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Nursing NCC-NNP Exam Syllabus Topics:

SectionObjectives
High-Risk Neonatal Management- Prematurity-related complications
- Infectious diseases in neonates
- Respiratory distress and ventilation management
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
Neonatal Physiology and Pathophysiology- Thermoregulation, metabolism, and fluid balance
- Respiratory adaptation and disorders
- Cardiovascular adaptation and congenital conditions
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 (Q99-Q104):

NEW QUESTION # 99
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 # 100
Evidence that an infant is feeding appropriately for discharge includes

Answer: C

Explanation:
Current discharge requirements are based on physiological and functional readiness.
Requirements generally include:
*The infant is feeding appropriately, as evidenced by:
o Primary caregiver feedingthe infant with the prescribed method (gavage, gastrostomy, or special positioning) consistently.
o Weight gain of 15-30 grams per day over several days.
o Feeds accomplished without any respiratory difficulty.
*All medical or surgical problems that require hospitalization are resolved.
*Temperature stability is maintained in an open crib.
*Parents are trained appropriately concerning administration of medications, CPR, and proper use of car seat.
*Infant has passed all pre-discharge tests.
*Age appropriate immunizations have been administered.


NEW QUESTION # 101
The purpose of quality improvement is to

Answer: B

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 # 102
The mineral that is often very low after the administration of intravenous Lasix is

Answer: B

Explanation:
Calcium excretion is increased when a person receives Lasix. In the newborn, this can affect bone formation and maturation. Calcium levels should be monitored when a newborn is on Lasix, and supplementation administered if necessary.


NEW QUESTION # 103
An infant with a known congenital diaphragmatic hernia is born at 38 weeks gestation.
He requires resuscitation shortly after delivery due to the weakening of the diaphragm from the herni a. Generally speaking, survival rate for this infant is

Answer: C

Explanation:
With a diaphragmatic hernia, the diaphragm becomes weakened and this can result in the stomach and other abdominal contents expending into the chest cavity. This, along with the weakened diaphragm, can result in a decreased ability to breathe. If detected in the prenatal period, assistance can standby during delivery to begin resuscitative measures promptly and improve the chances for survival.


NEW QUESTION # 104
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