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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: General Assessment15%- Family integration
  • 1. Parent communication
  • 2. Family-centered care
- Neonatal assessment
  • 1. Physical examination
  • 2. Gestational age evaluation
- Discharge planning and follow-up care
  • 1. Care transition
  • 2. Post-discharge monitoring
- Maternal history affecting the newborn
  • 1. Risk assessment
  • 2. Prenatal and perinatal factors
Topic 2: Pharmacology9%- Common drug therapies
  • 1. Medication administration
- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
- Drugs and breastfeeding
  • 1. Medication safety
Topic 3: General Management19%- Thermoregulation
  • 1. Temperature stabilization
- Fluids and electrolytes
  • 1. Fluid balance management
- Resuscitation and stabilization
  • 1. Emergency neonatal care
- Growth and nutrition
  • 1. Nutritional management
Topic 4: Embryology, Physiology, Pathophysiology and Systems Management54%- Metabolic and endocrine
  • 1. Metabolic regulation
- Respiratory
  • 1. Respiratory distress and ventilation
- Neurological
  • 1. Neurological disorders
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Gastrointestinal
  • 1. Digestive system disorders
- Genetics
  • 1. Genetic syndromes
- Hematopoietic
  • 1. Blood disorders
- Integumentary
  • 1. Skin conditions
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Musculoskeletal
  • 1. Bone and muscle disorders
- Infectious diseases
  • 1. Neonatal infections
Topic 5: Professional Issues3%- Legal and ethical principles
  • 1. Professional responsibility
- Quality improvement and patient safety
  • 1. Healthcare quality management
- Evidence-based practice
  • 1. Clinical research application

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q57-Q62):

NEW QUESTION # 57
How many calories does a preterm infant require per day?

Answer: B

Explanation:
The preterm infant needs 100-150 kcal/kg/day in order to complete development and gain weight. A term infant generally needs 100-120 kcal/kg/day for normal growth and development Adequate nutrition to meet the nutritional needs of the preterm infant can help to prevent poor outcomes and help to improve adequate nervous system development.


NEW QUESTION # 58
During the first few months of life, the newborn is only able to digest those proteins found in

Answer: A

Explanation:
The digestive system of the newborn begins maturing soon after birth. For the first few months, however, the only proteins it is able to digest are those found in formula or human milk.
That is why it is advised that cow's milk not be begin to babies within the first year of life. The GI tract has also not fully matured with the necessary microorganisms that aide in digestion.
Development and maturation of the GI tract continues for the first 2 years of life.


NEW QUESTION # 59
The NP accidentally administers the wrong dosage of medication to an infant in the NICU, resulting in a poor outcome. This is an example of

Answer: B

Explanation:
Medical negligence is any action that results in a bad outcome for a patient as a result of carelessness or medical error. This is not an intentional act, but occurs as a result of the actions of the healthcare provider. On the other hand, medical malpractice occurs when the standard norms or accepted standards of practice are not followed, resulting in an injury or bad outcome for the patient.


NEW QUESTION # 60
A neonate, 2 days after birth, develops a generalized rash with erythematous papules, vesicles, and some pustules everywhere but on the palms and soles of feet. The most likely diagnosis is

Answer: B

Explanation:
Erythema toxicum is a skin eruption of erythematous papules, vesicles, and sometimes pustules. Erythema toxicum is essentially benign and occurs in 250% of newborns. It is a generalized rash everywhere except the palms and soles of the feet, usually occurring 2-3 days after birth. Neonatal pustular melanosis is a benign rash (vesicles and macules) but not associated with erythema. Cutis marmorata is a disorder in which the infant's skin mottles or marbles when exposed to cold, because the superficial blood vessels dilate and contract at the same time.


NEW QUESTION # 61
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: B

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 # 62
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