your CE activities. There is a nonrefundable fee for this service. Complete details are in the maintenance section of NCCwebsite.org.

THE NATIONAL CERTIFICATION CORPORATION 3 CERTIFIED HOW TO READ THE EDUCATION PLAN RNC-LRN®

• Competency areas where 7.5 specialty index is achieved, no CE is needed. • Competency areas where 7.5 specialty index is not achieved, the hours of CE needed will be listed. • Every plan has a minimum of 15 CE hours - these are called baseline hours. Even if a specialty index above 7.5 is achieved in every competency, there is still a CE commitment of 15 hours. Education plans that need 45 hours, do not have any baseline hours because those hours are assigned to the specific core competencies.

• Every plan is composed of a maximum of 50 and a minimum of 15 CE hours.

• Missed keywords are intended to show what specific topics had knowledge gaps within that competency area. They are broad in scope and you are not required to cover all keywords or topics for your NCC certification maintenance

• Links to NCC CE modules are offered as a convenience. Use of NCC CE modules is optional – not required. NCC CE is provided as a way to provide affordable, easily accessible CE for those who may have limited CE options in their area or practice. Also CE earned for successful completion of any NCC CE modules will automatically be entered and coded into your online maintenance application

• 5 hours of credit is given for taking the assessment and may be applied to any CE need.

• The total number of hours needed will be listed in each specific core competency.

THE NATIONAL CERTIFICATION CORPORATION 4 FOR CCA TESTS TAKEN EDUCATION PLAN BEFORE APRILCERTIFIED 1, RNC-LRN2020. LRN Core Competency Area Mother/Fetus (Code 1) Your Education Plan *5 hours HOURS HOURS REQUIREMENTS Mother/Fetus CORE COMPETENCY AREA REQUIRED* ENTERED MET • Assess intrauterine environment Mother/Fetus (Code 1) 0.00 0.00 ✔ • Antepartal fetal testing Physical Assessment, • Fetal and placental development Thermoregulation and Normal Management (Code 2) 15.00 0.00 Maternal Complications Affecting Neonatal Complications (Code 3) 0.00 0.00 ✔ the Newborn Pharmacology (Code 4) 0.00 0.00 ✔ • Preexisting maternal conditions • related conditions Professional Practice (Code 5) 5.00 0.00 • Environmental and lifestyle factors Baseline Hours 15.00 0.00 Total Hours 35.00 hours 0.00 hours Physical Assessment, Thermoregulation and Normal Management (Code 2) Assessment Summary & Resources *15 hours Physical Assessment SPECIALTY CE • Gestational age assessment CORE COMPETENCY AREA INDEX MISSED KEYWORDS MODULES • Diagnostic laboratory studies view available Mother/Fetus (Code 1) 8.95 Assessment of Intrauterine Environment modules • Physical and behavioral assessment Physical Assessment, • Basic physiology and anatomy Breastfeeding & Nutrition, view available Thermoregulation and Normal Thermoregulation, Breastfeeding, modules Management (Code 2) 7.14 Dianostic Labs, Neonatal Transition Thermoregulation Neonatal Complications • Physiology Perinatal Substance Abuse, view available (Code 3) 8.00 Hyperbilirubinemia modules • Mechanisms of heat loss view available • Temperature management Pharmacology (Code 4) 8.33 modules Professional Practice (Code 5) 6.00 Patient Safety view available Oxygen and Acid-Base modules • Non-invasive ventilation • Blood gas

Neonatal Enteral Nutrition • Breastfeeding *Number of CE hours required if you do not achieve a specialty index • Neonatal nutrition and feeding of 7.5 or more in the content area.

Normal Management • Neonatal transition • General care • Hematopoietic Drug Therapies Legal Issues Affecting • Parent education • Neurological • Vitamin K Newborn Nursing • Immunology • Eye prophylaxis • Impaired nurse Developmental Care • Endocrine • Antibiotics • Scope of practice • Motor organization • Musculoskeletal • Hepatitis vaccine • Expert witness • Neurobehavioral development habituation • Skin • Other vaccines • Sensory/interaction capabilities • Genetics Informed Consent • Head, ears, eyes, nose Pain Management Family Integration and throat • Pharmacologic Professional Practice • Role adaption • Perinatal substance abuse • Nonpharmacologic Standards • Discharge planning • Hyperbilirubinemia • Screening Professional Practice Research • Parent education Pharmacology (Code 4) (Code 5) • Common terms *5 hours *5 hours • Application of research Neonatal Complications (Code 3) Pharmacokinetics Patient Safety to practice *20 hours • General principles • Interprofessional • Evidence based practice Management of Complications • Routes of administration communication • Cardiac • Pharmacokinetics, • Continuing competency • Respiratory drug therapies • Medication error prevention • Gastrointestinal • Renal Ethical Principles • Genitourinary and Theories • Patient advocacy

