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Nursing NCC-NNP Exam Syllabus Topics:

SectionObjectives
Neonatal Health Assessment- Physical and neurological assessment of the newborn
- Identification of normal vs abnormal findings
Neonatal Pharmacology and Therapeutics- Drug safety, dosing considerations, and pharmacokinetics
- Medication administration in neonates
Family-Centered Care and Ethics- Ethical and legal considerations in neonatal care
- Parent education and communication
High-Risk Neonatal Management- Respiratory distress and ventilation management
- Prematurity-related complications
- Infectious diseases in neonates
Neonatal Physiology and Pathophysiology- Thermoregulation, metabolism, and fluid balance
- Respiratory adaptation and disorders
- Cardiovascular adaptation and congenital conditions

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q85-Q90):

NEW QUESTION # 85
What is the purpose for CCHD screening in newborns?

Answer: B

Explanation:
The CCHD screening identifies those infants who may have a critical congenital heart defect that requires early surgical intervention. This screening is performed using pulse oximetry in the newborn nursery to measure the oxygen saturation in the blood of infants. This screening decreases the risk of overlooking a critical congenital heart defect that may require early intervention.


NEW QUESTION # 86
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 # 87
Which of the following medications may be given to slow down preterm labor contractions?

Answer: A

Explanation:
Tocolytics are drugs that are given to slow down or stop preterm labor. They are generally not used before 23-24 weeks of pregnancy and may be used as late as 36 weeks of pregnancy.
Terbutaline is in a class of drugs called beta-mimetics. It is used to decrease uterine contractions by relaxing the uterine musculature. It can cause nervousness, tremors, headache, and tachycardia.
Cytotec is given as a pill or vaginal suppository to help soften the cervix to induce labor. Pitocin is used to increase uterine contractions and cervical dilation to induce labor.


NEW QUESTION # 88
Periventricular leukomalacia is often the cause of which chronic condition?

Answer: C

Explanation:
Periventricular leukomalacia often causes cerebral palsy in the affected child. It has also been associated with an increased chance of epilepsy. Periventricular leukomalacia occurs when there is necrosis of the white matter in the brain near the lateral ventricles. Premature infants are at greatest risk for developing this condition due to the risk of neonatal encephalopathy.


NEW QUESTION # 89
According to the American Heart Association, when should chest compressions be started in the pediatric patient?

Answer: A

Explanation:
According to the American Heart Association, chest compressions should be started on the pediatric patient if the pulse is less than 60 beats per minute or if there are signs of poor perfusion.
If one person is performing CPR, the rate is 30 compressions followed by 2 breaths. If 2-person CPR is being performed, the cycle should be 15 compressions followed by 2 breaths.


NEW QUESTION # 90
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