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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q64-Q69):

NEW QUESTION # 64
A neonate born with the genetic disorder cystic fibrosis must be monitored carefully for

Answer: B

Explanation:
Cystic fibrosis is a congenital disease associated with thick collection of mucous in the lungs and intestines. Up to a fifth of children born with cystic fibrosis have meconium ileus. Meconium ileus is obstruction of the ileum with inspissated (thick) mucilaginous meconium that clings to the side of the narrowed lumen of the intestine and forms hard pellets (usually the first clinical sign of cystic fibrosis). The mucus interferes with absorption of fat, protein, carbohydrates, and other nutrients, leading to malabsorption syndromes.


NEW QUESTION # 65
What are the most common symptoms of sudden withdrawal of a beta blocker medication?

Answer: C

Explanation:
Therapeutic drugs can cause withdrawal symptoms when they are stopped suddenly, especially if the patient has been taking them for a long period of time. The primary mechanism of action of beta blockers is to decrease heart rate, thereby decreasing blood pressure, and decreasing the risk of developing a cardiac dysrhythmia. When the medication is stopped suddenly, the opposite effect is seen with a significant response. This includes high blood pressure, elevated heart rate, and risk of cardiac dysrhythmias, tremors, and sweating.


NEW QUESTION # 66
A neonate exhibits signs of hypoglycemia after birth and is treated only with a bolus of glucose. This treatment puts the infant at risk for

Answer: C

Explanation:
A glucose bolus-associated occurrence of acute hypoglycemia can arise if a glucose bolus is given and not followed up with a continuous infusion because the body will produce more insulin to cover the bolus which will then start to use glucose stores as soon as the bolus stops. To prevent this, a steady infusion should be continued for a time period that is sufficient for the infant's insulin production to stabilize. Bedside tests for hypoglycemia with reagent sticks may overestimate hypoglycemia and should be confirmed with a serum level.


NEW QUESTION # 67
The newborn with hypothermia has an increased risk of developing

Answer: C

Explanation:
Persistent hypothermia can lead to hypoglycemia. There may be a period of transient hyperglycemia when glycogen stores are used to increase glucose levels, but this is followed by hypoglycemia as energy demands exceed glucose supply. This can lead to metabolic acidosis, not alkalosis.


NEW QUESTION # 68
Which of the following is used to test for congenital cytomegalovirus infection?

Answer: C

Explanation:
A congenital cytomegalovirus (CMU infection can be diagnosed using saliva, urine, or blood specimens. Testing must be done within the first 2-3 weeks following birth. A mother who has CMV can pass this infection to the fetus through the placenta. Most infants will never develop any symptoms from the virus, but approximately 20% can develop hearing loss, vision loss, intellectual disabilities, seizures, or muscle weakness.


NEW QUESTION # 69
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