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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q80-Q85):

NEW QUESTION # 80
A child with late congenital syphilis will generally show symptoms

Answer: B

Explanation:
Late congenital syphilis will reveal symptoms after a child is at least 2 -years-old. This is transmitted to the newborn by a mother with syphilis. Early onset of the disease (less than 2 years of age), may cause a chronic runny nose, enlarged liver or spleen, skeletal abnormalities, or a bullous skin condition. Late onset can cause eye and ear problems, and skeletal abnormalities.


NEW QUESTION # 81
A term neonate is diagnosed at birth with osteogenesis imperfecta (01) type 1. The information that the parents should receive before taking the infant home includes

Answer: A

Explanation:
The parents of an infant with 01 type 1 should receive information about methods of handling, bathing, and placing their child in the crib to minimize trauma and avoid fractures. 01 is a genetic disorder of collagen synthesis that results in brittle, easily fractured bones. Common features of 01 include brittle bones, bowing of long bones, shortened limbs, blue sclera, skeletal deformities (including scoliosis), respiratory difficulties, and weak muscles. Type I is non-lethal and the mildest of 4 types of 01.01 type 2 causes severe breathing problems that often prevent the neonate's survival. 01 infants do not generally require feeding tubes or have aspiration risks. 01 is usually inherited in a dominant fashion, but a new mutation may cause the disorder in approximately 25% of cases.


NEW QUESTION # 82
Two days after birth, a newborn infant has developed an erythematous papular rash scattered all over. The best explanation to give the parents is

Answer: C

Explanation:
Erythema toxicum is a benign rash that develops 2-5 days after birth in approximately half of all full-term infants. It appears as red blotches on the skin with white or yellow papules or pustules. It does not appear to cause any discomfort to the baby and there is no treatment as it resolves on its own within a couple of weeks. Sensitivity to the new environment early in life is thought to be the cause.


NEW QUESTION # 83
Early-onset sepsis (S72 hours) in the neonate most often presents as

Answer: C

Explanation:
Early onset sepsis most often presents as pneumonia and late onset as bacteremia and/or meningitis. Neonatal sepsis is a particular risk for preterm infants <IOOO g and may be associated with a wide range of pathogens, both bacterial and viral. Early onset (02 hours) is usually related to maternal transmission and late onset (4-90 days) to invasive devices. Septic pneumonia usually presents with tachypnea, sternal retraction, grunting respirations, cyanosis, and apneic periods.


NEW QUESTION # 84
With which genetic condition is the NP likely to see an atrioventricular septal defect, or a ventricular septal defect in less severe cases?

Answer: B

Explanation:
Approximately one-half of all children born with Down syndrome have a heart defect. The most common type of heart defect in these children is an atrioventricular septal defect, or a ventricular septal defect in less severe cases. This occurs when the septum betv:een either the atria and ventricles, or just the ventricles, is not fully formed. This allows oxygenated blood and deoxygenated blood to mix, which can cause the heart to work harder to transport oxygenated blood throughout the body.


NEW QUESTION # 85
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