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NCC Neonatal Nurse Practitioner (NNP) Practice Tests & Test Prep by Exam Edge - Review


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NCC Neonatal Nurse Practitioner - Reviews


   Excellent
Based on 85 reviews

Rebecca


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"Lots of repeat questions. Questions were too simple. Did not prepare me for my certification exam."

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"Inpatient OB. I passed!"

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"Would have been nice to get quicker response regarding the fact I still had a couple of tests left instead of needing to buy more!"



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See why our users from 154 countries love us for their exam prep! Including 85 reviews for the NCC Neonatal Nurse Practitioner exam.

Exam Edge is an industry leader in online test prep. We work with institutional partners to offer a wide array of practice tests that will help you prepare for your big exam. No matter how niche your field of interest might be, we're here to help you prepare for test day.

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NCC Neonatal Nurse Practitioner - Test Reviews Sample Questions

Which of the following drugs when used by the mother during pregnancy is least likely to increase risk of congenital malformations, fetal growth restriction, or postnatal neurobehavioral abnormalities?

Correct Answer:
marijuana


the question presented focuses on identifying which drug, when used during pregnancy, is least likely to contribute to congenital malformations, fetal growth restriction, or postnatal neurobehavioral abnormalities in the child. the options given are amphetamines, marijuana, alcohol, and barbiturates. to address this question, it’s crucial to consider the known effects of each of these substances on fetal development and child health.

amphetamines are known to be associated with several risks when used during pregnancy. they can lead to fetal growth restriction, premature birth, and withdrawal symptoms in the newborn. additionally, there are potential long-term neurobehavioral and developmental effects that can arise from exposure to amphetamines in utero.

marijuana, on the other hand, does not consistently show a significant increase in the risk of congenital malformations. research suggests that while marijuana might contribute to slight increases in certain complications such as low birth weight and developmental delays, the evidence is less robust and consistent compared to substances like amphetamines, alcohol, and barbiturates. however, confounding factors such as the concurrent use of alcohol and tobacco by some pregnant marijuana users can complicate the interpretation of data. it’s important to note that the absence of strong evidence does not necessarily imply safety, and the use of any substance during pregnancy should ideally be discussed with a healthcare provider.

alcohol is well-documented to cause serious fetal harm. the consumption of alcohol during pregnancy can lead to fetal alcohol spectrum disorders (fasd), which encompass a range of physical, behavioral, and learning problems. the effects of alcohol on fetal development are severe and can include congenital defects, growth deficiencies, and neurodevelopmental abnormalities.

barbiturates are also associated with several risks when taken during pregnancy. these drugs can lead to neonatal withdrawal syndrome, and there are associations with various birth defects and developmental issues. like amphetamines, the use of barbiturates can result in reduced birth weight and other serious complications.

given this information, among the options provided, marijuana appears to be the drug least likely to increase the risk of congenital malformations, fetal growth restriction, or postnatal neurobehavioral abnormalities. however, this does not imply that marijuana use is safe during pregnancy. lack of strong evidence of harm is not equivalent to proof of safety, and all substance use during pregnancy should be carefully managed under medical advice.

Diagnosis of early congenital syphilis is usually suspected based on which of the following? 

Correct Answer:
maternal serologic testing
diagnosis of early congenital syphilis is typically based on the results of maternal serologic testing. this testing is an essential part of prenatal care and is routinely conducted early in pregnancy. due to the potential for infection or changes in the serologic state during pregnancy, this testing is often repeated during the third trimester and at the time of delivery.

the rationale behind using maternal serologic testing lies in its ability to detect the presence of syphilis in the mother, which can be transmitted to the fetus during pregnancy or childbirth. if the mother tests positive, there is a significant risk that the infection has been passed to the neonate. therefore, any positive result necessitates further evaluation of the newborn to confirm or rule out congenital syphilis.

upon suspecting congenital syphilis due to positive maternal serology, a comprehensive evaluation of the neonate is required. this evaluation includes a thorough physical examination to check for signs consistent with congenital syphilis, such as skin lesions, rashes, or deformities. techniques like dark field microscopy or immunofluorescent staining are used to examine skin or mucosal lesions directly, looking for the presence of treponema pallidum, the bacterium that causes syphilis.

additionally, a quantitative nontreponemal serum test should be performed on the neonate. this test measures antibodies that are typically present in the blood if there is an active syphilis infection. higher titers in the neonate compared to the mother can be a strong indicator of congenital syphilis.

in some cases, further diagnostic measures, such as analysis of cerebrospinal fluid (csf), might be conducted to check for neurosyphilis, especially if neurological symptoms are present or if initial tests indicate a possible infection. however, the primary suspicion of early congenital syphilis generally arises from the results of maternal serologic tests conducted as part of routine prenatal care.