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| Section | Weight | Objectives |
|---|
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Gastrointestinal system - Renal and genitourinary system - Metabolic and endocrine system - Genetics and congenital anomalies - Hematopoietic and immune system - Eyes, ears, nose and throat - Neurological system - Infectious diseases - Cardiovascular system - Musculoskeletal and integumentary system - Respiratory system
|
| General Management | 19% | - Resuscitation and stabilization - Nutrition and growth support - Fluids, electrolytes and acid-base balance - Care coordination and family education - Thermoregulation - Pain management and sedation
|
| General Assessment | 15% | - Systematic physical assessment - Interpretation of diagnostic data - Perinatal history collection - Growth and development assessment
|
| Professional Issues | 3% | - Quality improvement and patient safety - Ethics and legal aspects - Interprofessional collaboration - Scope and standards of practice
|
| Pharmacology | 9% | - Safe administration principles - Pharmacokinetics and pharmacodynamics in neonates - Adverse effects and interactions - Common medications and dosages
|
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2026 Nursing Valid NCC-NNP Exam Camp Pdf - Neonatal Nurse Practitioner Exam Realistic New Mock Test 100% Pass
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q72-Q77):
NEW QUESTION # 72
Which of the following is used to test for congenital cytomegalovirus infection?
- A. Saliva
- B. Nasal swab
- C. Feces
Answer: A
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 # 73
An infant has been identified as having galactosemi
a. The mother wants to know if she
can still breastfeed him. The best response is
- A. he will not be able to breastfeed, but he can drink regular cow's milk without difficulty
- B. he will not be able to breastfeed because of the risk related to sugar in the milk
- C. she should pump until the infant is well enough to begin breastfeeding again
Answer: B
Explanation:
Infants with galactosemia are not able to be breastfed at all and must be bottle-fed with a galactose-free formula. Galactosemia is a hereditary condition in which the infant is deficient in the enzyme that breaks down galactose, the sugar found in milk. Those infants affected will begin with vomiting and diarrhea shortly after ingesting any milk containing this sugar. It can go on to affect the brain, eyes, liver, and kidneys.
NEW QUESTION # 74
While assessing a newborn in the NICU, the NP notices that he has pitting edema on the right side of his scalp. The next step should be to
- A. continue to monitor for any change in the symptoms
- B. immediately contact the neonatologist on call and let them know of these findings
- C. stop all IV fluids and monitor closely to see if the swelling decreases
Answer: A
Explanation:
Pitting edema in the soft tissues of the scalp is not uncommon after birth, due to trauma on the baby/s scalp while moving through the birth canal. This condition is called caput succedaneum and is most evident immediately after birth. It usually resolves rather quickly over the first 24-48 hours following birth and just needs to be monitored for any changes.
NEW QUESTION # 75
What is the most common cause of direct hyperbilirubinemia in the newborn?
- A. Liver immaturity
- B. Congenital kidney disease
- C. Jaundice
Answer: A
Explanation:
Direct hyperbilirubinemia (also known as jaundice, but not caused by jaundice) is the yellow discoloration of the skin and sclera. The most common cause in newborns is due to the liver being immature and not being able to breakdown bilirubin. It is fairly common and most often responds to phototherapy for a few days.
NEW QUESTION # 76
What is measured with the quad screen test?
- A. Fetal DNA, fetal glucose level, estriol, and alpha-fetoprotein levels
- B. Amniotic fluid levels, maternal fasting blood sugar, fetal DNA and maternal HIV status
- C. Alpha-fetoprotein, human chorionic gonadotropin, estriol, and inhibin-A
Answer: C
Explanation:
The quad screen is performed at 15-20 weeks of pregnancy via a blood test. It measures alpha-fetoprotein, human chorionic gonadotropin, estriol, and inhibin-A. Alpha-fetoprotein is made in the liver of the fetus and elevated levels may indicate a neural tube defect such as spina bifida.
Human chorionic gonadotropin is made by the placenta and levels vary during pregnancy. Estriol is a form of estrogen made by the placenta and levels increase during pregnancy. Inhibin-A is a hormone produced by the fetus and the placenta and abnormal levels may indicate the presence of Down syndrome.
NEW QUESTION # 77
......
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