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Nursing NCC-NNP Exam Syllabus Topics:

Section Weight Objectives
Embryology, Physiology, Pathophysiology & Systems Management 54% - Cardiovascular system
- Musculoskeletal and integumentary system
- Metabolic and endocrine system
- Genetics and congenital anomalies
- Renal and genitourinary system
- Hematopoietic and immune system
- Respiratory system
- Gastrointestinal system
- Neurological system
- Infectious diseases
- Eyes, ears, nose and throat
Pharmacology 9% - Safe administration principles
- Pharmacokinetics and pharmacodynamics in neonates
- Adverse effects and interactions
- Common medications and dosages
General Assessment 15% - Perinatal history collection
- Interpretation of diagnostic data
- Growth and development assessment
- Systematic physical assessment
General Management 19% - Thermoregulation
- Pain management and sedation
- Care coordination and family education
- Fluids, electrolytes and acid-base balance
- Resuscitation and stabilization
- Nutrition and growth support
Professional Issues 3% - Ethics and legal aspects
- Interprofessional collaboration
- Scope and standards of practice
- Quality improvement and patient safety

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q60-Q65):

NEW QUESTION # 60
Which of the following electrolytes can help to reduce the incidence of neurological deficits in premature infants?

  • A. Calcium
  • B. Magnesium
  • C. Phosphorous

Answer: B

Explanation:
Studies have shown that maintaining a higher serum magnesium level can help to reduce the incidence of neurological developmental delay. It has been found to be helpful with advancing brain development in premature infants, and to some degree, in term infants who have suffered from asphyxia during labor and delivery. It is thought that magnesium can serve a neuroprotective role in early brain development.


NEW QUESTION # 61
To ingest 120 calories/kg/day, an infant breastfeeding or receiving unfortified formula needs to ingest

  • A. 6 ounces/kg/day
  • B. 8 ounces/kg/day
  • C. 3 ounces/kg/day

Answer: A

Explanation:
Unfortified formulas (and most human milk) supply 20 calories per ounce. To ingest 120 cal/kg/day, an infant needs to ingest 6 ounces/kg/day of unfortified formula or human milk. The general requirements for adequate growth include:
*Full-term infants: 100-120 cal/kg/day
*Premature infants: 110-160 cal/kg/day
*Infants who are recovering from surgery or have a chronic illness, such as bronchopulmonary dysplasia (BPD): =180 cal/kg/day The caloric needs of a neonate (preterm or term) depend on postnatal age, activity, current weight, growth rate, thermal environment, and route of nutritional intake. Cold stress increases caloric requirements.


NEW QUESTION # 62
The neural tube defect in which there is failure of the vertebral column to close, but no herniation through the opening is

  • A. spina bifida occulta
  • B. myelomeningocele
  • C. spina bifida cystica

Answer: A

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 # 63
Which of the following potential side effects can occur as a result of forceps being used during delivery?

  • A. Cerebral palsy
  • B. Sudden infant death
  • C. Facial palsy

Answer: C

Explanation:
There is a risk of facial palsy (usually temporary) and minor facial or external eye injury with forceps use. Forceps may be used during delivery to assist the neonate's passage through the birth canal, especially if the mother or infant are in distress. Rarely, a skull fracture or bleeding within the brain can occur.


NEW QUESTION # 64
Parents of a newborn have opted to not have their son circumcised. When providing them with care instructions, they will need to know

  • A. the child should receive an annual exam by a urologist to evaluate the uncircumcised penis
  • B. though the circumcision was not done in the hospital, they will need to follow-up with their
  • C. The foreskin should only be retracted as much as it allows during bathing and diaper

Answer: C

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 # 65
......

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