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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q139-Q144):

NEW QUESTION # 139
How many calories does a preterm infant require per day?

Answer: A

Explanation:
The preterm infant needs 100-150 kcal/kg/day in order to complete development and gain weight. A term infant generally needs 100-120 kcal/kg/day for normal growth and development Adequate nutrition to meet the nutritional needs of the preterm infant can help to prevent poor outcomes and help to improve adequate nervous system development.


NEW QUESTION # 140
Identifying and treating congenital hypothyroidism within the first month oflife is especially critical to prevent

Answer: C

Explanation:
Untreated congenital hypothyroidism can result in profound intellectual disability, so diagnosing the disorder and beginning thyroxine treatment within the first month of life is essential. Newborn screening tests in most states mandate checking for hypothyroidism. Infants whose mothers received radioactive iodine treatment for thyroid cancer during pregnancy are especially at risk Signs of congenital hypothyroidism include hypotonia, growth restriction, poor feeding, wide hands with stunted fingers, short extremities, edematous face, and thick protruding tongue.


NEW QUESTION # 141
The most common type of short-limbed dwarfism is

Answer: A

Explanation:
The most common type of short-limbed dwarfism is achondroplasia. This condition follows an autosomal dominant pattern, meaning that only one parent needs to pass on the gene for this condition to occur. It results in an average-sized trunk with short arms and legs, a large head with a high forehead, and short fingers. The middle finger and ring finger may diverge which gives the hand a trident appearance. There are no common learning disabilities associated with achondroplasia.


NEW QUESTION # 142
A female neonate is found to have an imperforate anus with no external opening or dimple on initial physical exam. The abdomen is slightly distended, but the neonate passes some meconium at 24 hours. The type of anomaly this suggests is a

Answer: C

Explanation:
In a high anomaly, the rectum ends above the puborectalis muscles, and internal sphincter is absent. Frequently, there is a rectourethral fistula in males or a rectovaginal fistula in females, allowing passage of some meconium. There may be fistulas to the bladder or perineum. Low anomalies have no external opening, but rectum is otherwise in normal position through the puborectalis muscle, with normal function, and no connection to the genitourinary tract.
Intermediate anomalies have rectum at or below the level of puborectalis muscle and an anal dimple. The external sphincter is in normal position.


NEW QUESTION # 143
The electrolytes that are of primary concern in the neonate are

Answer: B

Explanation:


NEW QUESTION # 144
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