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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q75-Q80):

NEW QUESTION # 75
What is the most common cause of direct hyperbilirubinemia in the newborn?

Answer: C

Explanation:
Direct hyperbilirubinemia (also known as jaundice, but not caused by jaundice) is the yellow discoloration of the skin and sclera. The most common cause in newborns is due to the liver being immature and not being able to breakdown bilirubin. It is fairly common and most often responds to phototherapy for a few days.


NEW QUESTION # 76
Early-onset sepsis (S72 hours) in the neonate most often presents as

Answer: A

Explanation:
Early onset sepsis most often presents as pneumonia and late onset as bacteremia and/or meningitis. Neonatal sepsis is a particular risk for preterm infants <IOOO g and may be associated with a wide range of pathogens, both bacterial and viral. Early onset (02 hours) is usually related to maternal transmission and late onset (4-90 days) to invasive devices. Septic pneumonia usually presents with tachypnea, sternal retraction, grunting respirations, cyanosis, and apneic periods.


NEW QUESTION # 77
An infant with ABO incompatibility with the mother develops hyperbilirubinemia after birth. The neonate should be monitored for a few weeks after birth for

Answer: A

Explanation:
Anemia may develop in the weeks after delivery because of increased rate of RBC breakdown, so the neonate should be monitored with blood counts. About 20-25% of pregnancies involve ABO incompatibility, usually with the mother type O and the fetus A or B. There are rarely serious complications for the fetus although the neonate may develop hyperbilirubinemia, so the child should be observed carefully. Only in severe cases of hemolysis (rare), does the child require exchange transfusions.


NEW QUESTION # 78
Evidence that an infant is feeding appropriately for discharge includes

Answer: C

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 # 79
Parents of a newborn in the NICU are concerned about their baby having an IV placed in their scalp. To reassure them, the NP explains that

Answer: B

Explanation:
Though not the first choice for an IV site, the scalp is used once other sites in the hands and feet have already been used. The scalp is a good site because there is very little fat under the skin so the veins are easily visible.


NEW QUESTION # 80
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