THE NATIONAL CERTIFICATION CORPORATION 5 FOR CCA CODING OUTLINES TESTS AND KEYWORDS TAKEN BEFORE APRIL 1, CERTIFIED DETERMINING WHAT CONTENT 2020. RNC-LRN MEETS EACH SPECIALTY CODE ®

Core Competency Area Content Topic Keywords

Mother/Fetus (Code 1) Mother/Fetus Abnormal placentation Fetal antepartum Maternal medication • Assess intrauterine Age related concerns testing abuse/misuse environment AIDS and HIV infections Fetal heart rate patterns Maternal medication • Antepartal fetal testing Amniotic bands Fetal lung maturation fetal effects • Fetal and placental Amniotic fluid disorders Gestational diabetes Maternal nutrition development Amniocentesis and Gestational Meconium Maternal Complications other genetic testing hypertension Multiple gestation 1 Affecting the Newborn Antenatal testing Health history Noninvasive prenatal • Preexisting maternal Antepartum fetal Hypertensive disorders testing (NIPTs) conditions surveillance Instrument assisted birth Nonstress testing • Pregnancy related Assess intrauterine Intrapartum factors Oligohydramnios environment affecting the neonate Placenta previa conditions • Environmental and Biophysical profile Intrauterine growth Placental abruption lifestyle factors Cord gas restriction Polyhydramnios Environmental factors Malpresentation Preterm and Postterm affecting the fetus Maternal factors/ Preeclampsia Fetal and placental diseases affecting Rh screening development the newborn Trauma Maternal infection

Physical Assessment, Mother/Fetus Bathing the neonate Growth velocity Parental counseling Thermoregulation and • Gestational age assessment Behavior Harlequin color change Pharmacology/ Normal Management • Diagnostic laboratory Behavioral assessment Head circumference Pharmacokinetics (Code 2) studies Bilirubin metabolism Hearing loss Physical assessment • Physical and behavioral Blood cultures Hearing screening Physical exam and assessment Blood gas Heart sounds newborn physiology • Basic physiology Blood tests Hematocrit and PICC lines and anatomy Breast milk properties hemoglobin PIV management Thermoregulation Breastfeeding High flow NC Plagiocephaly • Physiology Calcium Hyperthermia Reflexes 2 • Mechanisms of heat loss Caloric supplements Hypothermia Renal metabolism • Temperature Calorie/energy needs Incubator management Safe sleep management Central lines Intimate partner Safety Car seat challenge violence Sensory assessment Oxygen and Acid-Base CBC Kangaroo care/ SGA • Non-invasive ventilation CCHD screening skin-to-skin Shaken baby • Blood gas Circumcision Laboratory test Sleep cycles Neonatal Enteral Nutrition Cord care evaluation State cycles • Breastfeeding CPAP Lactation physiology Thermoregulation • Nutritional requirements CRP LGA Thermoregulation Cultural care Late preterm management Normal Management Developmental Mechanisms of heat loss care • Neonatal transition positioning Metabolic panel Umbilical cord • General care Diagnostic Labs Motor organization physiology • Parent education Discharge planning Muscle tone assessment Umbilical lines Developmental Care Donor milk Nasal cannula Urinalysis • Motor organization Early term Neonatal transition Urine output • Neurobehavioral Fluid & electrolyte Neurobehavioral development habituation requirements development • Sensory/interaction Formula composition habituation capabilities Genetic screening Non-invasive ventilation Gestational age Family Integration Nutrition needs • Role adaption assessment Oxygen hood • Discharge planning Glucose metabolism Oxygen saturation • Screening Grieving process Parent education • Parent education

THE NATIONAL CERTIFICATION CORPORATION 6 FOR CCA CODING OUTLINES TESTS AND KEYWORDS TAKEN BEFORE APRIL 1, CERTIFIED DETERMINING WHAT CONTENT 2020. RNC-LRN MEETS EACH SPECIALTY CODE ®

