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| Section | Weight | Objectives |
|---|
| Pharmacology | 9% | - Drugs and breastfeeding - Common drug therapies
- 1. Medication administration
- Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
|
| General Assessment | 15% | - Maternal history affecting the newborn
- 1. Prenatal and perinatal factors
- 2. Risk assessment
- Discharge planning and follow-up care
- 1. Care transition
- 2. Post-discharge monitoring
- Family integration
- 1. Family-centered care
- 2. Parent communication
- Neonatal assessment
- 1. Gestational age evaluation
- 2. Physical examination
|
| General Management | 19% | - Fluids and electrolytes
- 1. Fluid balance management
- Thermoregulation
- 1. Temperature stabilization
- Growth and nutrition
- 1. Nutritional management
- Resuscitation and stabilization
- 1. Emergency neonatal care
|
| Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Metabolic and endocrine - Respiratory
- 1. Respiratory distress and ventilation
- Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Gastrointestinal
- 1. Digestive system disorders
- Neurological
- 1. Neurological disorders
- Hematopoietic - Musculoskeletal
- 1. Bone and muscle disorders
- Renal and genitourinary
- 1. Kidney and urinary conditions
- Cardiac
- 1. Congenital and acquired cardiac disorders
- Integumentary - Genetics - Infectious diseases
|
| Professional Issues | 3% | - Evidence-based practice
- 1. Clinical research application
- Legal and ethical principles
- 1. Professional responsibility
- Quality improvement and patient safety
- 1. Healthcare quality management
|
>> Exam NCC-NNP Topics <<
2026 NCC-NNP: Neonatal Nurse Practitioner Exam Latest Exam Topics
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q15-Q20):
NEW QUESTION # 15
If a patient's membranes rupture and meconium-stained amniotic fluid is noted, the next step should be
- A. fetal scalp blood sampling
- B. Cesarean
- C. increased fetal monitoring
Answer: C
Explanation:
While previous standards advised for immediate Cesarean in the context of meconium-stained amniotic fluid, this is no longer advised. Instead, the fetus should be closely monitored for signs of distress and the appropriate team should be present at the birth of the neonate due to risks for respiratory distress secondary to aspiration. These neonates should not be routinely suctioned and/or intubated unless they are nonvigorous and do not respond to noninvasive interventions.
NEW QUESTION # 16
According to the American Heart Association, when should chest compressions be started in the pediatric patient?
- A. If the pulse is less than 60 beats per minute or there are signs of poor perfusion
- B. If there is no detectable pulse
- C. If there is a normal pulse but signs of respiratory distress
Answer: A
Explanation:
According to the American Heart Association, chest compressions should be started on the pediatric patient if the pulse is less than 60 beats per minute or if there are signs of poor perfusion.
If one person is performing CPR, the rate is 30 compressions followed by 2 breaths. If 2-person CPR is being performed, the cycle should be 15 compressions followed by 2 breaths.
NEW QUESTION # 17
A neonate develops tremors of the chin and extremities with the following observations:
*Lack of ocular deviations or other abnormalities.
*Gentle restraint halts tremors.
*Stimulation elicits tremors.
*Clonic jerking has both fast and slow elements.
*Autonomic changes involving the heart rate, respirations, and blood pressure are not present.
*EEG is normal.
The most likely cause is
- A. jitteriness
- B. shivering
- C. seizures
Answer: A
Explanation:
Jitteriness is distinct from shuddering, a 10-15 second period of fast tremors that may recur SIOO times daily. Both jitteriness and shuddering are benign findings. Seizures indicate that there is an abnormality of the central nervous system and are differentiated by their associated abnormal movements:
*Subtle: Feet pedaling, chewing, apnea, eye movements, or blank stare.
*Tonic: Tonic flexion or extension of the limbs, focal (one limb) or generalized.
*Clonic: Slow, clonic movements (1-3 per second), often in one extremity or one side of the body.
*Myoclonic: Focal, multi-focal, or generalized, with rapid jerking movements of the extremities.
NEW QUESTION # 18
The NP has an order to give dobutamine intravenously. She knows that
- A. this should be given through a peripheral IV site
- B. this should be given in oral form
- C. this should be given through a central line
Answer: C
Explanation:
Whenever possible, dobutamine should be given through a central line because it is caustic to the body's tissues. This medication is primarily used to improve the effectiveness of the heart to work as a pump and, to a lesser degree, can help with hypotension.
NEW QUESTION # 19
Identifying and treating congenital hypothyroidism within the first month oflife is especially critical to prevent
- A. thyroid cancer
- B. intellectual disability
- C. respiratory abnormalities
Answer: B
Explanation:
Untreated congenital hypothyroidism can result in profound intellectual disability, so diagnosing the disorder and beginning thyroxine treatment within the first month of life is essential. Newborn screening tests in most states mandate checking for hypothyroidism. Infants whose mothers received radioactive iodine treatment for thyroid cancer during pregnancy are especially at risk Signs of congenital hypothyroidism include hypotonia, growth restriction, poor feeding, wide hands with stunted fingers, short extremities, edematous face, and thick protruding tongue.
NEW QUESTION # 20
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