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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: General Management19%- Resuscitation and stabilization
- Nutrition and growth support
- Pain management and sedation
- Thermoregulation
- Care coordination and family education
- Fluids, electrolytes and acid-base balance
Topic 2: Professional Issues3%- Quality improvement and patient safety
- Interprofessional collaboration
- Ethics and legal aspects
- Scope and standards of practice
Topic 3: Pharmacology9%- Adverse effects and interactions
- Safe administration principles
- Common medications and dosages
- Pharmacokinetics and pharmacodynamics in neonates
Topic 4: General Assessment15%- Interpretation of diagnostic data
- Perinatal history collection
- Growth and development assessment
- Systematic physical assessment
Topic 5: Embryology, Physiology, Pathophysiology & Systems Management54%- Neurological system
- Hematopoietic and immune system
- Eyes, ears, nose and throat
- Infectious diseases
- Genetics and congenital anomalies
- Respiratory system
- Musculoskeletal and integumentary system
- Cardiovascular system
- Metabolic and endocrine system
- Gastrointestinal system
- Renal and genitourinary system

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q156-Q161):

NEW QUESTION # 156
Oral sucrose is given to infants

Answer: B

Explanation:
Oral sucrose has been used in infants as a mild analgesic. It is given before minor procedures to help relax the infant and provide pain relief. The sucrose solution activates the body's mechanism to produce natural opioid-like substances, such as endorphins. Oral sucrose is not indicated in hypoglycemia or for heart rate and blood pressure control.


NEW QUESTION # 157
In the 1940s and 1950s, the leading cause of blindness in children in the United States was retinopathy of prematurity caused by

Answer: A

Explanation:
Retinopathy of prematurity was a leading cause of blindness in children in the 1940s and
1950s due to high levels of oxygen given to premature infants in incubators. This condition occurs in premature infants, usually those at less than 31 weeks gestation. The eye, optic nerve, and blood vessels begin to develop around the 16th week of pregnancy. The last 12 weeks of pregnancy sees a rapid development in the blood vessels. Children before that gestation time often do not fully develop the blood vessels to the retina, causing retinopathy and possibly blindness.


NEW QUESTION # 158
A mother delivers a child with sickle cell disease, an autosomal recessive disorder. The recurrence risk for subsequent children being born with the disorder is

Answer: C

Explanation:
Autosomal recessive: Recurrence is 25% for each pregnancy and 50% risk of the child becoming a carrier. Autosomal dominant: Recurrence risk is 50%, but there is no carrier state. X- linked recessive: Recurrence risk is 50% for affected sons and 50% risk of daughters becoming carriers. Affected sons do not pass the disorder to sons, but all daughters become carriers. X-Iinked dominant: Father passes the disorder to 100% of daughters but no sons. Mother passes the trait to
50% of sons and 50% of daughters, but daughters are usually unaffected.


NEW QUESTION # 159
Which of the following infections is the most common in the newborn?

Answer: A

Explanation:
Enterovirus is a very common cause of infections. It often creates no symptoms in the infant, but can be very serious if it occurs in the first 2 weeks of life. Enterovirus infections are usually transmitted from the mother to the infant. They can cause cold symptoms, or be so severe that sepsis, meningitis, or respiratory failure develop. Enterovirus infections are most common in the summer and fall.


NEW QUESTION # 160
A condition that prevents a newborn from being able to pass air to breathe after birth is

Answer: B

Explanation:
Bilateral choanal atresia occurs when the back of the nasal passages are blocked, preventing a newborn from being able to breathe. This occurs due to a bony or soft tissue abnormality during development in utero. The back of the nasal passages fail to open, resulting in the inability to pass air. Infants are obligatory nasal breathers and immediate airway assistance is usually necessary at birth. This condition can be surgically corrected, but may require additional surgeries to widen the opening as the child matures. Neither meconium aspiration nor pneumonia affect the neonate's ability to pass air through the lungs, though both can also lead to respiratory distress.


NEW QUESTION # 161
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