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Nursing NCC-NNP Exam Syllabus Topics:

SectionObjectives
Topic 1: Neonatal Health Assessment- Identification of normal vs abnormal findings
- Physical and neurological assessment of the newborn
Topic 2: High-Risk Neonatal Management- Respiratory distress and ventilation management
- Prematurity-related complications
- Infectious diseases in neonates
Topic 3: Family-Centered Care and Ethics- Parent education and communication
- Ethical and legal considerations in neonatal care
Topic 4: Neonatal Physiology and Pathophysiology- Thermoregulation, metabolism, and fluid balance
- Respiratory adaptation and disorders
- Cardiovascular adaptation and congenital conditions
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 (Q162-Q167):

NEW QUESTION # 162
A 64-year-old female has been told that her husband has terminal, metastatic cancer and life expectancy is most likely less than 6 months. She is feeling very anxious, depressed, and moody since he received this diagnosis. These emotions are part of

Answer: A

Explanation:
Anticipatory grief is the period that some people go through when it is learned that a loved one's death is eminent. Not everyone experiences this, but it can help a person to accept the impending death of their family member or friend. During this time, people often feel depressed or anxious, they may begin plans for the changes that will come when the person has passed, or they may take that time to share feelings and emotions with the loved one they are preparing to lose. If a person experiences anticipatory grief, it may help them to adjust to the changes that will occur once the person has died.


NEW QUESTION # 163
The purpose of quality improvement is to

Answer: C

Explanation:
Quality improvement is instrumental in improving the way healthcare services are provided, while continually measuring the effect those changes have on the health status of the patients served. This is often measured through patient satisfaction information.


NEW QUESTION # 164
The parents of a newborn with strabismus express concern about how this is going to be treated. The most appropriate response is

Answer: C

Explanation:
Strabismus is a misalignment of the eyes, usually from a weak or defective eye muscle. As the child becomes older, patching and eyeglasses can help with strengthening the weak muscle to help align the gaze of the eyes. If left untreated or in the rare cases that patching and eyeglasses are not affective, strabismus can become severe and result in a full cross-eyed appearance. Occasionally surgery will need to be performed to correct the misalignment.


NEW QUESTION # 165
What injection do newborns receive at birth to decrease the risk of hemorrhage?

Answer: C

Explanation:
At birth, newborns are given an injection of vitamin K to prevent hemorrhage. Infants are borne with a deficient amount of vitamin K, which can cause a condition known as vitamin K deficiency bleeding, or VKDB. Internal bleeding can be difficult in the newborn until serious complications are developing. so a routine injection of vitamin K is given at birth to decrease the risk of bleeding. Erythromycin ointment is applied to the eyes of the newborn to prevent neonatal gonococcal ophthalmia.


NEW QUESTION # 166
A newborn with congenital cytomegalovirus infection is being treated with IV ganciclovir. W'hen giving this intravenously, over what time period should it be infused?

Answer: B

Explanation:
Ganciclovir should be given over a 60 minute time period when given intravenously. It is used primarily for immunodeficient patients with CMV retinitis. It is a very cytotoxic drug and its cytotoxic effects are increased if given over a shorter period of time than 60 minutes. These adverse effects include thrombocytopenia, granulocytopenia, and anemia. In male patients, it may cause aspermatogenesis.


NEW QUESTION # 167
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