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| Section | Weight | Objectives |
|---|
| General Management | 19% | - Fluids and electrolytes
- 1. Fluid balance management
- Thermoregulation
- 1. Temperature stabilization
- Growth and nutrition
- 1. Nutritional management
- Resuscitation and stabilization
- 1. Emergency neonatal care
|
| General Assessment | 15% | - 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. Parent communication
- 2. Family-centered care
- Discharge planning and follow-up care
- 1. Care transition
- 2. Post-discharge monitoring
|
| Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Cardiac
- 1. Congenital and acquired cardiac disorders
- Gastrointestinal
- 1. Digestive system disorders
- Respiratory
- 1. Respiratory distress and ventilation
- Hematopoietic - Infectious diseases - Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Integumentary - Musculoskeletal
- 1. Bone and muscle disorders
- Genetics - Metabolic and endocrine - Renal and genitourinary
- 1. Kidney and urinary conditions
- Neurological
- 1. Neurological disorders
|
| Professional Issues | 3% | - Evidence-based practice
- 1. Clinical research application
- Quality improvement and patient safety
- 1. Healthcare quality management
- Legal and ethical principles
- 1. Professional responsibility
|
| Pharmacology | 9% | - Common drug therapies
- 1. Medication administration
- Drugs and breastfeeding - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
|
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Free PDF Quiz 2026 Reliable NCC-NNP: Latest Neonatal Nurse Practitioner Exam Exam Pdf
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q175-Q180):
NEW QUESTION # 175
Oral sucrose is given to infants
- A. to increase heart rate and blood pressure
- B. to treat hypoglycemia
- C. for pain relief
Answer: C
Explanation:
Oral sucrose has been used in infants as a mild analgesic. It is given before minor procedures to help relax the infant and provide pain relief. The sucrose solution activates the body's mechanism to produce natural opioid-like substances, such as endorphins. Oral sucrose is not indicated in hypoglycemia or for heart rate and blood pressure control.
NEW QUESTION # 176
During the initial physical examination, the neonate's chest circumference is 34 cm. The expected head circumference is
Answer: B
Explanation:
The head circumference is usually about 2 cm greater than the chest circumference, so the head circumference should be about 36 cm. Normal characteristics of a newborn include the following:

NEW QUESTION # 177
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
- A. Moro reflex
- B. asymmetrical tonic reflex
- C. grasp reflex
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 # 178
Insensible water loss in neonates includes
- A. stool
- B. urination
- C. evaporated fluids
Answer: C
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 # 179
Which of the following heart conditions will cause weak peripheral pulses and cool extremities?
- A. Hypoplastic left heart syndrome
- B. Patent ductus arteriosus
- C. Pulmonary stenosis
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 # 180
......
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