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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q14-Q19):

NEW QUESTION # 14
Parents of a newborn have opted to not have their son circumcised. When providing them with care instructions, they will need to know

A. the child should receive an annual exam by a urologist to evaluate the uncircumcised penis
B. though the circumcision was not done in the hospital, they will need to follow-up with their
C. The foreskin should only be retracted as much as it allows during bathing and diaper

Answer: C

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 # 15
While assessing a newborn in the NICU, the NP notices that he has pitting edema on the right side of his scalp. The next step should be to

A. continue to monitor for any change in the symptoms
B. stop all IV fluids and monitor closely to see if the swelling decreases
C. immediately contact the neonatologist on call and let them know of these findings

Answer: A

Explanation:
Pitting edema in the soft tissues of the scalp is not uncommon after birth, due to trauma on the baby/s scalp while moving through the birth canal. This condition is called caput succedaneum and is most evident immediately after birth. It usually resolves rather quickly over the first 24-48 hours following birth and just needs to be monitored for any changes.

NEW QUESTION # 16
The parents of a newborn ask the NP about the white bumps they have noticed along their baby's upper gum line. The best response is that

A. these are small cysts that will go away on their own within 1-2 weeks
B. he is starting to develop teeth at a very young age
C. these are skin lesions on his gums that need to be evaluated by a dentist

Answer: A

Explanation:
Vvhitish bumps, or cysts, along the gum or roof of the mouth are called Epstein's pearls. They are very common and occur in about 80% of newborns. These will resolve on their own within the first couple of weeks of life and do not require any treatment.

NEW QUESTION # 17
What is the purpose for CCHD screening in newborns?

A. To identify infants born with a cleft lip or palate
B. To identify infants with severe congenital heart disease
C. To identify infants born with chromosomal abnormalities

Answer: B

Explanation:
The CCHD screening identifies those infants who may have a critical congenital heart defect that requires early surgical intervention. This screening is performed using pulse oximetry in the newborn nursery to measure the oxygen saturation in the blood of infants. This screening decreases the risk of overlooking a critical congenital heart defect that may require early intervention.

NEW QUESTION # 18
The electrolytes that are of primary concern in the neonate are

A. calcium, sodium, and potassium
B. sodium, phosphorous, and potassium
C. calcium, chloride, and magnesium

Answer: A

Explanation:

NEW QUESTION # 19
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