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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q141-Q146):

NEW QUESTION # 141
Parents of a newborn have opted to not have their son circumcised. When providing them with care instructions, they will need to know

Answer: B

Explanation:
It is recommended that the newborn's foreskin be gently retracted as much as it will naturally allow during baths and diaper changes, but that cleansing the area beneath the foreskin not be done until the foreskin has fully retracted naturally. Forceful retraction should be avoided as it may cause irritation, bleeding, or fibrosis, and should be avoided for that reason. Bacteria, fungus, and moisture can be trapped within the foreskin, which can lead to a painful infection. Infections can become severe enough to cause significant swelling of the foreskin, which can prevent it from being able to be retracted down over the penis.


NEW QUESTION # 142
A medical emergency that can lead to hypovolemic shock in the newborn is

Answer: C

Explanation:
A subgaleal hemorrhage can be massive and may lead to hypovolemic shock. This condition occurs when there is bleeding in the loose connective tissue of the subgaleal space. The subgaleal space is composed of loose connective tissue that allows the scalp to slide easily on the cranium.
There is an increased risk of a subgaleal hemorrhage with vacuum and forceps use during delivery.
The trauma to the scalp results in rupture of the blood vessels in this space. This usually develops over several hours to several days with the first clinical sign being an increase in head circumference.


NEW QUESTION # 143
The most common craniosynostosis syndrome is

Answer: A

Explanation:
Crouzon syndrome is the most common type of craniosynostosis syndrome. It causes fusion of the skull bones prematurely, which results in decreased space where the brain can expand and grow. The fusion of the skull bones also causes wide set, bulging eyes with vision problems due to shallow eye sockets. The nose is beaked and the jaw is under developed in those suffering from this condition. It is an autosomal dominant disease.


NEW QUESTION # 144
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: B

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 # 145
A neonate develops early-onset bacterial meningitis. Typical early symptoms include

Answer: A

Explanation:
Meningitis is often difficult to diagnose in the neonate because it has early nonspecific clinical findings of irritability, lethargv, poor feeding, temperature instability, and hypotension. The more specific neurological symptoms of seizures or bulging fontanels are seen in late onset infection.
Nuchal rigidity does not usually occur with neonates. Bacterial infections usually arise from spread of distant infections but can enter the CNS from surgical wounds, invasive devices, or nasal colonization. CSF findings suggestive of bacterial meningitis include:
*Decreased glucose.
*Elevated protein.
*White blood cell values in CSF greater than 100 WBC/dL


NEW QUESTION # 146
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