Core Competency Area Content Topic Keywords

Neonatal Complications Management of Acyanotic heart defect Cyanotic heart defect Hypokalemia (Code 3) Complications AIDS and HIV infections Cystic fibrosis Hypospadias • Cardiac Air leaks Cystic hygroma Hypotension • Respiratory Ambiguous genitalia Cysts Hypothermia • Gastrointestinal Anemia Cytomegalovirus (CMV) Hypoxia • Renal Arrhythmias Dermoid sinus Hypoxemia • Genitourinary Asphyxia Developmental dysplasia Hypoxic ischemic • Hematopoietic Bacterial infection of the hip encephalopathy 3 • Neurological Bilious vomiting Diaper dermatitis Immunology • Immunology Birth defects Diaphragmatic hernia Imperforate anus • Endocrine Birth injuries Diarrhea Inborn errors of • Musculoskeletal Birth marks DIC metabolism • Skin Birthweight effects DiGeorge Intraventricular • Genetics and Dudodenal atresia hemorrhage (IVH) • Head, ears, eyes, nose hemorrhage Dysrhythmias In utero exposure and throat Blood disorders Electrolyte imbalance to alcohol • Perinatal substance abuse Blood glucose Endocrine In utero exposure • Hyperbilirubinemia Blood incompatibilities Endocrine disorders to cocaine Blood products ENT and Head In utero exposure Blood transfusion Epstein’s pearls to narcotics Bowel obstruction Erb’s palsy In utero exposure Esophageal atresia to nicotine Cafe au lait spots Exchange transfusion of a Caput succedaneum Foot malformations diabetic mother Cardiac Fractures Infections Cardiorespiratory Fungal infection Inguinal hernia diseases G6PD Integumentary Cardiorespiratory distress Gastroesophageal reflux Intracranial hemorrhage Gastrointestinal Jaundice Chest thoracentesis GE reflux Choanal atresia Genetic defects Malrotation Chromosomal Genitourinary Maternal drug effects abnormalities Group B streptococcus Meconium aspiration Chronic lung disease infection syndrome Circumcision Heart block Meconium Cleft lip and palate Hemangioma Meconium plug Coagulation disorders syndrome Coarctation of the aorta Hematopoietic Metabolic Cold stress Hemolytic anemia Metabolic acidosis Common skin disorders Hemorrhagic disease Metaboloc alkalosis Complex Congenital of the newborn Metabolic disorders Heart Disease (CCHD) Hepatitis Micrognatnia Congenital heart disease Herpes Multiple gestation Congenital hip dysplasia HIE Musculoskeletal Congenital Hirschsprung’s disease Necrotizing malformations Hydrocephalus enterocolitis (NEC) Congestive Heart Hydronephrosis Neonatal Abstinence Failure (CHF) Hyperbilirubinemia Syndrome (NAS) Conjunctivitis Hyperglycemia withdrawal Constipation Hyperkalemia Neonatal heart diseases Craniosynotosis Hypertension Neonatal pain Cryptorchidism Hypocalcemia Neural tube defects Cyanosis Hypoglycemia Neurologic disorders

THE NATIONAL CERTIFICATION CORPORATION 7 FOR CCA CODING OUTLINES TESTS AND KEYWORDS TAKEN BEFORE APRIL 1, CERTIFIED DETERMINING WHAT CONTENT 2020. RNC-LRN MEETS EACH SPECIALTY CODE ®

Core Competency Area Content Topic Keywords

Neonatal Complications Management of Neurological Supraventricular (Code 3) Complications Neuromuscular maturity tachycardia (SVT) • Cardiac scoring systems Prematurity Testicular abnormalities • Respiratory NRP PVL periventricular Tetralogy of Fallot • Gastrointestinal Omphalitis Renal abnormalities Therapeutic • Renal Osteopenia Respiratory hypothermia/cooling • Genitourinary Otitis media Respiratory acidosis Thoracentesis • Hematopoietic Palsy Respiratory alkalosis Thrombocytopenia 3 • Neurological Patent ductus arteriosus Respiratory distress Thrombocytosis • Immunology Patent urachus Resuscitation and Thyroid disorders • Endocrine Patterns of inheritance stabilization TORCH • Musculoskeletal Perinatal loss Retinopathy of Tracheosophageal fistula • Skin Perinatal substance prematurity (ROP) Transposition of the • Genetics abuse RH incompatibility great vessels • Head, ears, eyes, nose Periventricular RSV Transient tachypnea and throat leukomalacia (PVL) Seizures of the newborn • Perinatal substance abuse Persistent pulmonary Sepsis Trisomy • Hyperbilirubinemia hypertension Septal defects Turner of the newborn Shock syndromehydroacy Phototherapy Short gut syndrome Umbilical hernia Physiologic anemia Sickle cell Urine toxicology of infancy Skeletal dysplasia Ventricalomegaly Pierre Robin S.T.A.B.L.E. Viral infection Platelet disorders Subgaleal Volvulus

