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Nursing NCC-NNP Exam Syllabus Topics:

SectionObjectives
Family-Centered Care and Ethics- Parent education and communication
- Ethical and legal considerations in neonatal care
Neonatal Physiology and Pathophysiology- Thermoregulation, metabolism, and fluid balance
- Cardiovascular adaptation and congenital conditions
- Respiratory adaptation and disorders
Neonatal Health Assessment- Identification of normal vs abnormal findings
- Physical and neurological assessment of the newborn
High-Risk Neonatal Management- Prematurity-related complications
- Infectious diseases in neonates
- Respiratory distress and ventilation management
Neonatal Pharmacology and Therapeutics- Medication administration in neonates
- Drug safety, dosing considerations, and pharmacokinetics

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q50-Q55):

NEW QUESTION # 50
A neonate born to an HIV-infected mother should receive the first dose of antiretroviral medication within

Answer: B

Explanation:
Antiretroviral medications should be given to the neonate for the first 6 weeks of life with the first dose given within the first 6-12 hours after delivery. The perinatal transmission rate is
30% in untreated HIV positive mothers, usually acquired during delivery; however, optimal treatment reduces perinatal transmission rate to as low as 1-2%. Preventive treatment includes:
*Antiviral therapy during pregnancy: A reduced viral load in the mother lessens the
*likelihood of prenatal transmission.
*Elective Cesarean before the amniotic membranes rupture.
*Avoidance of breastfeeding: The risk of HIV transmission with breastfeeding is 0.7% per month of breastfeeding.


NEW QUESTION # 51
In the 1940s and 1950s, the leading cause of blindness in children in the United States was retinopathy of prematurity caused by

Answer: A

Explanation:
Retinopathy of prematurity was a leading cause of blindness in children in the 1940s and
1950s due to high levels of oxygen given to premature infants in incubators. This condition occurs in premature infants, usually those at less than 31 weeks gestation. The eye, optic nerve, and blood vessels begin to develop around the 16th week of pregnancy. The last 12 weeks of pregnancy sees a rapid development in the blood vessels. Children before that gestation time often do not fully develop the blood vessels to the retina, causing retinopathy and possibly blindness.


NEW QUESTION # 52
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: B

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 # 53
A mother delivers a child with sickle cell disease, an autosomal recessive disorder. The recurrence risk for subsequent children being born with the disorder is

Answer: C

Explanation:
Autosomal recessive: Recurrence is 25% for each pregnancy and 50% risk of the child becoming a carrier. Autosomal dominant: Recurrence risk is 50%, but there is no carrier state. X- linked recessive: Recurrence risk is 50% for affected sons and 50% risk of daughters becoming carriers. Affected sons do not pass the disorder to sons, but all daughters become carriers. X-Iinked dominant: Father passes the disorder to 100% of daughters but no sons. Mother passes the trait to
50% of sons and 50% of daughters, but daughters are usually unaffected.


NEW QUESTION # 54
The grief theory that identifies that griefis not a linear process, but rather, a more fluid and ever-changing process was outlined in

Answer: B

Explanation:
Kubler-Ross identified 5 phases that a person will go through during the grieving process.
These are denial, anger, bargaining, depression, and acceptance. A person does not pass through these phases during the grieving process on a step-by-step basis. They may drift in and out of one phase and into another very fluidly. They may also go back to phases they experienced and go through them again.


NEW QUESTION # 55
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