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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q118-Q123):

NEW QUESTION # 118
An elevated serum lactate level in an infant in the Neonatal Intensive Care Unit is associated with

Answer: C

Explanation:
Lactic acid is increased in situations of tissue hypoxia, which can lead to severe metabolic acidosis. This can occur with sepsis, heart failure, shock, and multisystem organ failure. Studies have shown that elevations in serum lactate in the first week of life correlate with an increase in mortality rates. This risk is higher in infants born less than 1000 g.


NEW QUESTION # 119
How many calories does a preterm infant require per day?

Answer: A

Explanation:
The preterm infant needs 100-150 kcal/kg/day in order to complete development and gain weight. A term infant generally needs 100-120 kcal/kg/day for normal growth and development Adequate nutrition to meet the nutritional needs of the preterm infant can help to prevent poor outcomes and help to improve adequate nervous system development.


NEW QUESTION # 120
Signs and symptoms of acute alcohol withdrawal in the newborn with neonatal abstinence syndrome should appear

Answer: B

Explanation:
Symptoms of alcohol withdrawal in a newborn who was exposed to alcohol regularly during pregnancy generally occur 3-12 hours after birth. Withdrawal symptoms from opiates generally occur 24-36 hours after birth, but may be longer depending on the medication. For example, newborns that were exposed to methadone regularly while in utero may not show withdrawal symptoms until a week or longer after birth due to the long half-life of the drug.


NEW QUESTION # 121
What are the most common symptoms of sudden withdrawal of a beta blocker medication?

Answer: C

Explanation:
Therapeutic drugs can cause withdrawal symptoms when they are stopped suddenly, especially if the patient has been taking them for a long period of time. The primary mechanism of action of beta blockers is to decrease heart rate, thereby decreasing blood pressure, and decreasing the risk of developing a cardiac dysrhythmia. When the medication is stopped suddenly, the opposite effect is seen with a significant response. This includes high blood pressure, elevated heart rate, and risk of cardiac dysrhythmias, tremors, and sweating.


NEW QUESTION # 122
Which of the following is an indication for parenteral nutrition in the premature infant?

Answer: C

Explanation:
Parenteral nutrition is given via intravenous route. It is used when enteral feeding via a tube directly in the GI tract is not possible. This is most often due to a very low birth weight, less than
1500 g. Enteral feedings are delayed in these infants due to immature lung function requiring intubation, hypotension, hypothermia, and infection risk. Also, the GI tract in these infants may not tolerate feedings that require digestion by normal means.


NEW QUESTION # 123
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