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Nursing NCC-NNP Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: General Assessment	15%	- Neonatal assessment 1. Gestational age evaluation 2. Physical examination - Maternal history affecting the newborn 1. Risk assessment 2. Prenatal and perinatal factors - Family integration 1. Family-centered care 2. Parent communication - Discharge planning and follow-up care 1. Post-discharge monitoring 2. Care transition
Topic 2: Pharmacology	9%	- Drugs and breastfeeding 1. Medication safety - Common drug therapies 1. Medication administration - Pharmacokinetics and pharmacodynamics 1. Drug metabolism in neonates
Topic 3: Embryology, Physiology, Pathophysiology and Systems Management	54%	- Hematopoietic 1. Blood disorders - Eyes, ears, nose, mouth and throat 1. Sensory and airway conditions - Metabolic and endocrine 1. Metabolic regulation - Neurological 1. Neurological disorders - Gastrointestinal 1. Digestive system disorders - Infectious diseases 1. Neonatal infections - Cardiac 1. Congenital and acquired cardiac disorders - Musculoskeletal 1. Bone and muscle disorders - Genetics 1. Genetic syndromes - Integumentary 1. Skin conditions - Renal and genitourinary 1. Kidney and urinary conditions - Respiratory 1. Respiratory distress and ventilation
Topic 4: General Management	19%	- Fluids and electrolytes 1. Fluid balance management - Thermoregulation 1. Temperature stabilization - Resuscitation and stabilization 1. Emergency neonatal care - Growth and nutrition 1. Nutritional management
Topic 5: Professional Issues	3%	- Quality improvement and patient safety 1. Healthcare quality management - Evidence-based practice 1. Clinical research application - Legal and ethical principles 1. Professional responsibility

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q176-Q181):

NEW QUESTION # 176
What is the difference between measuring a total bilirubin and a direct bilirubin?

A. Total bilirubin is the amount of bilirubin bound to albumin, while direct bilirubin is the total
B. Total bilirubin is a measure of the bilirubin excreted through the urine, while direct
C. Total bilirubin is the amount of direct and indirect bilirubin, while direct bilirubin is the

Answer: C

Explanation:
Bilirubin is measured as direct indirect, or total. Direct bilirubin is the amount of bilirubin that is not bound to protein that passes from the liver to the small intestines. A small amount passes through the urine to give it a yellow color. The indirect bilirubin is bilirubin that is bound to albumin. The total bilirubin is the measure of both direct and indirect bilirubin combined.

NEW QUESTION # 177
An infant in the Neonatal Intensive Care Unit is receiving carbamazepine (Tegretol) for seizure control. When would be the best time to obtain a blood sample to check a drug level?

A. Two hours after giving a dose
B. Just before giving a regular scheduled dose
C. Mid-way between doses

Answer: B

Explanation:
There are some medications that require drug levels be drawn to ensure the drug concentration is at a therapeutic level and not too high or too low. For carbamazepine (Tegretol), the best time to check the drug level is just prior to giving a dose. The therapeutic drug level for this medication is 4-12 mg/L.

NEW QUESTION # 178
Parents of a newborn have opted to not have their son circumcised. When providing them with care instructions, they will need to know

A. the child should receive an annual exam by a urologist to evaluate the uncircumcised penis
B. though the circumcision was not done in the hospital, they will need to follow-up with their
C. The foreskin should only be retracted as much as it allows during bathing and diaper

Answer: C

Explanation:
It is recommended that the newborn's foreskin be gently retracted as much as it will naturally allow during baths and diaper changes, but that cleansing the area beneath the foreskin not be done until the foreskin has fully retracted naturally. Forceful retraction should be avoided as it may cause irritation, bleeding, or fibrosis, and should be avoided for that reason. Bacteria, fungus, and moisture can be trapped within the foreskin, which can lead to a painful infection. Infections can become severe enough to cause significant swelling of the foreskin, which can prevent it from being able to be retracted down over the penis.

NEW QUESTION # 179
The grief theory that identifies that griefis not a linear process, but rather, a more fluid and ever-changing process was outlined in

A. Bowlby's Attachment Theory
B. Freud's Model of Bereavement
C. Kubler-Ross Grief Cycle

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 # 180
The parents of a newborn ask the NP about the white bumps they have noticed along their baby's upper gum line. The best response is that

A. these are skin lesions on his gums that need to be evaluated by a dentist
B. he is starting to develop teeth at a very young age
C. these are small cysts that will go away on their own within 1-2 weeks

Answer: C

Explanation:
Vvhitish bumps, or cysts, along the gum or roof of the mouth are called Epstein's pearls. They are very common and occur in about 80% of newborns. These will resolve on their own within the first couple of weeks of life and do not require any treatment.

NEW QUESTION # 181
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