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Nursing NCC-NNP Exam Syllabus Topics:

SectionObjectives
Topic 1: Neonatal Health Assessment- Identification of normal vs abnormal findings
- Physical and neurological assessment of the newborn
Topic 2: High-Risk Neonatal Management- Respiratory distress and ventilation management
- Prematurity-related complications
- Infectious diseases in neonates
Topic 3: Neonatal Pharmacology and Therapeutics- Medication administration in neonates
- Drug safety, dosing considerations, and pharmacokinetics
Topic 4: Neonatal Physiology and Pathophysiology- Thermoregulation, metabolism, and fluid balance
- Respiratory adaptation and disorders
- Cardiovascular adaptation and congenital conditions
Topic 5: Family-Centered Care and Ethics- Parent education and communication
- Ethical and legal considerations in neonatal care

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q66-Q71):

NEW QUESTION # 66
The NP is administering blood to a premature infant who is anemic. A possible transfusion reaction may be occurring if the patient develops

Answer: C

Explanation:
One of the first signs that an acute intravascular hemolytic reaction is occurring is pain at the IV site. Other early signs include fever, chills, elevated heart rate, nausea, and dyspnea. This potentially life-threatening reaction usually occurs within 10 minutes of the beginning of the infusion of blood or blood products.


NEW QUESTION # 67
If a mother suffers from pregnancy-induced hypertension (preeclampsia) during pregnancy, the primary detrimental effect on the fetus is

Answer: A

Explanation:
Preeclampsia is a disorder that develops in approximately 5% of all pregnancies. Its main feature is new onset elevated blood pressure that develops around 20 weeks of gestation.
Proteinuria is no longer a diagnostic requirement, but is a common feature accompanying the hypertension. The main detrimental effect on the fetus occurs because of longstanding hypertension that leads to utero-placental vascular insufficiency, which impairs the transfer of nutrients and oxygen to the fetus, resulting in intra-uterine growth restriction (IUGR). The IUGR is usually asymmetric (fetal head size is normal for gestational age). Placental abruption occurrence is also more common in fetuses exposed to longstanding hypertension, but not as common as IUGR.


NEW QUESTION # 68
The grief theory that identifies that griefis not a linear process, but rather, a more fluid and ever-changing process was outlined in

Answer: C

Explanation:
Kubler-Ross identified 5 phases that a person will go through during the grieving process.
These are denial, anger, bargaining, depression, and acceptance. A person does not pass through these phases during the grieving process on a step-by-step basis. They may drift in and out of one phase and into another very fluidly. They may also go back to phases they experienced and go through them again.


NEW QUESTION # 69
According to the American Heart Association, when should chest compressions be started in the pediatric patient?

Answer: C

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 # 70
The most immediate concern for fetuses of mothers who have used cocaine during their pregnancy is

Answer: B

Explanation:
The immediate concerns for babies born to mothers who use cocaine is premature delivery with associated low birth weight. The majority of the problems these children develop are evident later in childhood with cognitive development, behavior problems, and learning disabilities.


NEW QUESTION # 71
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