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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Pharmacology9%- Adverse effects and interactions
- Pharmacokinetics and pharmacodynamics in neonates
- Safe administration principles
- Common medications and dosages
Topic 2: Embryology, Physiology, Pathophysiology & Systems Management54%- Eyes, ears, nose and throat
- Metabolic and endocrine system
- Respiratory system
- Neurological system
- Gastrointestinal system
- Genetics and congenital anomalies
- Hematopoietic and immune system
- Infectious diseases
- Cardiovascular system
- Musculoskeletal and integumentary system
- Renal and genitourinary system
Topic 3: General Assessment15%- Interpretation of diagnostic data
- Growth and development assessment
- Systematic physical assessment
- Perinatal history collection
Topic 4: General Management19%- Fluids, electrolytes and acid-base balance
- Nutrition and growth support
- Thermoregulation
- Care coordination and family education
- Pain management and sedation
- Resuscitation and stabilization
Topic 5: Professional Issues3%- Scope and standards of practice
- Ethics and legal aspects
- Interprofessional collaboration
- Quality improvement and patient safety

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q65-Q70):

NEW QUESTION # 65
Which of the following heart conditions will cause weak peripheral pulses and cool extremities?

Answer: A

Explanation:
Hypoplastic left heart syndrome can cause decreased peripheral pulses due to left ventricular dysfunction. It is a congenital heart defect that results in the left side of the heart being smaller than normal. This decreases the amount of oxygenated blood that can be delivered through the body. Peripheral cyanosis will also occur due to the decrease in oxygen being sent to the extremities. Patent ductus arteriosus and pulmonary stenosis do not result in peripheral cyanosis.


NEW QUESTION # 66
What is the most common cause of respiratory distress in the newborn?

Answer: B

Explanation:
Transient tachypnea of the newborn is the most common cause of respiratory distress in the newborn. It is triggered by excessive fluid in the lungs and usually resolves on its own. It occurs shortly after delivery. Supportive care with oxygen or CPAP may be necessary until the symptoms resolve. It is most common in babies born via Cesarean section.


NEW QUESTION # 67
When the NP is assessing a newborn, the reflex that results in abduction and extension of the infant's arms as the hands open is the

Answer: A

Explanation:
The Moro reflex is checked by quickly lowering the infant's head relative to the trunk and is present as early as 32 weeks gestation. Positive signs ofthis reflex include the abduction and extension of the infant's arms as the hands open. It is no longer present by the time the infant is 6- months-old. The grasp reflex is the reflexive action of bending the fingers around an object placed in the palm. The asymmetrical tonic reflex is also called the "fencing" reflex. When the infants head is turned to one side, the arm and leg of the side at which the face is turned extend and the arm and leg on the opposite side flex.


NEW QUESTION # 68
What does it mean if a disease is autosomal dominant?

Answer: B

Explanation:
An autosomal dominant disorder only requires one parent to pass on the gene for a disease to occur. Examples of autosomal dominant conditions including Huntington's disease, polycystic kidney disease, and neurofibromatosis. Often, one of the parents will have the disease and can pass it onto their children.


NEW QUESTION # 69
What injection do newborns receive at birth to decrease the risk of hemorrhage?

Answer: C

Explanation:
At birth, newborns are given an injection of vitamin K to prevent hemorrhage. Infants are borne with a deficient amount of vitamin K, which can cause a condition known as vitamin K deficiency bleeding, or VKDB. Internal bleeding can be difficult in the newborn until serious complications are developing. so a routine injection of vitamin K is given at birth to decrease the risk of bleeding. Erythromycin ointment is applied to the eyes of the newborn to prevent neonatal gonococcal ophthalmia.


NEW QUESTION # 70
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