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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: General Assessment15%- Discharge planning and follow-up care
  • 1. Care transition
  • 2. Post-discharge monitoring
- Family integration
  • 1. Parent communication
  • 2. Family-centered care
- Neonatal assessment
  • 1. Gestational age evaluation
  • 2. Physical examination
- Maternal history affecting the newborn
  • 1. Risk assessment
  • 2. Prenatal and perinatal factors
Topic 2: Professional Issues3%- Legal and ethical principles
  • 1. Professional responsibility
- Evidence-based practice
  • 1. Clinical research application
- Quality improvement and patient safety
  • 1. Healthcare quality management
Topic 3: 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
Topic 4: Pharmacology9%- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
- Common drug therapies
  • 1. Medication administration
- Drugs and breastfeeding
  • 1. Medication safety
Topic 5: Embryology, Physiology, Pathophysiology and Systems Management54%- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Neurological
  • 1. Neurological disorders
- Integumentary
  • 1. Skin conditions
- Genetics
  • 1. Genetic syndromes
- Infectious diseases
  • 1. Neonatal infections
- Musculoskeletal
  • 1. Bone and muscle disorders
- Metabolic and endocrine
  • 1. Metabolic regulation
- Respiratory
  • 1. Respiratory distress and ventilation
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Gastrointestinal
  • 1. Digestive system disorders
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Hematopoietic
  • 1. Blood disorders

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q122-Q127):

NEW QUESTION # 122
The genetic condition that results in a bluish tinge to the sclera of the eyes and multiple bone fractures is

Answer: C

Explanation:
Osteogenesis imperfecta is a genetic disorder that causes bones to be weak and fracture easily. It can also cause a bluish tone to the sclera of the eyes, scoliosis, short stature, and hearing loss. The condition occurs due to a genetic defect that results in problems with the body producing collagen, which strengthens bones. There is no cure for osteogenesis imperfecta, but bone strengthening medications and splinting/casting may help to protect the strength of the bones.


NEW QUESTION # 123
The initial treatment for patent ductus arteriosus (PDA) for a preterm neonate is usually

Answer: A

Explanation:
Patent ductus arteriosus (PDA) is failure of the ductus arteriosus that connects the pulmonary artery and aorta to close after birth, resulting in left to right shunting of blood from the aorta back to the pulmonary artery. This increases the blood flow to the lung and causes an increase in pulmonary hypertension that can result in damage to the lung tissue. Treatment for PDA:
*Indomethacin (Indocin@) or ibuprofen lysine given within 10 days of birth is successful in closing about 80% of defects.
*Surgical repair with ligation of the patent vessel if conservative treatment is unsuccessful.


NEW QUESTION # 124
The lab abnormalities seen with HELLP syndrome are

Answer: C

Explanation:
HELLP syndrome is a serious liver disorder that can occur in the last trimester in pregnancy.
It is characterized by hemolysis, elevated liver enzymes, and low platelets. Most women who develop HELLP syndrome also have preeclampsia, which is the greatest risk factor for developing this condition. The mother will have very high blood pressure, nausea, abdominal pain, and swelling. Treatment begins with delivery of the baby, even if it is premature. Symptomatic treatment with IV fluids, anti-hypertensives, and vasodilators are given to the mother. It can be fatal if it is not treated.


NEW QUESTION # 125
Five minutes after birth, a newborn infant is actively moving, crying, skin is pink all over, and heart rate is 132. Based on this information, you know this infant's Apgar score is

Answer: B

Explanation:
The Apgar score is assessed one minute and again five minutes after birth. The initial reading is to assess how the newborn did through the birthing process. The second is done to assess how the newborn is doing outside the womb. The infant's activity level, heart rate, breathing pattern, skin color, and grimacing response are assessed and 0-2 points are assigned based on their condition. This infant is showing all signs of a healthy newborn, scoring 2 points in each section for a total of a perfect 10.


NEW QUESTION # 126
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 # 127
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