TOP Valid NCC-NNP Learning Materials: Neonatal Nurse Practitioner Exam - High-quality Nursing Latest NCC-NNP Exam Answers

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| Section | Weight | Objectives |
|---|
| Topic 1: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
- Drugs and breastfeeding - Common drug therapies
- 1. Medication administration
|
| Topic 2: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Hematopoietic - Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Cardiac
- 1. Congenital and acquired cardiac disorders
- Respiratory
- 1. Respiratory distress and ventilation
- Renal and genitourinary
- 1. Kidney and urinary conditions
- Musculoskeletal
- 1. Bone and muscle disorders
- Infectious diseases - Integumentary - Neurological
- 1. Neurological disorders
- Metabolic and endocrine - Gastrointestinal
- 1. Digestive system disorders
- Genetics
|
| Topic 3: Professional Issues | 3% | - Legal and ethical principles
- 1. Professional responsibility
- Quality improvement and patient safety
- 1. Healthcare quality management
- Evidence-based practice
- 1. Clinical research application
|
| Topic 4: General Management | 19% | - Thermoregulation
- 1. Temperature stabilization
- Growth and nutrition
- 1. Nutritional management
- Fluids and electrolytes
- 1. Fluid balance management
- Resuscitation and stabilization
- 1. Emergency neonatal care
|
| Topic 5: General Assessment | 15% | - Maternal history affecting the newborn
- 1. Risk assessment
- 2. Prenatal and perinatal factors
- Family integration
- 1. Family-centered care
- 2. Parent communication
- Neonatal assessment
- 1. Physical examination
- 2. Gestational age evaluation
- Discharge planning and follow-up care
- 1. Post-discharge monitoring
- 2. Care transition
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q83-Q88):
NEW QUESTION # 83
Which of the following is used to test for congenital cytomegalovirus infection?
- A. Feces
- B. Saliva
- C. Nasal swab
Answer: B
Explanation:
A congenital cytomegalovirus (CMU infection can be diagnosed using saliva, urine, or blood specimens. Testing must be done within the first 2-3 weeks following birth. A mother who has CMV can pass this infection to the fetus through the placenta. Most infants will never develop any symptoms from the virus, but approximately 20% can develop hearing loss, vision loss, intellectual disabilities, seizures, or muscle weakness.
NEW QUESTION # 84
To promote family integration, the best time for siblings to visit the mother and neonate is
- A. just prior to discharge from hospital
- B. after discharge from hospital
- C. as soon after delivery as possible
Answer: C
Explanation:
Children should visit the mother and infant as soon after delivery as possible. Preparation of siblings prior to the birth can decrease anxiety and sibling rivalry by helping the children feel as though they are participants and are valued. Children should be prepared for physical changes in the mother, changing family dynamics, and infant care. A parent/teacher may use dolls to demonstrate childcare and allow the children to practice holding and caring for the baby. When possible, children should have contact with an infant, such as that of a friend or family member.
NEW QUESTION # 85
A neonate exhibits the following:
*Long narrow torso with short arms and legs.
*Proximal segment of the limbs (upper arms and thighs) disproportionately short.
*Head large with frontal bossing and midface hypoplasia.
These characteristics are consistent with
- A. Down syndrome
- B. fragile X
- C. achondroplasia
Answer: C
Explanation:
Achondroplasia is the most common cause of dwarfism. Bone growth is inhibited as the result of an abnormal gene on chromosome 4. Achondroplasia can be inherited in an autosomal dominant fashion, but the majority of cases (75-80%) occur with spontaneous mutations. Clinical features apparent at birth include a long narrow torso with short arms and legs. The proximal segment of the limbs (upper arms and thighs) is disproportionately short. The head is large, with frontal bossing and midface hypoplasia. A small hump (gibbus) may be present in the mid-to-lower back. Mild, generalized hypotonia may be present.
NEW QUESTION # 86
Transient neonatal strabismus usually clears by the age of
- A. 4 months
- B. 4 weeks
- C. 4 days
Answer: A
Explanation:
Because oculomotor control is poor in the neonate, transient neonatal strabismus involving intermittent exotropia or esotropia is common and usually clears by about 4 months without treatment. Strabismus occurs when the muscles of the eyes are not coordinated so that one eye deviates from the axis of the other. Deviations include:
*Tropia, which is consistent or intermittent deviation in which the child is unable to maintain alignment of the eyes.
*Esotropia, in which both eyes turning inwards (cross eyes) and exotropia is both eyes turning outward (wall eyes).
NEW QUESTION # 87
A neonate delivered by Cesarean to a mother who smokes exhibits dyspnea, mild sternal retraction, expiratory grunt, nasal flaring, and poor feeding. ABGs show mild hypoxemia.
The most likely cause is
- A. meconium aspiration syndrome (MAS)
- B. transient tachypnea of newborn (TTN)
- C. birth asphyxia
Answer: B
Explanation:
Transient tachypnea of newborn CT TN) occurs when fluid in the lungs is not adequately absorbed after birth. The neonate usually exhibits symptoms within 36 hours of birth and the condition typically resolves within 3 days. T TN is most common in infants delivered by Cesarean section, but premature birth and mothers who smoke or have diabetes increase risk to infant.
Symptoms include:
*Dyspnea (>60/min).
*Sternal retraction (mild).
*Expiratory grunt.
*Nasal flaring.
*Poor feeding (because of increased respiratory rate).
NEW QUESTION # 88
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