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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Professional Issues3%- Quality improvement and patient safety
  • 1. Healthcare quality management
- Legal and ethical principles
  • 1. Professional responsibility
- Evidence-based practice
  • 1. Clinical research application
Topic 2: Pharmacology9%- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
- Common drug therapies
  • 1. Medication administration
- Drugs and breastfeeding
  • 1. Medication safety
Topic 3: Embryology, Physiology, Pathophysiology and Systems Management54%- Respiratory
  • 1. Respiratory distress and ventilation
- Gastrointestinal
  • 1. Digestive system disorders
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Neurological
  • 1. Neurological disorders
- Integumentary
  • 1. Skin conditions
- Infectious diseases
  • 1. Neonatal infections
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Genetics
  • 1. Genetic syndromes
- Metabolic and endocrine
  • 1. Metabolic regulation
- Hematopoietic
  • 1. Blood disorders
- Musculoskeletal
  • 1. Bone and muscle disorders
Topic 4: General Management19%- Growth and nutrition
  • 1. Nutritional management
- Resuscitation and stabilization
  • 1. Emergency neonatal care
- Thermoregulation
  • 1. Temperature stabilization
- Fluids and electrolytes
  • 1. Fluid balance management
Topic 5: General Assessment15%- Neonatal assessment
  • 1. Physical examination
  • 2. Gestational age evaluation
- Discharge planning and follow-up care
  • 1. Care transition
  • 2. Post-discharge monitoring
- Maternal history affecting the newborn
  • 1. Prenatal and perinatal factors
  • 2. Risk assessment
- Family integration
  • 1. Family-centered care
  • 2. Parent communication

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q71-Q76):

NEW QUESTION # 71
A newborn with congenital cytomegalovirus infection is being treated with IV ganciclovir. W'hen giving this intravenously, over what time period should it be infused?

Answer: A

Explanation:
Ganciclovir should be given over a 60 minute time period when given intravenously. It is used primarily for immunodeficient patients with CMV retinitis. It is a very cytotoxic drug and its cytotoxic effects are increased if given over a shorter period of time than 60 minutes. These adverse effects include thrombocytopenia, granulocytopenia, and anemia. In male patients, it may cause aspermatogenesis.


NEW QUESTION # 72
An example of an autosomal recessive disease is

Answer: B


NEW QUESTION # 73
A neonate born to an HIV-infected mother should receive the first dose of antiretroviral medication within

Answer: B

Explanation:
Antiretroviral medications should be given to the neonate for the first 6 weeks of life with the first dose given within the first 6-12 hours after delivery. The perinatal transmission rate is
30% in untreated HIV positive mothers, usually acquired during delivery; however, optimal treatment reduces perinatal transmission rate to as low as 1-2%. Preventive treatment includes:
*Antiviral therapy during pregnancy: A reduced viral load in the mother lessens the
*likelihood of prenatal transmission.
*Elective Cesarean before the amniotic membranes rupture.
*Avoidance of breastfeeding: The risk of HIV transmission with breastfeeding is 0.7% per month of breastfeeding.


NEW QUESTION # 74
Signs and symptoms of acute alcohol withdrawal in the newborn with neonatal abstinence syndrome should appear

Answer: C

Explanation:
Symptoms of alcohol withdrawal in a newborn who was exposed to alcohol regularly during pregnancy generally occur 3-12 hours after birth. Withdrawal symptoms from opiates generally occur 24-36 hours after birth, but may be longer depending on the medication. For example, newborns that were exposed to methadone regularly while in utero may not show withdrawal symptoms until a week or longer after birth due to the long half-life of the drug.


NEW QUESTION # 75
What is the most common cause of respiratory distress in the newborn?

Answer: A

Explanation:
Transient tachypnea of the newborn is the most common cause of respiratory distress in the newborn. It is triggered by excessive fluid in the lungs and usually resolves on its own. It occurs shortly after delivery. Supportive care with oxygen or CPAP may be necessary until the symptoms resolve. It is most common in babies born via Cesarean section.


NEW QUESTION # 76
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