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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
General Assessment15%- Neonatal assessment
  • 1. Physical examination
  • 2. Gestational age evaluation
- Maternal history affecting the newborn
  • 1. Prenatal and perinatal factors
  • 2. Risk assessment
- Discharge planning and follow-up care
  • 1. Care transition
  • 2. Post-discharge monitoring
- Family integration
  • 1. Family-centered care
  • 2. Parent communication
Embryology, Physiology, Pathophysiology and Systems Management54%- Musculoskeletal
  • 1. Bone and muscle disorders
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Genetics
  • 1. Genetic syndromes
- Metabolic and endocrine
  • 1. Metabolic regulation
- Respiratory
  • 1. Respiratory distress and ventilation
- Infectious diseases
  • 1. Neonatal infections
- Neurological
  • 1. Neurological disorders
- Integumentary
  • 1. Skin conditions
- Hematopoietic
  • 1. Blood disorders
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Gastrointestinal
  • 1. Digestive system disorders
Pharmacology9%- Common drug therapies
  • 1. Medication administration
- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
- Drugs and breastfeeding
  • 1. Medication safety
General Management19%- Fluids and electrolytes
  • 1. Fluid balance management
- Resuscitation and stabilization
  • 1. Emergency neonatal care
- Growth and nutrition
  • 1. Nutritional management
- Thermoregulation
  • 1. Temperature stabilization
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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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q148-Q153):

NEW QUESTION # 148
A child with late congenital syphilis will generally show symptoms

Answer: A

Explanation:
Late congenital syphilis will reveal symptoms after a child is at least 2 -years-old. This is transmitted to the newborn by a mother with syphilis. Early onset of the disease (less than 2 years of age), may cause a chronic runny nose, enlarged liver or spleen, skeletal abnormalities, or a bullous skin condition. Late onset can cause eye and ear problems, and skeletal abnormalities.


NEW QUESTION # 149
A preterm infant in the NICU is receiving tube feedings until he is able to attempt oral feedings. What activity can help him with the transition from tube to oral feedings?

Answer: A

Explanation:
Non-nutritive sucking, such as that with a pacifier, is having an infant suck on something that does not give them milk. For infants who are tube fed, it can trigger an association with them between having a full stomach and sucking, which can help when transitioning to oral feedings. The sucking activity is also helpful in strengthening the oral muscles needed to suck, as well as being soothing and calming for the infant.


NEW QUESTION # 150
What is the most common cause of direct hyperbilirubinemia in the newborn?

Answer: C

Explanation:
Direct hyperbilirubinemia (also known as jaundice, but not caused by jaundice) is the yellow discoloration of the skin and sclera. The most common cause in newborns is due to the liver being immature and not being able to breakdown bilirubin. It is fairly common and most often responds to phototherapy for a few days.


NEW QUESTION # 151
The neural tube defect in which there is failure of the vertebral column to close, but no herniation through the opening is

Answer: C

Explanation:
Spina bifida occulta is the failure of the vertebral column to close, but no herniation through the opening so the defect may not be obvious. Spina bifida is a defect in which the vertebral column is not closed with varying degrees of herniation through the opening. Spina bifida cystica is a defect in closure with external sac-like protrusion with varying degrees of nerve involvement.
Meningocele is spina bifida cystica with meningeal sac filled with spinal fluid. Myelomeningocele is spina bifida cystica with meningeal sac containing spinal fluid and part of the spinal cord and nerves.


NEW QUESTION # 152
A term neonate is diagnosed at birth with osteogenesis imperfecta (01) type 1. The information that the parents should receive before taking the infant home includes

Answer: B

Explanation:
The parents of an infant with 01 type 1 should receive information about methods of handling, bathing, and placing their child in the crib to minimize trauma and avoid fractures. 01 is a genetic disorder of collagen synthesis that results in brittle, easily fractured bones. Common features of 01 include brittle bones, bowing of long bones, shortened limbs, blue sclera, skeletal deformities (including scoliosis), respiratory difficulties, and weak muscles. Type I is non-lethal and the mildest of 4 types of 01.01 type 2 causes severe breathing problems that often prevent the neonate's survival. 01 infants do not generally require feeding tubes or have aspiration risks. 01 is usually inherited in a dominant fashion, but a new mutation may cause the disorder in approximately 25% of cases.


NEW QUESTION # 153
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