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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q26-Q31):

NEW QUESTION # 26
If a mother suffers from pregnancy-induced hypertension (preeclampsia) during pregnancy, the primary detrimental effect on the fetus is

Answer: C

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 # 27
Insensible water loss in neonates includes

Answer: A

Explanation:
Insensible water losses (IWL) occur as water evaporates from the skin (2/3) or the respiratory tract (1/3). IWL cannot be directly measured. Premature neonates have thin skin that allows for increased amounts of evaporative water loss. As the skin matures and the stratum corneum develops (around 31 weeks of gestation) less water is lost through the skin. A full-term neonate will have an IWL of 12/ml/kg/24 hours at 50% humidity. Factors that increase IWL include prematurity, radiant warmers, phototherapy, fever, low humidity, and tachypnea. Sensible water losses occur via urination, stool, and gastric drainage and can be accurately measured.


NEW QUESTION # 28
An example of an autosomal recessive disease is

Answer: A

Explanation:
An autosomal recessive disease is one that requires 2 copies of the gene in order for the disease or trait to occur. For example, both the mother and father of an infant would need to pass on a copy of the gene for cystic fibrosis in order for their child to develop the disease. Down's syndrome and Edward's syndrome are both genetic mutations that occur during fetal development and are not genetically inherited conditions.


NEW QUESTION # 29
The new parents of a child with Down syndrome tell the NP that they want to have more child in the future, but they are concerned about the risk of having another child with this condition. The most appropriate response is

Answer: C

Explanation:
The risk of having a child with Down's syndrome is approximately 1 in 100 pregnancies.
Advanced maternal age is more of a risk factor for having the genetic mutation that causes this condition. Having one child with this condition does not increase the chances that any future children will also have Down's syndrome.


NEW QUESTION # 30
How is hypospadias diagnosed?

Answer: A

Explanation:
Hypospadias is a congenital condition in which the urethral opening is on the underside of the penis. It is diagnosed by physical exam and no diagnostic testing is necessary. This condition results in the urine being sprayed during urination and the penis may curve down slightly. Surgical correction may be necessary if the condition is bothersome.


NEW QUESTION # 31
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