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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q32-Q37):

NEW QUESTION # 32
The mildest form of an intraventricular hemorrhage of the brain in a newborn is also called

Answer: A

Explanation:
An intraventricular hemorrhage in a newborn is classified into grades, depending upon the severity of the bleeding. Grade l, the mildest form, is also called a germinal matrix hemorrhage.
Those infants most at risk for developing an intraventricular hemorrhage are those who are premature, at least 10 weeks preterm. This occurs because the blood vessels in the brain are very weak in the premature infant and can easily rupture, causing a brain bleed. Less than half of infants with a mild bleed will have long-term effects from it. Up to one-third of those with severe bleeds may die.


NEW QUESTION # 33
Parents of a newborn have opted to not have their son circumcised. When providing them with care instructions, they will need to know

Answer: A

Explanation:
It is recommended that the newborn's foreskin be gently retracted as much as it will naturally allow during baths and diaper changes, but that cleansing the area beneath the foreskin not be done until the foreskin has fully retracted naturally. Forceful retraction should be avoided as it may cause irritation, bleeding, or fibrosis, and should be avoided for that reason. Bacteria, fungus, and moisture can be trapped within the foreskin, which can lead to a painful infection. Infections can become severe enough to cause significant swelling of the foreskin, which can prevent it from being able to be retracted down over the penis.


NEW QUESTION # 34
If left untreated, coarctation of the aorta can lead to

Answer: B

Explanation:
Coarctation of the aorta can cause congestive heart failure. It occurs when there is narrowing in the aorta. It is a congenital condition that may not cause any symptoms in the newborn and may not be known to be present until adulthood. If symptomatic, the common symptoms are pallor, difficulty breathing, and poor feeding due to difficulty breathing. If it is left untreated, it can lead to congestive heart failure or even death.


NEW QUESTION # 35
Transient neonatal strabismus usually clears by the age of

Answer: C

Explanation:
Because oculomotor control is poor in the neonate, transient neonatal strabismus involving intermittent exotropia or esotropia is common and usually clears by about 4 months without treatment. Strabismus occurs when the muscles of the eyes are not coordinated so that one eye deviates from the axis of the other. Deviations include:
*Tropia, which is consistent or intermittent deviation in which the child is unable to maintain alignment of the eyes.
*Esotropia, in which both eyes turning inwards (cross eyes) and exotropia is both eyes turning outward (wall eyes).


NEW QUESTION # 36
Which of the following is used to test for congenital cytomegalovirus infection?

Answer: A

Explanation:
A congenital cytomegalovirus (CMU infection can be diagnosed using saliva, urine, or blood specimens. Testing must be done within the first 2-3 weeks following birth. A mother who has CMV can pass this infection to the fetus through the placenta. Most infants will never develop any symptoms from the virus, but approximately 20% can develop hearing loss, vision loss, intellectual disabilities, seizures, or muscle weakness.


NEW QUESTION # 37
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