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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q81-Q86):

NEW QUESTION # 81
The most immediate concern for fetuses of mothers who have used cocaine during their pregnancy is

Answer: B

Explanation:
The immediate concerns for babies born to mothers who use cocaine is premature delivery with associated low birth weight. The majority of the problems these children develop are evident later in childhood with cognitive development, behavior problems, and learning disabilities.


NEW QUESTION # 82
To promote family integration, the best time for siblings to visit the mother and neonate is

Answer: C

Explanation:
Children should visit the mother and infant as soon after delivery as possible. Preparation of siblings prior to the birth can decrease anxiety and sibling rivalry by helping the children feel as though they are participants and are valued. Children should be prepared for physical changes in the mother, changing family dynamics, and infant care. A parent/teacher may use dolls to demonstrate childcare and allow the children to practice holding and caring for the baby. When possible, children should have contact with an infant, such as that of a friend or family member.


NEW QUESTION # 83
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 # 84
An infant in the Neonatal Intensive Care Unit is receiving carbamazepine (Tegretol) for seizure control. When would be the best time to obtain a blood sample to check a drug level?

Answer: C

Explanation:
There are some medications that require drug levels be drawn to ensure the drug concentration is at a therapeutic level and not too high or too low. For carbamazepine (Tegretol), the best time to check the drug level is just prior to giving a dose. The therapeutic drug level for this medication is 4-12 mg/L.


NEW QUESTION # 85
The relationship between the total loading dose of an administered drug and the serum concentration refers to the

Answer: A

Explanation:
Distribution: The volume of distribution is the relationship between the total loading dose of drug administered and the serum concentration (volume of body fluid required to dissolve the amount of drug found in the serum). Absorption: This relates to the rate at which a drug enters the bloodstream and the amount of drug. Clearance: Elimination pathways (liver, kidney) can become saturated if dose of medications is too high or administration is too frequent. Ideally, a drug concentration should be maintained at a steady state (average).


NEW QUESTION # 86
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