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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q114-Q119):

NEW QUESTION # 114
According to the American Heart Association, when should chest compressions be started in the pediatric patient?

Answer: C

Explanation:
According to the American Heart Association, chest compressions should be started on the pediatric patient if the pulse is less than 60 beats per minute or if there are signs of poor perfusion.
If one person is performing CPR, the rate is 30 compressions followed by 2 breaths. If 2-person CPR is being performed, the cycle should be 15 compressions followed by 2 breaths.


NEW QUESTION # 115
The mechanism of action of surfactant is to

Answer: C

Explanation:
The inside of the alveoli in the lungs are wet and can easily stick together when air is exhaled. Surfactant decreases the surface tension within the alveoli so they can easily expand when a breath is taken, making it easier to breath. The human body produces surfactant on its own, buT not until after 36 weeks gestation. Sometimes it is necessary to administer surfactant directly into the lungs through the endotracheal tube.


NEW QUESTION # 116
What is the purpose for CCHD screening in newborns?

Answer: B

Explanation:
The CCHD screening identifies those infants who may have a critical congenital heart defect that requires early surgical intervention. This screening is performed using pulse oximetry in the newborn nursery to measure the oxygen saturation in the blood of infants. This screening decreases the risk of overlooking a critical congenital heart defect that may require early intervention.


NEW QUESTION # 117
The parents of a newborn ask the NP about the white bumps they have noticed along their baby's upper gum line. The best response is that

Answer: A

Explanation:
Vvhitish bumps, or cysts, along the gum or roof of the mouth are called Epstein's pearls. They are very common and occur in about 80% of newborns. These will resolve on their own within the first couple of weeks of life and do not require any treatment.


NEW QUESTION # 118
What are the most common symptoms of sudden withdrawal of a beta blocker medication?

Answer: B

Explanation:
Therapeutic drugs can cause withdrawal symptoms when they are stopped suddenly, especially if the patient has been taking them for a long period of time. The primary mechanism of action of beta blockers is to decrease heart rate, thereby decreasing blood pressure, and decreasing the risk of developing a cardiac dysrhythmia. When the medication is stopped suddenly, the opposite effect is seen with a significant response. This includes high blood pressure, elevated heart rate, and risk of cardiac dysrhythmias, tremors, and sweating.


NEW QUESTION # 119
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