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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q42-Q47):

NEW QUESTION # 42
In which group is hypoxic ischemic encephalopathy more common?

Answer: C

Explanation:
Hypoxic ischemic encephalopathy is more common in full-term infants than premature infants. This condition results in damage or death to brain tissue due to lack of oxygen to the brain.
It can occur when there is any condition, maternal or fetal, that results in a disruption in oxygenation of brain tissue. This can include a prolapsed cord, placental abruption, maternal hypotension, and others. This is the leading cause of impairment in newborns, though severity of the impairment may not be determined until 3 or 4 years of age.


NEW QUESTION # 43
How does the protein content in colostrum compare to the protein content in mature human milk?

Answer: A

Explanation:
The first form of human milk that can be expressed is called colostrum. This is produced for the first few days, up to a week following delivery. It has a higher protein content than mature human milk. Colostrum can contain up to 17% protein, while mature human milk contains only about 1% protein.


NEW QUESTION # 44
When the NP is assessing a newborn, the reflex that results in abduction and extension of the infant's arms as the hands open is the

Answer: B

Explanation:
The Moro reflex is checked by quickly lowering the infant's head relative to the trunk and is present as early as 32 weeks gestation. Positive signs ofthis reflex include the abduction and extension of the infant's arms as the hands open. It is no longer present by the time the infant is 6- months-old. The grasp reflex is the reflexive action of bending the fingers around an object placed in the palm. The asymmetrical tonic reflex is also called the "fencing" reflex. When the infants head is turned to one side, the arm and leg of the side at which the face is turned extend and the arm and leg on the opposite side flex.


NEW QUESTION # 45
What is the most common cause of a cardiac tamponade in the newborn?

Answer: C

Explanation:
Cardiac tamponade occurs when fluid accumulates with the pericardial sac, causing pressure on the outside of the heart. It is treated by inserting a needle through the chest wall, into the pericardium, and withdrawing the fluid. Though cardiac tamponade in neonates is rare, it can occur in this population when a central venous catheter is in an incorrect position, applying pressure at the juncture of the inferior vena cava and the right atrium. Ensuring correct placement of the catheter is imperative to prevent this life-threatening complication.


NEW QUESTION # 46
Which condition results in birth defects that are usually fatal before birth or within the first year of life?

Answer: C

Explanation:
Edwards syndrome, or trisomy 18, is a condition that occurs when there is an extra 18th chromosome. This is usually diagnosed prenatally with blood screening and ultrasounds. Infants with this condition are smaller than normal and have a small, misshapen head. Over one-third of these infants do not live past the first year of live. Approximately 10% may live up to 10 years of life, though, but with very complex medical problems due to birth defects affecting the organs.


NEW QUESTION # 47
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