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Nursing NCC-NNP Exam Syllabus Topics:

Section	Objectives
Family-Centered Care and Ethics	- Ethical and legal considerations in neonatal care - Parent education and communication
Neonatal Physiology and Pathophysiology	- Respiratory adaptation and disorders - Thermoregulation, metabolism, and fluid balance - Cardiovascular adaptation and congenital conditions
Neonatal Health Assessment	- Physical and neurological assessment of the newborn - Identification of normal vs abnormal findings
High-Risk Neonatal Management	- Prematurity-related complications - Respiratory distress and ventilation management - Infectious diseases in neonates
Neonatal Pharmacology and Therapeutics	- Drug safety, dosing considerations, and pharmacokinetics - Medication administration in neonates

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q28-Q33):

NEW QUESTION # 28
The most common cause of ambiguous genitalia in a genetic female newborn is

A. congenital adrenal hyperplasia
B. insufficient maternal folic acid during pregnancy
C. developmental anomaly of having only one ovary

Answer: A

Explanation:
In newborns that are genetically female, the most common cause of ambiguous genitalia is congenital adrenal hyperplasia. Ambiguous genitalia result in genital characteristics that are not wholly female or wholly male. There can be features of both, externally and internally. Congenital adrenal hyperplasia results in the overproduction of male hormones, which causes the genitalia to take on both male and female features during development. This condition can result in a great deal of stress for the parents. Genetic testing is usually done to determine if the infant is genetically a male or female.

NEW QUESTION # 29
Early onset group B strep infection in the newborn is most likely to cause

A. sepsis
B. malabsorption syndromes
C. meningitis

Answer: A

Explanation:
Early onset group B strep infection in the newborn is most likely to cause sepsis. It can also cause pneumonia. Meningitis can occur with early onset group B strep, but it is not as common as sepsis. Meningitis is more likely to occur with late onset of the infection. Group B strep infection is passed from the mother to the fetus. Screening pregnant women for group B strep is routine so that it can be treated with antibiotics to prevent transmission during pregnancy and birth.

NEW QUESTION # 30
The parents of a neonate are considering genetic testing for their son because the father was recently diagnosed with Huntington's disease. They ask the NP's opinion. The most appropriate response is

A. 'Testing the infant now may help relieve your anxiety, but will not change the outcome."
B. "The information can't be used for health purposes now, and your child may wantto make
C. "Testing is available for individuals older than ten years of age."

Answer: B

Explanation:
The information derived from testing for Huntington's disease cannot be used for health promotion or disease prevention, so the parents should be counseled to wait until the child is at the age to make an informed decision about whether to have testing. This type of information can be devastating to young people who are not provided adequate support and counseling prior to testing. Some people with adult-onset diseases choose not to be tested, and childhood testing robs them of this choice.

NEW QUESTION # 31
A 64-year-old female has been told that her husband has terminal, metastatic cancer and life expectancy is most likely less than 6 months. She is feeling very anxious, depressed, and moody since he received this diagnosis. These emotions are part of

A. anticipatory grief
B. delayed grief
C. exaggerated grief

Answer: A

Explanation:
Anticipatory grief is the period that some people go through when it is learned that a loved one's death is eminent. Not everyone experiences this, but it can help a person to accept the impending death of their family member or friend. During this time, people often feel depressed or anxious, they may begin plans for the changes that will come when the person has passed, or they may take that time to share feelings and emotions with the loved one they are preparing to lose. If a person experiences anticipatory grief, it may help them to adjust to the changes that will occur once the person has died.

NEW QUESTION # 32
Evidence that an infant is feeding appropriately for discharge includes

A. primary caregiver feeding the infant correctly at least 90% of the time
B. weight gain of 15-30 grams per day
C. feeds accomplished with minimal respiratory difficulty

Answer: B

Explanation:
Current discharge requirements are based on physiological and functional readiness.
Requirements generally include:
*The infant is feeding appropriately, as evidenced by:
o Primary caregiver feedingthe infant with the prescribed method (gavage, gastrostomy, or special positioning) consistently.
o Weight gain of 15-30 grams per day over several days.
o Feeds accomplished without any respiratory difficulty.
*All medical or surgical problems that require hospitalization are resolved.
*Temperature stability is maintained in an open crib.
*Parents are trained appropriately concerning administration of medications, CPR, and proper use of car seat.
*Infant has passed all pre-discharge tests.
*Age appropriate immunizations have been administered.

NEW QUESTION # 33
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