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Nursing NCC-NNP Exam Syllabus Topics:

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

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Neonatal Nurse Practitioner Exam Exam Lab Questions & NCC-NNP valid VCE test & Neonatal Nurse Practitioner Exam Exam Simulator Online

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q27-Q32):

NEW QUESTION # 27
When the NP is assessing a newborn, the reflex that results in abduction and extension of the infant's arms as the hands open is the

Answer: A

Explanation:
The Moro reflex is checked by quickly lowering the infant's head relative to the trunk and is present as early as 32 weeks gestation. Positive signs ofthis reflex include the abduction and extension of the infant's arms as the hands open. It is no longer present by the time the infant is 6- months-old. The grasp reflex is the reflexive action of bending the fingers around an object placed in the palm. The asymmetrical tonic reflex is also called the "fencing" reflex. When the infants head is turned to one side, the arm and leg of the side at which the face is turned extend and the arm and leg on the opposite side flex.


NEW QUESTION # 28
On the APGAR scale, a good score is

Answer: C

Explanation:
A total score of 27 is a sign of good health with a perfect score being 10. APGAR is a quick evaluation of a newborn's physical condition to determine if emergency medical care is needed and is administered 1 minute and 5 minutes after birth.


NEW QUESTION # 29
An example of an autosomal recessive disease is

Answer: A


NEW QUESTION # 30
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: A

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 # 31
An infant with a known congenital diaphragmatic hernia is born at 38 weeks gestation.
He requires resuscitation shortly after delivery due to the weakening of the diaphragm from the herni a. Generally speaking, survival rate for this infant is

Answer: B

Explanation:
With a diaphragmatic hernia, the diaphragm becomes weakened and this can result in the stomach and other abdominal contents expending into the chest cavity. This, along with the weakened diaphragm, can result in a decreased ability to breathe. If detected in the prenatal period, assistance can standby during delivery to begin resuscitative measures promptly and improve the chances for survival.


NEW QUESTION # 32
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