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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q66-Q71):

NEW QUESTION # 66
When treating a neonate for hypothermia, the air temperature should be increased by approximately

Answer: C

Explanation:
Steps in treatment of hypothermia:
*Increase the air temperature by approximately I 'C every hour until the infant's
*temperature is normal and stable.
*Determine if the cause of hypothermia is from an abnormal physiological process in the infant or from environmental conditions.
*Avoid rewarming the infant too rapidly because rapid rewarming may result in apnea or hypotension. Maintain the ambient temperature at 1-1.5'C higher than the infant's temperature.
*Warm IV fluids with a blood-warming device prior to infusion.
*Closely monitor the infants blood glucose levels, vital signs, and urinary output.


NEW QUESTION # 67
At which point in a pregnancy is the fetus most likely to suffer birth defects due to a Varicella infection in the mother?

Answer: C

Explanation:
The risk of birth defects due to Varicella infection is greatest in the second trimester. The risk at that point is approximately 2%, up from 0.5-1% in the first trimester. If the fetus contracts Varicella late in the pregnancy, there is a chance they will develop chicken pox rather than birth defects. Varicella infection can be severe in utero and may lead to small head size and intellectual disabilities.


NEW QUESTION # 68
The NP is administering blood to a premature infant who is anemic. A possible transfusion reaction may be occurring if the patient develops

Answer: B

Explanation:
One of the first signs that an acute intravascular hemolytic reaction is occurring is pain at the IV site. Other early signs include fever, chills, elevated heart rate, nausea, and dyspnea. This potentially life-threatening reaction usually occurs within 10 minutes of the beginning of the infusion of blood or blood products.


NEW QUESTION # 69
The NP is evaluating a newborn. The infant is having retractions with respirations and a low grunting sound can be heard with his rapid breathing. The most likely diagnosis is

Answer: B

Explanation:
Meconium aspiration syndrome occurs when the infant inhales meconium during the labor and delivery process. It presents as labored or rapid breathing with retractions and grunting sounds with each breath. The infant may begin to appear cyanotic as this progresses. To treat this condition, surfactant may be given which has proven to be helpful. A laryngoscope may be inserted to perform suction below the level of the vocal cords. Mortality rates are higher for these infants than others and there may be some residual respiratory problems for the first 5-10 years of life.


NEW QUESTION # 70
Which condition results in birth defects that are usually fatal before birth or within the first year of life?

Answer: C

Explanation:
Edwards syndrome, or trisomy 18, is a condition that occurs when there is an extra 18th chromosome. This is usually diagnosed prenatally with blood screening and ultrasounds. Infants with this condition are smaller than normal and have a small, misshapen head. Over one-third of these infants do not live past the first year of live. Approximately 10% may live up to 10 years of life, though, but with very complex medical problems due to birth defects affecting the organs.


NEW QUESTION # 71
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