Nursing NCC-NNP Most Reliable Questions - NCC-NNP Valid Test Vce

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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: General Assessment15%- Maternal history affecting the newborn
  • 1. Risk assessment
  • 2. Prenatal and perinatal factors
- Neonatal assessment
  • 1. Physical examination
  • 2. Gestational age evaluation
- Family integration
  • 1. Family-centered care
  • 2. Parent communication
- Discharge planning and follow-up care
  • 1. Care transition
  • 2. Post-discharge monitoring
Topic 2: Professional Issues3%- Legal and ethical principles
  • 1. Professional responsibility
- Quality improvement and patient safety
  • 1. Healthcare quality management
- Evidence-based practice
  • 1. Clinical research application
Topic 3: Embryology, Physiology, Pathophysiology and Systems Management54%- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Respiratory
  • 1. Respiratory distress and ventilation
- Hematopoietic
  • 1. Blood disorders
- Neurological
  • 1. Neurological disorders
- Musculoskeletal
  • 1. Bone and muscle disorders
- Genetics
  • 1. Genetic syndromes
- Infectious diseases
  • 1. Neonatal infections
- Metabolic and endocrine
  • 1. Metabolic regulation
- Gastrointestinal
  • 1. Digestive system disorders
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Integumentary
  • 1. Skin conditions
Topic 4: Pharmacology9%- Drugs and breastfeeding
  • 1. Medication safety
- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
- Common drug therapies
  • 1. Medication administration
Topic 5: General Management19%- Fluids and electrolytes
  • 1. Fluid balance management
- Growth and nutrition
  • 1. Nutritional management
- Thermoregulation
  • 1. Temperature stabilization
- Resuscitation and stabilization
  • 1. Emergency neonatal care

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q118-Q123):

NEW QUESTION # 118
The NP is caring for an infant in the NICU. The newborn has not had a bowel movement in the first 48 hours of his life and has vomited whenever oral feedings are attempted. What is one of the problems that may be present?

Answer: B

Explanation:
Hirschsprungs disease is a congenital condition in which nerve cells are absent from the lower part of the GI tract. This prevents the normal peristaltic movement to occur in the intestines, which pushes waste material through, resulting in a BM. The infant will usually have a distended abdomen and vomiting with this disease. It is treated with surgery to remove the affected part of the colon.


NEW QUESTION # 119
A term neonate is diagnosed at birth with osteogenesis imperfecta (01) type 1. The information that the parents should receive before taking the infant home includes

Answer: B

Explanation:
The parents of an infant with 01 type 1 should receive information about methods of handling, bathing, and placing their child in the crib to minimize trauma and avoid fractures. 01 is a genetic disorder of collagen synthesis that results in brittle, easily fractured bones. Common features of 01 include brittle bones, bowing of long bones, shortened limbs, blue sclera, skeletal deformities (including scoliosis), respiratory difficulties, and weak muscles. Type I is non-lethal and the mildest of 4 types of 01.01 type 2 causes severe breathing problems that often prevent the neonate's survival. 01 infants do not generally require feeding tubes or have aspiration risks. 01 is usually inherited in a dominant fashion, but a new mutation may cause the disorder in approximately 25% of cases.


NEW QUESTION # 120
Which of the following conditions results from oligohydramnios?

Answer: A

Explanation:
Potter syndrome occurs due to oligohydramnios, or a reduced amount of amniotic fluid in utero. Any condition during development that results in decreased urine production by the fetus can result in a reduced amount of amniotic fluid being present. If the mother has prolonged rupture of the membranes, the amniotic fluid will be absent which could result in this condition. Amniotic fluid is essential for alveolar development in the lungs while in utero. If this is reduced or absent, the infant will suffer respiratory distress at birth.


NEW QUESTION # 121
If a mother suffers from pregnancy-induced hypertension (preeclampsia) during pregnancy, the primary detrimental effect on the fetus is

Answer: A

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 # 122
A full-term neonate fails to pass meconium in the first 48 hours of life. The infant exhibits abdominal distension, poor feeding, and bilious vomiting. An x-ray of the abdomen shows dilated loops of bowel. The diagnostic procedure used both to confirm a diagnosis of meconium plug syndrome and to direct treatment is

Answer: B

Explanation:
A contrast enema is used to confirm a diagnosis of meconium plug syndrome and helps differentiate that from other causes of intestinal obstruction. The contrast enema also is often therapeutic and helps the plug to pass. Meconium plug syndrome usually occurs in full-term infants, infants of diabetic mothers, or infants with hypermagnesemia. A small percentage of infants initially identified as having meconium plug syndrome (5-10%) have Hirschsprung disease. The cause of meconium plug syndrome is thought to be immaturity of the ganglion cells of the colon.


NEW QUESTION # 123
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