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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
General Assessment15%- Family integration
  • 1. Parent communication
  • 2. Family-centered care
- Discharge planning and follow-up care
  • 1. Post-discharge monitoring
  • 2. Care transition
- Maternal history affecting the newborn
  • 1. Risk assessment
  • 2. Prenatal and perinatal factors
- Neonatal assessment
  • 1. Gestational age evaluation
  • 2. Physical examination
General Management19%- Growth and nutrition
  • 1. Nutritional management
- Thermoregulation
  • 1. Temperature stabilization
- Fluids and electrolytes
  • 1. Fluid balance management
- Resuscitation and stabilization
  • 1. Emergency neonatal care
Professional Issues3%- Quality improvement and patient safety
  • 1. Healthcare quality management
- Evidence-based practice
  • 1. Clinical research application
- Legal and ethical principles
  • 1. Professional responsibility
Embryology, Physiology, Pathophysiology and Systems Management54%- Integumentary
  • 1. Skin conditions
- Metabolic and endocrine
  • 1. Metabolic regulation
- Musculoskeletal
  • 1. Bone and muscle disorders
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Infectious diseases
  • 1. Neonatal infections
- Neurological
  • 1. Neurological disorders
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Respiratory
  • 1. Respiratory distress and ventilation
- Genetics
  • 1. Genetic syndromes
- Hematopoietic
  • 1. Blood disorders
- Gastrointestinal
  • 1. Digestive system disorders
Pharmacology9%- Drugs and breastfeeding
  • 1. Medication safety
- Common drug therapies
  • 1. Medication administration
- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q89-Q94):

NEW QUESTION # 89
Onset of drug withdrawal symptoms for a neonate whose mother used heroin during pregnancy is

Answer: A

Explanation:
The onset of withdrawal symptoms in a neonate varies depending on the mother's type of drug use, but the onset of symptoms of narcotics, such as heroin or methadone, is longer than for other drugs, ranging from 48-72 hours for most but can be up to one month, so many of these neonates may be discharged prior to onset of symptoms. Mothers should be carefully screened to try to identify infants at risk.


NEW QUESTION # 90
An elevated serum lactate level in an infant in the Neonatal Intensive Care Unit is associated with

Answer: A

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 # 91
W'hen do symptoms of biliary atresia develop in the newborn?

Answer: C

Explanation:
Symptoms of biliary atresia appear in the newborn approximately Ovo to eight weeks after birth. This condition occurs when the biliary system in the liver is not fully developed, resulting in obstruction of the flow of bile from the liver to the gallbladder for storage. It causes damage to the liver as the bile builds up, causing cirrhosis and eventually liver failure. It can be treated surgically.


NEW QUESTION # 92
The NP is assessing an infant with renal disease. Over the past 4 hours, he has had 100 mL of urine output. He weighs 6 lbs,or 2.73 kg. The initial interpretation of this would be

Answer: A

Explanation:
A urine output mL/kg/hr is categorized as severe polyuria. If not already present, a urinary catheter is usually inserted at this point to obtain a more accurate reading of urinary output. If this is a new change in urine output for the infant, the neonatologist on call should be contacted.


NEW QUESTION # 93
The NP is caring for an infant in the NICU. The newborn has not had a bowel movement in the first 48 hours of his life and has vomited whenever oral feedings are attempted. What is one of the problems that may be present?

Answer: B

Explanation:
Hirschsprungs disease is a congenital condition in which nerve cells are absent from the lower part of the GI tract. This prevents the normal peristaltic movement to occur in the intestines, which pushes waste material through, resulting in a BM. The infant will usually have a distended abdomen and vomiting with this disease. It is treated with surgery to remove the affected part of the colon.


NEW QUESTION # 94
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