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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
General Assessment15%- Interpretation of diagnostic data
- Growth and development assessment
- Perinatal history collection
- Systematic physical assessment
Pharmacology9%- Safe administration principles
- Pharmacokinetics and pharmacodynamics in neonates
- Common medications and dosages
- Adverse effects and interactions
Embryology, Physiology, Pathophysiology & Systems Management54%- Infectious diseases
- Musculoskeletal and integumentary system
- Cardiovascular system
- Renal and genitourinary system
- Hematopoietic and immune system
- Eyes, ears, nose and throat
- Gastrointestinal system
- Genetics and congenital anomalies
- Respiratory system
- Metabolic and endocrine system
- Neurological system
Professional Issues3%- Scope and standards of practice
- Quality improvement and patient safety
- Interprofessional collaboration
- Ethics and legal aspects
General Management19%- Care coordination and family education
- Nutrition and growth support
- Fluids, electrolytes and acid-base balance
- Thermoregulation
- Resuscitation and stabilization
- Pain management and sedation

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q93-Q98):

NEW QUESTION # 93
An infant has been identified as having galactosemi
a. The mother wants to know if she
can still breastfeed him. The best response is

Answer: C

Explanation:
Infants with galactosemia are not able to be breastfed at all and must be bottle-fed with a galactose-free formula. Galactosemia is a hereditary condition in which the infant is deficient in the enzyme that breaks down galactose, the sugar found in milk. Those infants affected will begin with vomiting and diarrhea shortly after ingesting any milk containing this sugar. It can go on to affect the brain, eyes, liver, and kidneys.


NEW QUESTION # 94
The most common cause of ambiguous genitalia in a genetic female newborn is

Answer: A

Explanation:
In newborns that are genetically female, the most common cause of ambiguous genitalia is congenital adrenal hyperplasia. Ambiguous genitalia result in genital characteristics that are not wholly female or wholly male. There can be features of both, externally and internally. Congenital adrenal hyperplasia results in the overproduction of male hormones, which causes the genitalia to take on both male and female features during development. This condition can result in a great deal of stress for the parents. Genetic testing is usually done to determine if the infant is genetically a male or female.


NEW QUESTION # 95
An intestinal disorder that can occur as a result of malrotation is

Answer: A

Explanation:
A volvulus can occur as a result of malrotation. Around the 10th week of gestation, the intestines are forming and settle within the abdominal cavity. As the large intestine begins to further develop, it repositions itself above and on either side of the small intestine, which is centrally located in the abdomen. With malrotation, the large intestine remains positioned on the left side of the abdomen and the small intestine remains on the right. This can result in a tv,'isting of the intestine, or a volvulus, which can cause ischemia of the area affected and even result in death if not treated. Surgical intervention is often necessary to correct this condition.


NEW QUESTION # 96
While assessing a newborn in the NICU, the NP notices that he has pitting edema on the right side of his scalp. The next step should be to

Answer: B

Explanation:
Pitting edema in the soft tissues of the scalp is not uncommon after birth, due to trauma on the baby/s scalp while moving through the birth canal. This condition is called caput succedaneum and is most evident immediately after birth. It usually resolves rather quickly over the first 24-48 hours following birth and just needs to be monitored for any changes.


NEW QUESTION # 97
The NP is evaluating a newborn. The infant is having retractions with respirations and a low grunting sound can be heard with his rapid breathing. The most likely diagnosis is

Answer: C

Explanation:
Meconium aspiration syndrome occurs when the infant inhales meconium during the labor and delivery process. It presents as labored or rapid breathing with retractions and grunting sounds with each breath. The infant may begin to appear cyanotic as this progresses. To treat this condition, surfactant may be given which has proven to be helpful. A laryngoscope may be inserted to perform suction below the level of the vocal cords. Mortality rates are higher for these infants than others and there may be some residual respiratory problems for the first 5-10 years of life.


NEW QUESTION # 98
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