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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q73-Q78):

NEW QUESTION # 73
On the APGAR scale, a good score is

Answer: B

Explanation:
A total score of 27 is a sign of good health with a perfect score being 10. APGAR is a quick evaluation of a newborn's physical condition to determine if emergency medical care is needed and is administered 1 minute and 5 minutes after birth.


NEW QUESTION # 74
An elevated serum lactate level in an infant in the Neonatal Intensive Care Unit is associated with

Answer: B

Explanation:
Lactic acid is increased in situations of tissue hypoxia, which can lead to severe metabolic acidosis. This can occur with sepsis, heart failure, shock, and multisystem organ failure. Studies have shown that elevations in serum lactate in the first week of life correlate with an increase in mortality rates. This risk is higher in infants born less than 1000 g.


NEW QUESTION # 75
If left untreated, coarctation of the aorta can lead to

Answer: A

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 # 76
Periventricular leukomalacia is often the cause of which chronic condition?

Answer: A

Explanation:
Periventricular leukomalacia often causes cerebral palsy in the affected child. It has also been associated with an increased chance of epilepsy. Periventricular leukomalacia occurs when there is necrosis of the white matter in the brain near the lateral ventricles. Premature infants are at greatest risk for developing this condition due to the risk of neonatal encephalopathy.


NEW QUESTION # 77
Signs and symptoms of acute alcohol withdrawal in the newborn with neonatal abstinence syndrome should appear

Answer: A

Explanation:
Symptoms of alcohol withdrawal in a newborn who was exposed to alcohol regularly during pregnancy generally occur 3-12 hours after birth. Withdrawal symptoms from opiates generally occur 24-36 hours after birth, but may be longer depending on the medication. For example, newborns that were exposed to methadone regularly while in utero may not show withdrawal symptoms until a week or longer after birth due to the long half-life of the drug.


NEW QUESTION # 78
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