Pharmacology (Code 4) Pharmacokinetics 5 rights of medication administration Indomethacin • General principles Antibiotics Inhalation medication • Routes of administration Anticonvulsants IV fluid • Pharmacokinetics, Antimicrobials IVIG drug therapies Antiretroviral Lipids Drug Therapies AZT Medication effects • Vitamin K Breastfeeding and medications Oxygen as a drug • Eye prophylaxis Bronchodilators Pain management 4 • Antimicrobials/Antibiotics Cardiac medications Parenteral nutrition • Antiretrovirals CNS stimulants Perinatal substance abuse • Immunizations Dietary supplements Pharmacokinetics • Resuscitation medications Diuretics PPLs Drug levels Reflux medications Pain Management Drug therapies ROP medication/Avastin • Pharmacologic Drugs for NAS Route of drug administration • Nonpharmacologic Epinephrine Steroids Erythropoietin Surfactant Eye prophylactic treatment TPN HIV drugs Vaccines/Immunizations Immunologic agents Vitamin K administration

THE NATIONAL CERTIFICATION CORPORATION 8 FOR CCA CODING OUTLINES TESTS AND KEYWORDS TAKEN BEFORE APRIL 1, CERTIFIED DETERMINING WHAT CONTENT 2020. RNC-LRN MEETS EACH SPECIALTY CODE ®

Core Competency Area Content Topic Keywords

Professional Practice Patient Safety CE poster sessions (6 posters equal 1 hour) (Code 5) • Interprofessional Continuing competency communication Ethical principles and theories • Continuing competency Evidence based practice • Medication error Interprofessional communication prevention Legal Issues affecting newborn nursing Ethical Principles Legal/Ethical Issues and Theories Medication error prevention 5 • Patient advocacy Patient advocacy Patient safety Legal Issues affecting Professional practice standards newborn nursing Research • Impaired nurse • Scope of practice • Expert witness Informed Consent Professional Practice Standards Research • Common terms • Application of research to practice • Evidence based practice

THE NATIONAL CERTIFICATION CORPORATION 9 FOR CCA TESTS TAKEN EDUCATION PLAN ON/AFTER APRILCERTIFIED 1, RNC-LRN2020.

Mother/Fetus Your Education Plan (Code 1) HOURS HOURS REQUIREMENTS *5 hours CORE COMPETENCY AREA REQUIRED* ENTERED MET

• Maternal Risk Factors and Birth History Mother/Fetus (Code 1) 0.00 0.00 ✔ • Assessment and Evaluation of the Physical Assessment and Intrauterine Environment General Management (Code 2) 15.00 0.00 • Maternal Factors and Complications Assessment and Management Affecting the Newborn of Pathophysiological Conditions and Neonatal Complications (Code 3) 0.00 0.00 ✔ Physical Assessment and Pharmacology, Pharmacokinetics General Management and Pharmacodynamics (Code 4) 0.00 0.00 ✔ (Code 2) Professional Practice (Code 5) 5.00 0.00 *15 hours Baseline Hours 15.00 0.00 • Physical and Gestational Ages Assessment Total Hours 35.00 hours 0.00 hours • Laboratory and Diagnostic Data • Resuscitation and Stabilization Assessment Summary & Resources • Nutrition and Feeding • Fluid, Electrolytes and Glucose Homeostasis SPECIALTY CE CORE COMPETENCY AREA INDEX MISSED KEYWORDS MODULES • Oxygen, Non-Invasive Ventilation Mother/Fetus (Code 1) 8.95 Assessment of Intrauterine Environment view available and Acid-Base Balance modules • Thermoregulation Physical Assessment and • Neurodevelopmental Care General Management (Code 2) 7.14 Nutrition and Feeding, Thermoregulation, view available Breastfeeding, Discharge Planning, modules • Infection and Immunology Neurodevelopment Care • Behavioral and Developmental Care Assessment and Management • Psychosocial Support, Grieving of Pathophysiological Conditions and Neonatal Complications view available and Discharge Planning (Code 3) 8.00 Neurological, immunology, Respiratory modules

