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Question 1
A term infant is born to a mother with a positive GBS culture who received only one dose of penicillin 2 hours before delivery. The infant is asymptomatic at 4 hours of life. According to current AAP/CDC guidance and the Kaiser Permanente Neonatal Sepsis Calculator framework, which approach is MOST appropriate?
Correct Answer:
Use risk-based assessment (sepsis calculator inputs and serial physical exams) and treat only if clinical signs develop or risk score warrants
Question 2
An infant is delivered at 38 weeks via emergency C-section for non-reassuring fetal heart tracing. At 1 minute, the infant has a heart rate of 90 bpm, weak cry, some flexion, grimace with stimulation, and acrocyanosis. What is the correct 1-minute APGAR score?
Correct Answer:
5
Question 3
A 39-week infant born to a mother with poorly controlled type 1 diabetes is large for gestational age (4.6 kg). At 1 hour of life, point-of-care glucose is 28 mg/dL. The infant is asymptomatic. According to AAP 2011 guidance for transient neonatal hypoglycemia in IDM, what is the BEST initial management?
Correct Answer:
Provide a feeding (breast or 5 mL/kg formula) and recheck glucose within 30-60 minutes; treat with IV D10W if persistently low or symptomatic
Question 4
A neonate is born to a mother who took oxycodone throughout pregnancy. At 36 hours, the infant has tremors when undisturbed, hyperactive Moro, mild tachypnea, and excessive crying. Per current AAP NAS/NOWS guidance and the Eat-Sleep-Console (ESC) approach, which is the FIRST-LINE intervention?
Correct Answer:
Begin non-pharmacologic care (rooming-in, swaddling, low stimulation, breastfeeding when appropriate) and assess function-based ESC criteria before pharmacotherapy
Question 5
Maternal preeclampsia with severe features is associated with which constellation of neonatal findings?
Correct Answer:
IUGR/SGA, thrombocytopenia, neutropenia, and increased risk of magnesium toxicity if mother received MgSO4
Question 1
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About this Exam

Prepare with the NCC NNP-BC Practice Questions - NCC Neonatal Nurse Practitioner Board Certified (NNP-BC) Exam practice quiz. This question bank includes 100 questions covering infant, week, neonatal, shows, and preterm. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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NCC NNP-BC Practice Questions - NCC Neonatal Nurse Practitioner Board Certified (NNP-BC) Exam

This practice set contains 100 questions from the matching question bank and focuses on infant, week, neonatal, shows, and preterm. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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