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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q143-Q148):

NEW QUESTION # 143
The initial treatment for patent ductus arteriosus (PDA) for a preterm neonate is usually

Answer: A

Explanation:
Patent ductus arteriosus (PDA) is failure of the ductus arteriosus that connects the pulmonary artery and aorta to close after birth, resulting in left to right shunting of blood from the aorta back to the pulmonary artery. This increases the blood flow to the lung and causes an increase in pulmonary hypertension that can result in damage to the lung tissue. Treatment for PDA:
*Indomethacin (Indocin@) or ibuprofen lysine given within 10 days of birth is successful in closing about 80% of defects.
*Surgical repair with ligation of the patent vessel if conservative treatment is unsuccessful.


NEW QUESTION # 144
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: C

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 # 145
A newborn with congenital cytomegalovirus infection is being treated with IV ganciclovir. W'hen giving this intravenously, over what time period should it be infused?

Answer: A

Explanation:
Ganciclovir should be given over a 60 minute time period when given intravenously. It is used primarily for immunodeficient patients with CMV retinitis. It is a very cytotoxic drug and its cytotoxic effects are increased if given over a shorter period of time than 60 minutes. These adverse effects include thrombocytopenia, granulocytopenia, and anemia. In male patients, it may cause aspermatogenesis.


NEW QUESTION # 146
A neonate who was exposed to maternal herpes virus should be treated with

Answer: C

Explanation:
Intravenous acyclovir is given to infants exposed to herpes virus. Most vertical transmissions occur when the neonate travels through a colonized birth canal. The transmission rate from women with a primary HSV infection is approximately 50%, while the transmission rate is 1-2% if the infection is a recurrence of HSV. Signs of a neonatal infection with HSV include:
*Skin, eye, and mucous membrane blistering at 10-12 days of life.
*Disseminated disease may spread to multiple organs, leading to pneumonitis, hepatitis, and intravascular coagulation.
*Encephalitis may be the only presentation, with signs of lethargv, irritability, poor feeding.
and seizures.


NEW QUESTION # 147
Which of the following is an indication for parenteral nutrition in the premature infant?

Answer: A

Explanation:
Parenteral nutrition is given via intravenous route. It is used when enteral feeding via a tube directly in the GI tract is not possible. This is most often due to a very low birth weight, less than
1500 g. Enteral feedings are delayed in these infants due to immature lung function requiring intubation, hypotension, hypothermia, and infection risk. Also, the GI tract in these infants may not tolerate feedings that require digestion by normal means.


NEW QUESTION # 148
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