Pharmacology, Pharmacokinetics view available Assessment and Management and Pharmacodynamics (Code 4) 8.33 Patient Safety modules view available of Pathophysiological Professional Practice (Code 5) 6.00 modules Conditions and Neonatal Complications (Code 3) *20 hours • Cardiovascular *Number of CE hours required if you do not achieve a specialty index • Respiratory of 7.5 or more in the content area. • Gastrointestinal and Genitourinary • Musculoskeletal and Integumentary • Neurological Pharmacology, Professional • Hematology Pharmacokinetics Practice (Code 5) • Immunology and Pharmacodynamics *5 hours • Genetics, Metabolic and Endocrine (Code 4) • Patient Safety • Renal *5 hours • Ethical Principles and Theories • Drug Therapies • Legal Issues • Pain Management • Professional Practice Standards • Quality Improvement

THE NATIONAL CERTIFICATION CORPORATION 10 FOR CCA CODING OUTLINES TESTS AND KEYWORDS TAKEN ON/AFTER APRIL 1, CERTIFIED DETERMINING WHAT CONTENT 2020. RNC-LRN MEETS EACH SPECIALTY CODE ®

Core Competency Area Content Topic Keywords

Mother/Fetus Mother/Fetus Abnormal placentation Fetal antepartum testing Maternal medication (Code 1) • Maternal Risk Factors Age related concerns Fetal heart rate patterns fetal effects and Birth History AIDS and HIV infections Fetal lung maturation Maternal nutrition • Assessment and Amniocentesis and other Gestational diabetes Meconium Evaluation of the genetic testing Gestational hypertension Multiple gestation 1 Intrauterine Environment Amniotic bands Health history Noninvasive prenatal Amniotic fluid disorders Hypertensive disorders testing (NIPTs) • Maternal Factors and Antenatal testing Instrument assisted birth Nonstress testing Complications Affecting Antepartum fetal Intrapartum factors Placenta previa the Newborn surveillance affecting the neonate Placental abruption Assess intrauterine Intrauterine growth Preeclampsia environment restriction Preexisting maternal Cesarean birth Late preterm condition Cord gas LGA Pregnancy related Diagnostic labs Malpresentation conditions Early term Maternal factors/diseases Preterm and Postterm Environmental factors affecting the newborn SGA affecting the fetus Maternal infection Trauma Fetal and placental Maternal medication Uterine rupture development abuse/misuse

Physical Physical Assessment and AIDS and HIV infections Group B streptococcus Non-invasive ventilation Assessment and General Management Bacterial infection infection NRP General • Physical and Gestational Bathing the neonate Growth velocity Nutrition needs Management Ages Assessment Behavior Harlequin color change Oligohydramnios (Code 2) • Laboratory and Behavioral assessment Head circumference Oxygen hood Diagnostic Data Biophysical profile Hearing loss Oxygen saturation Blood cultures Hearing screening Parent education 2 • Resuscitation and Blood gas Heart sounds Parental counseling Stabilization Blood glucose Hematocrit and Pharmacology/ • Nutrition and Feeding Breast milk properties hemoglobin Pharmacokinetics • Fluid, Electrolytes and Breast milk High flow NC Physical assessment Glucose Homeostasis supplementation Hyperglycemia Physical exam • Oxygen, Non-Invasive Breastfeeding Hyperkalemia PICC lines Ventilation and Calcium Hyperthermia PIV management Acid-Base Balance Caloric supplements Hypocalcemia Plagiocephaly Calorie/energy needs Hypoglycemia Polyhydramnios • Thermoregulation Caput Hypokalemia Reflexes • Neurodevelopmental Car seat challenge Hypothermia Renal metabolism Care CBC Incubator management Resuscitation and • Infection and CCHD screening Infant of a diabetic stabilization Immunology Central lines mother Rh screening • Behavioral and Cephalohematoma Infections Role adaption Developmental Care Cord care Intimate partner violence Safe sleep • Psychosocial Support, CPAP IV fluids Safety Grieving and Discharge CPR Kangaroo care/ Screening Planning CRP skin-to-skin Sensory assessment Cultural care Lactation physiology Shaken baby Developmental positioning Lipids Sleep cycles Discharge planning Mechanisms of heat loss State cycles Donor milk Metabolic panel Thermoregulation Electrolyte imbalance Motor organization Thermoregulation Fluid & electrolyte Muscle tone assessment management requirements Nasal cannula TPN Formula composition Neonatal nutrition Trauma informed care Fungal infection and feeding Umbilical cord care Genetic screening Neonatal transition Umbilical cord Gestational age Neurobehavioral physiology assessment development Umbilical lines Glucose metabolism habituation Urinalysis Grieving process Newborn physiology Urine output Viral infection

