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Nursing NCC-NNP Exam Syllabus Topics:

SectionObjectives
Topic 1: Neonatal Health Assessment- Physical and neurological assessment of the newborn
- Identification of normal vs abnormal findings
Topic 2: Neonatal Physiology and Pathophysiology- Cardiovascular adaptation and congenital conditions
- Thermoregulation, metabolism, and fluid balance
- Respiratory adaptation and disorders
Topic 3: High-Risk Neonatal Management- Infectious diseases in neonates
- Respiratory distress and ventilation management
- Prematurity-related complications
Topic 4: Neonatal Pharmacology and Therapeutics- Drug safety, dosing considerations, and pharmacokinetics
- Medication administration in neonates
Topic 5: Family-Centered Care and Ethics- Parent education and communication
- Ethical and legal considerations in neonatal care

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q43-Q48):

NEW QUESTION # 43
An example of an autosomal recessive disease is

Answer: C

Explanation:
An autosomal recessive disease is one that requires 2 copies of the gene in order for the disease or trait to occur. For example, both the mother and father of an infant would need to pass on a copy of the gene for cystic fibrosis in order for their child to develop the disease. Down's syndrome and Edward's syndrome are both genetic mutations that occur during fetal development and are not genetically inherited conditions.


NEW QUESTION # 44
The NP is talking to new parents whose child was born with a cleft lip and palate due to amniotic band syndrome. They are concerned that this may happen to any more children they have in the future. The best response to this is

Answer: A

Explanation:
There is no known genetic risk for developing amniotic band syndrome. There are also no known behaviors during pregnancy that increase the risk for this condition. It occurs when thick, fibrous bands within the amniotic fluid wrap around the limb or face of the fetus in utero. It can cut off the blood supply to the affected area and result in amputation or deformity of the affected limb.
If the bands wrap around the face, it can result in cleft lip and palate. There is a greater than 30% chance that amniotic band syndrome will cause a club foot deformity.


NEW QUESTION # 45
What is the most common cause of direct hyperbilirubinemia in the newborn?

Answer: B

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 # 46
When placing a temperature probe on a supine neonate to monitor thermoregulation, a good location for the probe is over the

Answer: C

Explanation:
A common probe placement for a supine infant is over the liver. The probe should not be placed over a bony area or an area with abundant brown adipose tissue, such as around the neck, the mid-scapular region of the back, the mediastinum, and organs in the thoracic cavity, kidneys, and adrenal glands. If the probe makes poor skin contact, it will indicate that the infant is cold, and the warmer will deliver increased amounts of heat, possibly causing hyperthermia. If the probe is underneath the infant, it may indicate an artificially warm temperature and decrease heat to the infant, causing hypothermia.


NEW QUESTION # 47
A mother brings her term infant (and first child) for an exam at 2 weeks after birth. The baby has not regained birth weight, appears listless, face drawn, and skin turgor is poor. The mother is breastfeeding. The most appropriate first action is

Answer: C

Explanation:
The mother should be questioned about her nursing technique and frequency and observed while nursing the child. Since this is her first child, she may need further assistance in nursing properly to ensure the infant receives adequate nutrition. While further tests may be indicated, these signs are indicative of dehydration and poor nutrition, so that should be dealt with first. As there are no other indications of neglect, referral to child protective services is not appropriate at this time. Switching from human milk to formula is rarely necessary if mothers receive adequate support and instruction.


NEW QUESTION # 48
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