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Nursing NCC-NNP Exam Syllabus Topics:

SectionObjectives
Topic 1: Neonatal Health Assessment- Identification of normal vs abnormal findings
- Physical and neurological assessment of the newborn
Topic 2: Neonatal Pharmacology and Therapeutics- Medication administration in neonates
- Drug safety, dosing considerations, and pharmacokinetics
Topic 3: High-Risk Neonatal Management- Respiratory distress and ventilation management
- Infectious diseases in neonates
- Prematurity-related complications
Topic 4: Neonatal Physiology and Pathophysiology- Respiratory adaptation and disorders
- Cardiovascular adaptation and congenital conditions
- Thermoregulation, metabolism, and fluid balance
Topic 5: Family-Centered Care and Ethics- Parent education and communication
- Ethical and legal considerations in neonatal care

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q167-Q172):

NEW QUESTION # 167
Which of the following potential side effects can occur as a result of forceps being used during delivery?

Answer: B

Explanation:
There is a risk of facial palsy (usually temporary) and minor facial or external eye injury with forceps use. Forceps may be used during delivery to assist the neonate's passage through the birth canal, especially if the mother or infant are in distress. Rarely, a skull fracture or bleeding within the brain can occur.


NEW QUESTION # 168
During the initial physical examination, the neonate's chest circumference is 34 cm. The expected head circumference is

Answer: B

Explanation:
The head circumference is usually about 2 cm greater than the chest circumference, so the head circumference should be about 36 cm. Normal characteristics of a newborn include the following:


NEW QUESTION # 169
An elevated serum lactate level in an infant in the Neonatal Intensive Care Unit is associated with

Answer: A

Explanation:
Lactic acid is increased in situations of tissue hypoxia, which can lead to severe metabolic acidosis. This can occur with sepsis, heart failure, shock, and multisystem organ failure. Studies have shown that elevations in serum lactate in the first week of life correlate with an increase in mortality rates. This risk is higher in infants born less than 1000 g.


NEW QUESTION # 170
What change in arterial blood gas values would be expected in a patient with compensated respiratory acidosis?

Answer: C

Explanation:
Respiratory acidosis occurs when a person is not being adequately oxygenated. This results in an elevated PaCO: level and a decreased blood pH level. VVhen the body attempts to compensate for this abnormality, the serum bicarbonate (HCO;) level is elevated to offset the acidic level of the blood PH. This results in a continued PaCO:, a normal blood pH level, and an elevated HCOs level.


NEW QUESTION # 171
A neonate suffered perinatal asphyxia and developed moderate hypoxic ischemic encephalopathy (HIE) with neurological dysfunction. The treatment that is LEAST likely to be utilized to treat this condition is

Answer: A

Explanation:
With advancing implementation of therapeutic hypothermia, this method oftreatment has become the first line approach in treating moderate to severe HIE with the target temperature dependent upon the severity of the encephalopathy. Additional treatments include phenobarbital for seizures treatment and/or prevention. Fluid resuscitation is not indicated in HIE; in fact it is common to apply a fluid restriction to a neonate with HIE to control additional swelling. HIE results when oxygen supply to the brain is impaired. HIE is classified as mild, moderate, or severe, depending on the degree of ischemia and symptoms. Mild HIE usually resolves in 3-4 days and moderate HIE in 1-2 weeks, but permanent brain damage can occur with severe HIE.


NEW QUESTION # 172
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