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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q112-Q117):

NEW QUESTION # 112
When administering blood or blood products

Answer: C

Explanation:
A person with AB+ blood is considered a universal recipient because they can receive blood or blood products of any type. A universal donor would be a person with type O- blood. The most restricted recipient blood type is O- because those patients can only receive O- blood or blood products.


NEW QUESTION # 113
Evidence that an infant is feeding appropriately for discharge includes

Answer: A

Explanation:
Current discharge requirements are based on physiological and functional readiness.
Requirements generally include:
*The infant is feeding appropriately, as evidenced by:
o Primary caregiver feedingthe infant with the prescribed method (gavage, gastrostomy, or special positioning) consistently.
o Weight gain of 15-30 grams per day over several days.
o Feeds accomplished without any respiratory difficulty.
*All medical or surgical problems that require hospitalization are resolved.
*Temperature stability is maintained in an open crib.
*Parents are trained appropriately concerning administration of medications, CPR, and proper use of car seat.
*Infant has passed all pre-discharge tests.
*Age appropriate immunizations have been administered.


NEW QUESTION # 114
Which of the following medications is NOT safe to take while breastfeeding?

Answer: B

Explanation:
The antipsychotic medication clozapine should not be taken by mother's who are breastfeeding. It is typically used for schizophrenia and passes through human milk to the infant. It can cause letharg- and agranulocytosis in infants. Infants of breastfed mothers who were taking clozapine have also exhibited speech delay. Ibuprofen and diphenhydramine are both considered safe to take while breastfeeding.


NEW QUESTION # 115
When a neonate is diagnosed with a terminal disease, the mother cries inconsolably, but the father appears detached and calm. The father's reaction is probably an indication of

Answer: A

Explanation:
Incongruent grief occurs when the mother and the father are "out of sync" in their grieving process. It may be due to the differences in how men and women grieve, or it may be because the woman typically bonds with the infant during the pregnancy, while the father bonds after the child is born. Anticipatory grief occurs when a child is diagnosed with a terminal illness. The parent begins to mourn over the loss of the child before he or she expires. Delayed grief occurs when the grieving process is postponed months to years after the loss of a child.


NEW QUESTION # 116
An infant with fetal alcohol syndrome may also have a facial deformity known as

Answer: A

Explanation:
Micrognathia, or an underdeveloped jaw, may occur with fetal alcohol syndrome. It can also be seen with trisomy 13 and progeria. The underdeveloped jaw will often resolve on its own as the child grows. In severe cases, it can cause breathing and feeding problems. Microcephaly, not macrocephaly, is also typically seen with fetal alcohol syndrome.


NEW QUESTION # 117
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