THE NATIONAL CERTIFICATION CORPORATION 11 FOR CCA CODING OUTLINES TESTS AND KEYWORDS TAKEN ON/AFTER APRIL 1, CERTIFIED DETERMINING WHAT CONTENT 2020. RNC-LRN MEETS EACH SPECIALTY CODE ®

Core Competency Area Content Topic Keywords

Assessment and Assessment and Acyanotic heart defect Developmental dysplasia In utero exposure Management of Management of Air leaks of the hip to narcotics Pathophysiological Pathophysiological Ambiguous genitalia Diaper dermatitis In utero exposure Conditions and Neonatal Conditions and Neonatal Anemia Diaphragmatic hernia to nicotine Complications Complications Arrhythmias Diarrhea Inguinal hernia (Code 3) • Cardiovascular Asphyxia DIC Integumentary • Respiratory Bilious vomiting DiGeorge Intracranial hemorrhage • Gastrointestinal Birth defects Dudodenal atresia Jaundice and Genitourinary Birth injuries Dysrhythmias Kernicterus • Musculoskeletal Birth marks Endocrine Malrotation and Integumentary Birthweight effects Endocrine disorders Maternal drug effects • Neurological Bilirubin metabolism Epstein’s pearls Meconium aspiration 3 • Hematology Bleeding and Erb’s palsy syndrome • Immunology hemorrhage Esophageal atresia Meconium ileus • Genetic, Metabolic Blood disorders Exchange transfusion Meconium plug and Endocrine Blood incompatibilities Foot malformations syndrome • Renal Blood products Fractures Metabolic Blood transfusion G6PD Metabolic acidosis Bowel obstruction Gastroesophageal reflux Metaboloc alkalosis Brachial plexus injury Gastrointestinal Metabolic disorders Cafe au lait spots GE reflux Micrognatnia Caput succedaneum Genetic defects Multiple gestation Cardiac Genitourinary Musculoskeletal Cardiorespiratory Heart block Necrotizing diseases Hemangioma enterocolitis (NEC) Cardiorespiratory distress Hematoma Neonatal Abstinence Chest thoracentesis Hematopoietic Syndrome (NAS) Choanal atresia Hemolytic anemia withdrawal Chromosomal Hemorrhagic disease Neonatal heart diseases abnormalities of the newborn Neonatal pain Chronic lung disease Hepatitis Neural tube defects Circumcision Herpes Neurologic disorders Cleft lip and palate HIE Neurological Coagulation disorders Hirschsprung’s disease Neuromuscular maturity Coarctation of the aorta Hydrocephalus scoring systems Cold stress Hydronephrosis Omphalitis Common skin disorders Hyperbilirubinemia Osteopenia Complex Congenital Hypertension Otitis media Heart Disease (CCHD) Hypokalemia Patent ductus arteriosus Congenital heart disease Hypospadias Patent urachus Congenital hip dysplasia Hypotension Patterns of inheritance Congenital Hypothermia Perinatal loss malformations Hypoxia Perinatal Congestive Heart Hypoxemia substance abuse Failure (CHF) Hypoxic ischemic Periventricular Conjunctivitis encephalopathy leukomalacia (PVL) Constipation Immunology Persistent pulmonary Craniosynotosis Imperforate anus hypertension of the Cryptorchidism Inborn errors of newborn Cyanosis metabolism Phototherapy Cyanotic heart defect Intraventricular Physiologic anemia Cystic fibrosis hemorrhage (IVH) of infancy Cystic hygroma In utero exposure Pierre Robin Cysts to alcohol Platelet disorders Cytomegalovirus (CMV) In utero exposure Pneumomediastinum Dermoid sinus to cocaine Pneumothorax

THE NATIONAL CERTIFICATION CORPORATION 12 FOR CCA CODING OUTLINES TESTS AND KEYWORDS TAKEN ON/AFTER APRIL 1, CERTIFIED DETERMINING WHAT CONTENT 2020. RNC-LRN MEETS EACH SPECIALTY CODE ®

