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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Pharmacology9%- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
- Drugs and breastfeeding
  • 1. Medication safety
- Common drug therapies
  • 1. Medication administration
Topic 2: 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
Topic 3: Embryology, Physiology, Pathophysiology and Systems Management54%- Genetics
  • 1. Genetic syndromes
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Metabolic and endocrine
  • 1. Metabolic regulation
- Gastrointestinal
  • 1. Digestive system disorders
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Integumentary
  • 1. Skin conditions
- Hematopoietic
  • 1. Blood disorders
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Musculoskeletal
  • 1. Bone and muscle disorders
- Infectious diseases
  • 1. Neonatal infections
- Respiratory
  • 1. Respiratory distress and ventilation
- Neurological
  • 1. Neurological disorders
Topic 4: General Management19%- Thermoregulation
  • 1. Temperature stabilization
- Growth and nutrition
  • 1. Nutritional management
- Resuscitation and stabilization
  • 1. Emergency neonatal care
- Fluids and electrolytes
  • 1. Fluid balance management
Topic 5: General Assessment15%- Neonatal assessment
  • 1. Physical examination
  • 2. Gestational age evaluation
- Maternal history affecting the newborn
  • 1. Risk assessment
  • 2. Prenatal and perinatal factors
- Discharge planning and follow-up care
  • 1. Post-discharge monitoring
  • 2. Care transition
- Family integration
  • 1. Family-centered care
  • 2. Parent communication

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q162-Q167):

NEW QUESTION # 162
The parents of a newborn ask the NP about the white bumps they have noticed along their baby's upper gum line. The best response is that

Answer: B

Explanation:
Vvhitish bumps, or cysts, along the gum or roof of the mouth are called Epstein's pearls. They are very common and occur in about 80% of newborns. These will resolve on their own within the first couple of weeks of life and do not require any treatment.


NEW QUESTION # 163
A pediatric patient in the NICU is receiving an infusion of dopamine. Once it is completed, the effects from the medication should be gone

Answer: A

Explanation:
The half-life of dopamine is less than 2 minutes, so the total time in which the effects from the medication are seen is around 10 minutes. Dopamine is used to improve heart function, increase blood pressure, and increase renal perfusion.


NEW QUESTION # 164
Early-onset sepsis (S72 hours) in the neonate most often presents as

Answer: B

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 # 165
What does it mean if a disease is autosomal dominant?

Answer: C

Explanation:
An autosomal dominant disorder only requires one parent to pass on the gene for a disease to occur. Examples of autosomal dominant conditions including Huntington's disease, polycystic kidney disease, and neurofibromatosis. Often, one of the parents will have the disease and can pass it onto their children.


NEW QUESTION # 166
The major route in a full-term neonate for rapidly increasing body temperature in response to cold stress is

Answer: B

Explanation:
Non-shivering thermogenesis (NST) is the major route of rapid increase of body temperature in response to cold stress in the term neonate. NST is the oxidation of brown fat to create heat.
Brown adipose tissue contains a high concentration of stored triglycerides, a rich capillary network, and is controlled by the sympathetic nervous system. When brown fat is metabolized, heat is created. When a cold body temperature is detected, the posterior hypothalamus responds by triggering the adrenal glands to release norepinephrine and the pituitary gland to release thyroxine. Both stimulate NST.


NEW QUESTION # 167
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