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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q23-Q28):

NEW QUESTION # 23
An infant has been identified as having galactosemi
a. The mother wants to know if she
can still breastfeed him. The best response is

Answer: B

Explanation:
Infants with galactosemia are not able to be breastfed at all and must be bottle-fed with a galactose-free formula. Galactosemia is a hereditary condition in which the infant is deficient in the enzyme that breaks down galactose, the sugar found in milk. Those infants affected will begin with vomiting and diarrhea shortly after ingesting any milk containing this sugar. It can go on to affect the brain, eyes, liver, and kidneys.


NEW QUESTION # 24
The NP has an order to give dobutamine intravenously. She knows that

Answer: B

Explanation:
Whenever possible, dobutamine should be given through a central line because it is caustic to the body's tissues. This medication is primarily used to improve the effectiveness of the heart to work as a pump and, to a lesser degree, can help with hypotension.


NEW QUESTION # 25
What condition can occur in the newborn as a result of Rh incompatibility?

Answer: C

Explanation:
Hydrops fetalis occurs as a result of Rh incompatibility between the newborn and the mother. The Rh incompatibility results in a large number of red blood cells in the infant to be destroyed. This causes severe edema. Approximately half of newborns with hydrops fetalis will not survive. This can be prevented if prenatal testing is done on the mother to determine her Rh status.
If she is Rh negative, an injection can be given during the first trimester of her pregnancy to prevent this reaction from occurring.


NEW QUESTION # 26
When the NP is assessing a newborn, the reflex that results in abduction and extension of the infant's arms as the hands open is the

Answer: C

Explanation:
The Moro reflex is checked by quickly lowering the infant's head relative to the trunk and is present as early as 32 weeks gestation. Positive signs ofthis reflex include the abduction and extension of the infant's arms as the hands open. It is no longer present by the time the infant is 6- months-old. The grasp reflex is the reflexive action of bending the fingers around an object placed in the palm. The asymmetrical tonic reflex is also called the "fencing" reflex. When the infants head is turned to one side, the arm and leg of the side at which the face is turned extend and the arm and leg on the opposite side flex.


NEW QUESTION # 27
What change in arterial blood gas values would be expected in a patient with compensated respiratory acidosis?

Answer: B

Explanation:
Respiratory acidosis occurs when a person is not being adequately oxygenated. This results in an elevated PaCO: level and a decreased blood pH level. VVhen the body attempts to compensate for this abnormality, the serum bicarbonate (HCO;) level is elevated to offset the acidic level of the blood PH. This results in a continued PaCO:, a normal blood pH level, and an elevated HCOs level.


NEW QUESTION # 28
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