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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q137-Q142):

NEW QUESTION # 137
An infant in the Neonatal Intensive Care Unit is being treated for meningitis with ampicillin. The dosage is 400 mg/kg/day divided over every 8 hours. The infant being cared for weighs 6 pounds 8 ounces. How many milligrams should be given with each dose?

Answer: B

Explanation:
To calculate the correct dosage, the first step will be to convert the weight to kilograms. 6 pounds 8 ounces, or 6.5 pounds, is divided by 2.2 to convert the weight to 2.95 kg. The dosage is
400 mg/kg/day so in a full day, the infant should receive 1,180 mg (400 x 2.95 = 1,180). The dosage is spaced three times a day, every 8 hours, so each dosage should be 393 mg (1,180/3 = 393).


NEW QUESTION # 138
When treating a neonate for hypothermia, the air temperature should be increased by approximately

Answer: C

Explanation:
Steps in treatment of hypothermia:
*Increase the air temperature by approximately I 'C every hour until the infant's
*temperature is normal and stable.
*Determine if the cause of hypothermia is from an abnormal physiological process in the infant or from environmental conditions.
*Avoid rewarming the infant too rapidly because rapid rewarming may result in apnea or hypotension. Maintain the ambient temperature at 1-1.5'C higher than the infant's temperature.
*Warm IV fluids with a blood-warming device prior to infusion.
*Closely monitor the infants blood glucose levels, vital signs, and urinary output.


NEW QUESTION # 139
Which vitamin should be given to infants at risk for bronchopulmonary dysplasia?

Answer: B

Explanation:
Very low birth weight infants are at risk for developing bronchopulmonary dysplasia.
Nutritional support can possibly help to decrease the development of this condition. Vitamin A helps with lung maturity, and supplementation with this vitamin may help to prevent this condition. Parenteral nutrition also helps with lung development to ensure the infant is receiving the proteins and lipids needed to help with lung maturity.


NEW QUESTION # 140
What is the most common cause of a cardiac tamponade in the newborn?

Answer: B

Explanation:
Cardiac tamponade occurs when fluid accumulates with the pericardial sac, causing pressure on the outside of the heart. It is treated by inserting a needle through the chest wall, into the pericardium, and withdrawing the fluid. Though cardiac tamponade in neonates is rare, it can occur in this population when a central venous catheter is in an incorrect position, applying pressure at the juncture of the inferior vena cava and the right atrium. Ensuring correct placement of the catheter is imperative to prevent this life-threatening complication.


NEW QUESTION # 141
If a mother suffers from pregnancy-induced hypertension (preeclampsia) during pregnancy, the primary detrimental effect on the fetus is

Answer: B

Explanation:
Preeclampsia is a disorder that develops in approximately 5% of all pregnancies. Its main feature is new onset elevated blood pressure that develops around 20 weeks of gestation.
Proteinuria is no longer a diagnostic requirement, but is a common feature accompanying the hypertension. The main detrimental effect on the fetus occurs because of longstanding hypertension that leads to utero-placental vascular insufficiency, which impairs the transfer of nutrients and oxygen to the fetus, resulting in intra-uterine growth restriction (IUGR). The IUGR is usually asymmetric (fetal head size is normal for gestational age). Placental abruption occurrence is also more common in fetuses exposed to longstanding hypertension, but not as common as IUGR.


NEW QUESTION # 142
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