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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q161-Q166):

NEW QUESTION # 161
What is measured with the quad screen test?

Answer: B

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 # 162
A condition that prevents a newborn from being able to pass air to breathe after birth is

Answer: C

Explanation:
Bilateral choanal atresia occurs when the back of the nasal passages are blocked, preventing a newborn from being able to breathe. This occurs due to a bony or soft tissue abnormality during development in utero. The back of the nasal passages fail to open, resulting in the inability to pass air. Infants are obligatory nasal breathers and immediate airway assistance is usually necessary at birth. This condition can be surgically corrected, but may require additional surgeries to widen the opening as the child matures. Neither meconium aspiration nor pneumonia affect the neonate's ability to pass air through the lungs, though both can also lead to respiratory distress.


NEW QUESTION # 163
What is the difference between an omphalocele and a gastroschisis?

Answer: B

Explanation:
Omphalocele is a condition in which there is an opening at the umbilicus through which the abdominal organs can protrude. A gastroschisis occurs when all of the abdominal organs are exposed because the outer membrane does not form over the abdomen to cover them. Both of these are congenital defects that occur early in development. The abdominal organs usually form outside the abdomen, but then return to the abdomen during development. There is no definitive known cause for either condition.


NEW QUESTION # 164
A premature infant in the NICU has a nasogastric drain. The results ofher arterial blood gases are as follows:
*ph -7.5
*HCOs - 29
*pC02 - 37
Based on these values, which acid-base disorder has this infant developed?

Answer: C

Explanation:
Metabolic alkalosis will cause the arterial blood pH and bicarbonate levels to increase.
Conversely, metabolic acidosis will cause arterial pH and bicarbonate levels to decrease.
Respiratory acidosis will increase the arterial carbon dioxide level while decreasing the PH, and respiratory alkalosis will have the opposite results with a decrease in carbon dioxide level and an increased PH.


NEW QUESTION # 165
Which condition results in birth defects that are usually fatal before birth or within the first year of life?

Answer: A

Explanation:
Edwards syndrome, or trisomy 18, is a condition that occurs when there is an extra 18th chromosome. This is usually diagnosed prenatally with blood screening and ultrasounds. Infants with this condition are smaller than normal and have a small, misshapen head. Over one-third of these infants do not live past the first year of live. Approximately 10% may live up to 10 years of life, though, but with very complex medical problems due to birth defects affecting the organs.


NEW QUESTION # 166
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