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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q70-Q75):

NEW QUESTION # 70
A premature infant is in distress and has not responded to resuscitative measures. A volume expander is indicated at this time. What is the risk of giving this type of medication too quickly?

Answer: A

Explanation:
Acute volume expansion in the neonate can be accomplished with an isotonic crystalloid solution, such as lactated Ringer's solution. This increases the pressure in the intravascular space, which causes water to move from the interstitial to intravascular spaces, which increases the circulating blood volume. Crystalloids have a half-life benveen 30 and 60 minutes and must be given in amounts three times the volume lost If too much is given too quickly, however, fluid overload with intraventricular hemorrhage and pulmonary edema can result


NEW QUESTION # 71
Insensible water loss in neonates includes

Answer: B

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 # 72
A premature infant in the NICU has a nasogastric drain. The results ofher arterial blood gases are as follows:
*ph -7.5
*HCOs - 29
*pC02 - 37
Based on these values, which acid-base disorder has this infant developed?

Answer: A

Explanation:
Metabolic alkalosis will cause the arterial blood pH and bicarbonate levels to increase.
Conversely, metabolic acidosis will cause arterial pH and bicarbonate levels to decrease.
Respiratory acidosis will increase the arterial carbon dioxide level while decreasing the PH, and respiratory alkalosis will have the opposite results with a decrease in carbon dioxide level and an increased PH.


NEW QUESTION # 73
Clinical symptoms of neonatal renal vein thrombosis include

Answer: C

Explanation:
Clinical symptoms of renal vein thrombosis in the newborn include thrombocytopenia, hypertension, hematuria, proteinuria, and renal insufficiency. This condition is rare, but can occur in infants born to mothers with a history of diabetes mellitus. This is not an infectious condition, so you would not expect to see leukocytosis. Bence-Jones proteins in the urine are specific to multiple myeloma.


NEW QUESTION # 74
A neonate delivered by Cesarean to a mother who smokes exhibits dyspnea, mild sternal retraction, expiratory grunt, nasal flaring, and poor feeding. ABGs show mild hypoxemia.
The most likely cause is

Answer: B

Explanation:
Transient tachypnea of newborn CT TN) occurs when fluid in the lungs is not adequately absorbed after birth. The neonate usually exhibits symptoms within 36 hours of birth and the condition typically resolves within 3 days. T TN is most common in infants delivered by Cesarean section, but premature birth and mothers who smoke or have diabetes increase risk to infant.
Symptoms include:
*Dyspnea (>60/min).
*Sternal retraction (mild).
*Expiratory grunt.
*Nasal flaring.
*Poor feeding (because of increased respiratory rate).


NEW QUESTION # 75
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