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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q44-Q49):

NEW QUESTION # 44
Which breech presentation at birth presents with the buttocks only passing through the birth canal first?

Answer: A

Explanation:
A frank breech presentation is one in which the legs of the fetus are extended upward so that the feet are near the head. This results in the buttocks passing through the birth canal first. A complete breech occurs when the knees of the fetus are bent so that the feet are near the buttocks.
A footling breech occurs when the fetus is foot down and one or both feet present first through the birth canal.


NEW QUESTION # 45
Which of the following electrolytes can help to reduce the incidence of neurological deficits in premature infants?

Answer: C

Explanation:
Studies have shown that maintaining a higher serum magnesium level can help to reduce the incidence of neurological developmental delay. It has been found to be helpful with advancing brain development in premature infants, and to some degree, in term infants who have suffered from asphyxia during labor and delivery. It is thought that magnesium can serve a neuroprotective role in early brain development.


NEW QUESTION # 46
In what order should resuscitative efforts in the premature infant with hydrops fetalis and bilateral pleural effusions be performed?

Answer: A

Explanation:
Hydrops fetalis is a potentially life-threatening condition in which accumulating fluid is present in at least Nzo body cavities (abdomen, pleura, or pericardium). Traditionally, this has been treated through removal of the fluid after the umbilical cord has been cut and resuscitative measures started. It has recently been found that the prognosis is improved if the neonate remains attached to the placenta via the umbilical cord so they continue to receive oxygenated blood from the mother. The fluid can be drawn off and then the cord can be clamped before resuscitative measures are started.


NEW QUESTION # 47
A 64-year-old female has been told that her husband has terminal, metastatic cancer and life expectancy is most likely less than 6 months. She is feeling very anxious, depressed, and moody since he received this diagnosis. These emotions are part of

Answer: A

Explanation:
Anticipatory grief is the period that some people go through when it is learned that a loved one's death is eminent. Not everyone experiences this, but it can help a person to accept the impending death of their family member or friend. During this time, people often feel depressed or anxious, they may begin plans for the changes that will come when the person has passed, or they may take that time to share feelings and emotions with the loved one they are preparing to lose. If a person experiences anticipatory grief, it may help them to adjust to the changes that will occur once the person has died.


NEW QUESTION # 48
Which of the following routes is NOT recommended when administering naloxone (Narcan) to infants?

Answer: C

Explanation:
When given, the preferred route for administering Narcan in the infant is IV or 1M. It should not be given via endotracheal administration. Narcan is not used as a first line drug in the infant with respiratory depression. Normal color and pulse must first be present before it is considered. It may cause seizures if given to the infant of an opioid-addicted mother.


NEW QUESTION # 49
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