NCC-NNP Study Reference & NCC-NNP Practical Information

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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Professional Issues3%- Interprofessional collaboration
- Ethics and legal aspects
- Quality improvement and patient safety
- Scope and standards of practice
Pharmacology9%- Safe administration principles
- Adverse effects and interactions
- Pharmacokinetics and pharmacodynamics in neonates
- Common medications and dosages
General Management19%- Fluids, electrolytes and acid-base balance
- Care coordination and family education
- Resuscitation and stabilization
- Pain management and sedation
- Nutrition and growth support
- Thermoregulation
General Assessment15%- Interpretation of diagnostic data
- Growth and development assessment
- Systematic physical assessment
- Perinatal history collection
Embryology, Physiology, Pathophysiology & Systems Management54%- Musculoskeletal and integumentary system
- Neurological system
- Eyes, ears, nose and throat
- Metabolic and endocrine system
- Hematopoietic and immune system
- Renal and genitourinary system
- Gastrointestinal system
- Respiratory system
- Infectious diseases
- Cardiovascular system
- Genetics and congenital anomalies

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q28-Q33):

NEW QUESTION # 28
A medical emergency that can lead to hypovolemic shock in the newborn is

Answer: B

Explanation:
A subgaleal hemorrhage can be massive and may lead to hypovolemic shock. This condition occurs when there is bleeding in the loose connective tissue of the subgaleal space. The subgaleal space is composed of loose connective tissue that allows the scalp to slide easily on the cranium.
There is an increased risk of a subgaleal hemorrhage with vacuum and forceps use during delivery.
The trauma to the scalp results in rupture of the blood vessels in this space. This usually develops over several hours to several days with the first clinical sign being an increase in head circumference.


NEW QUESTION # 29
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 # 30
The new parents of a child with Down syndrome tell the NP that they want to have more child in the future, but they are concerned about the risk of having another child with this condition. The most appropriate response is

Answer: A

Explanation:
The risk of having a child with Down's syndrome is approximately 1 in 100 pregnancies.
Advanced maternal age is more of a risk factor for having the genetic mutation that causes this condition. Having one child with this condition does not increase the chances that any future children will also have Down's syndrome.


NEW QUESTION # 31
A neonate delivered by Cesarean to a mother who smokes exhibits dyspnea, mild sternal retraction, expiratory grunt, nasal flaring, and poor feeding. ABGs show mild hypoxemia.
The most likely cause is

Answer: C

Explanation:
Transient tachypnea of newborn CT TN) occurs when fluid in the lungs is not adequately absorbed after birth. The neonate usually exhibits symptoms within 36 hours of birth and the condition typically resolves within 3 days. T TN is most common in infants delivered by Cesarean section, but premature birth and mothers who smoke or have diabetes increase risk to infant.
Symptoms include:
*Dyspnea (>60/min).
*Sternal retraction (mild).
*Expiratory grunt.
*Nasal flaring.
*Poor feeding (because of increased respiratory rate).


NEW QUESTION # 32
The syndrome affecting almost half of the infants of diabetic mothers is

Answer: C

Explanation:
Fetal macrosomia occurs in up to 45% of infants of diabetic mothers. They are large babies that weigh more than 4000 g at term birth. These infants are puffy, fat, ruddy, and often hypotonic.
These infants are also more likely to have periods of hypoglycemia shortly after birth and during the first few days of life.


NEW QUESTION # 33
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