Core Competency Area Content Topic Keywords

Assessment and Assessment and Polycythemia Short gut syndrome Transposition Management of Management of Prematurity Sickle cell of the great vessels Pathophysiological Pathophysiological PVL periventricular Skeletal dysplasia Transient tachypnea Conditions and Neonatal Conditions and Neonatal Renal abnormalities S.T.A.B.L.E. of the newborn Complications Complications Respiratory Subgaleal Trisomy (Code 3) • Cardiovascular Respiratory acidosis Supraventricular Turner syndrome • Respiratory Respiratory alkalosis tachycardia (SVT) Umbilical hernia • Gastrointestinal Respiratory distress Testicular abnormalities Urine toxicology and Genitourinary Retinopathy Tetralogy of Fallot Ventricalomegaly • Musculoskeletal of prematurity (ROP) Therapeutic Volvulus and Integumentary RH incompatibility hypothermia/cooling • Neurological Respiratory syncytial Thoracentesis 3 • Hematology virus Thrombocytopenia • Immunology Seizures Thrombocytosis • Genetic, Metabolic Sepsis Thyroid disorders and Endocrine Septal defects TORCH • Renal Shock Tracheosophageal fistula

Pharmacology, Pharmacology, 5 rights of medication Drug therapies Parenteral nutrition Pharmacokinetics and Pharmacokinetics and administration Drugs for NAS Perinatal substance Pharmacodynamics Pharmacodynamics Antibiotics Epinephrine abuse (Code 4) • Drug therapies Anticonvulsants Erythropoietin Pharmacokinetics • Pain Management Antimicrobials Eye prophylactic PPLs Antiretroviral treatment ROP medication AZT HIV drugs Route of drug Breastfeeding Immunologic agents administration and medications Indomethacin Steroids Bronchodilators Inhalation medication Surfactant 4 Cardiac medications IVIG Vaccines/Immunizations CNS stimulants Medication effects Vitamin K administration Diuretics Oxygen as a drug Drug levels Pain management

Professional Practice Professional Practice CE poster sessions Patient privacy (Code 5) • Patient Safety (6 posters Patient safety • Ethical Principles equal 1 hour) Professional practice and Theories Continuing competency standards • Legal Issues Documentation Quality assurance • Professional Practice Ethical principles Quality improvement Standards and theories Risk management • Quality Improvement Expert witness Standards of care 5 HIPPA Impaired nurse Informed consent Interprofessional communication Legal Issues affecting newborn nursing Legal/Ethical Issues Medication error prevention Medication errors Medication safety Patient advocacy

THE NATIONAL CERTIFICATION CORPORATION 13 FOR CCA CODING OUTLINES TESTS TAKEN AND KEYWORDS BEFORE, ON OR AFTER APRIL 1, CERTIFIED DETERMINING WHAT CONTENT 2020. RNC-LRN MEETS EACH SPECIALTY CODE ®

NCC “OTHER” CODES You can only use these hours for baseline hours and not hours designated in the education plan assigned to a specific competency area. Baseline hours are listed as hours that are assigned to any competency area and appear at the bottom of your plan.

NCC Pretest If you participated in the NCC sponsored pretest program Participant 21 NCC Item Writer 22 If you are credentialed by NCC and have participated in the item writing program NCC CE Reviewer If you reviewed or authored an NCC continuing education module or Author 23 Presenter of a Presenter of educational program can use the same amount of CE earned by the participants. CE Course Such CE presentation CANNOT be part of the individual’s job responsibilities. If the activities or Preceptor 24 was presented more than once you can only use the CE hours once. The maximum number of hours that can be earned for preceptorship activity is 10 hours per maintenance cycle. This is limited to preceptoring students in your same certification specialty area. Staff orientation is NOT considered a preceptor activity and cannot be used.

Author of a Rules for Using Publications for Maintenance Book Chapter • The publication date of the article/book/module will determine its applicability or Journal Article 25 for your current certification maintenance. • You are limited to using one article, book authorship or service as an NCC continuing education reviewer or monograph author per certification maintenance cycle. • Articles/books must be related to the certification specialty area. • 5 contact hours will be awarded to those who have written a journal article or a chapter of a book. • 15 contact hours will be awarded to those who are a primary or secondary author of a book.

THE NATIONAL CERTIFICATION CORPORATION 14