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Nursing NCC-NNP Exam Syllabus Topics:

SectionObjectives
Topic 1: High-Risk Neonatal Management- Infectious diseases in neonates
- Prematurity-related complications
- Respiratory distress and ventilation management
Topic 2: Family-Centered Care and Ethics- Ethical and legal considerations in neonatal care
- Parent education and communication
Topic 3: Neonatal Pharmacology and Therapeutics- Medication administration in neonates
- Drug safety, dosing considerations, and pharmacokinetics
Topic 4: Neonatal Health Assessment- Physical and neurological assessment of the newborn
- Identification of normal vs abnormal findings
Topic 5: Neonatal Physiology and Pathophysiology- Respiratory adaptation and disorders
- Cardiovascular adaptation and congenital conditions
- Thermoregulation, metabolism, and fluid balance

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q32-Q37):

NEW QUESTION # 32
Parents of a newborn have opted to not have their son circumcised. When providing them with care instructions, they will need to know

Answer: B

Explanation:
It is recommended that the newborn's foreskin be gently retracted as much as it will naturally allow during baths and diaper changes, but that cleansing the area beneath the foreskin not be done until the foreskin has fully retracted naturally. Forceful retraction should be avoided as it may cause irritation, bleeding, or fibrosis, and should be avoided for that reason. Bacteria, fungus, and moisture can be trapped within the foreskin, which can lead to a painful infection. Infections can become severe enough to cause significant swelling of the foreskin, which can prevent it from being able to be retracted down over the penis.


NEW QUESTION # 33
During the initial physical examination, the neonate's chest circumference is 34 cm. The expected head circumference is

Answer: C

Explanation:
The head circumference is usually about 2 cm greater than the chest circumference, so the head circumference should be about 36 cm. Normal characteristics of a newborn include the following:


NEW QUESTION # 34
In what order should resuscitative efforts in the premature infant with hydrops fetalis and bilateral pleural effusions be performed?

Answer: A

Explanation:
Hydrops fetalis is a potentially life-threatening condition in which accumulating fluid is present in at least Nzo body cavities (abdomen, pleura, or pericardium). Traditionally, this has been treated through removal of the fluid after the umbilical cord has been cut and resuscitative measures started. It has recently been found that the prognosis is improved if the neonate remains attached to the placenta via the umbilical cord so they continue to receive oxygenated blood from the mother. The fluid can be drawn off and then the cord can be clamped before resuscitative measures are started.


NEW QUESTION # 35
Which of the following potential side effects can occur as a result of forceps being used during delivery?

Answer: B

Explanation:
There is a risk of facial palsy (usually temporary) and minor facial or external eye injury with forceps use. Forceps may be used during delivery to assist the neonate's passage through the birth canal, especially if the mother or infant are in distress. Rarely, a skull fracture or bleeding within the brain can occur.


NEW QUESTION # 36
The type of hearing loss associated with in utero rubella infection is

Answer: C

Explanation:
Sensorineural hearing loss occurs when the cochlea is impaired or damaged by a genetic syndrome, in utero infections like rubella, postnatal meningitis, or ototoxic medication (such as aminoglycoside antibiotics or the diuretic furosemide). Conductive hearing loss occurs from an abnormality in the sound conduction system in the outer and middle ears (external ear canal, tympanic membrane, and auditory ossicles). Central hearing loss is rare and occurs when defects or damage of the auditory nervous pathway or auditory brain centers are present in infants with kernicterus, episodes of hypoxia, or intraventricular hemorrhage.


NEW QUESTION # 37
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