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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q12-Q17):

NEW QUESTION # 12
The most common type of short-limbed dwarfism is

Answer: B

Explanation:
The most common type of short-limbed dwarfism is achondroplasia. This condition follows an autosomal dominant pattern, meaning that only one parent needs to pass on the gene for this condition to occur. It results in an average-sized trunk with short arms and legs, a large head with a high forehead, and short fingers. The middle finger and ring finger may diverge which gives the hand a trident appearance. There are no common learning disabilities associated with achondroplasia.


NEW QUESTION # 13
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: B

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 # 14
According to the American Heart Association, when should chest compressions be started in the pediatric patient?

Answer: C

Explanation:
According to the American Heart Association, chest compressions should be started on the pediatric patient if the pulse is less than 60 beats per minute or if there are signs of poor perfusion.
If one person is performing CPR, the rate is 30 compressions followed by 2 breaths. If 2-person CPR is being performed, the cycle should be 15 compressions followed by 2 breaths.


NEW QUESTION # 15
The parents of a neonate are considering genetic testing for their son because the father was recently diagnosed with Huntington's disease. They ask the NP's opinion. The most appropriate response is

Answer: B

Explanation:
The information derived from testing for Huntington's disease cannot be used for health promotion or disease prevention, so the parents should be counseled to wait until the child is at the age to make an informed decision about whether to have testing. This type of information can be devastating to young people who are not provided adequate support and counseling prior to testing. Some people with adult-onset diseases choose not to be tested, and childhood testing robs them of this choice.


NEW QUESTION # 16
Which of the following medications is NOT safe to take while breastfeeding?

Answer: B

Explanation:
The antipsychotic medication clozapine should not be taken by mother's who are breastfeeding. It is typically used for schizophrenia and passes through human milk to the infant. It can cause letharg- and agranulocytosis in infants. Infants of breastfed mothers who were taking clozapine have also exhibited speech delay. Ibuprofen and diphenhydramine are both considered safe to take while breastfeeding.


NEW QUESTION # 17
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