Maternal Newborn NCLEX Practice Questions

Question 1 of 5

The nurse is caring for an infant born with exstrophy of the bladder. What will be included in the care of this infant?

A. Give continuous saline irrigations of the exposed bladderB. Cover the exposed bladder with plastic wrapC. Insert an indwelling catheterD. Apply a tight-fitting, super-absorbent diaper

Correct Answer: B

Rationale: Covering the exposed bladder with plastic wrap protects the mucosa and prevents drying until surgical repair.

Question 2 of 5

Methergine 5 mg qid is ordered for a postpartum client. An hour after taking the drug, the woman complains of uterine cramping. What is the best explanation for the nurse to give her?

A. This is an unfortunate side effect, but you need the medicine.'B. The cramping is uncomfortable, but it is a sign that the drug is keeping your uterus contracted so you won't bleed too much.'C. Since you are experiencing cramps, I'll ask the doctor to discontinue the drug.'D. The cramping should decrease soon. If it does not, let me know. I'll see if the doctor will decrease the dosage.'

Correct Answer: B

Rationale: Methergine causes uterine contractions to prevent bleeding, and cramping indicates it is working effectively.

Question 3 of 5

A hospitalized 2.5-year-old child has a temper tantrum while her mother is bathing her. Her mother asks the nurse how she should handle this behavior. Which information should be included in the nurse's reply?

A. Temper tantrums in a hospitalized child indicate regression.B. Tantrums suggest a poorly developed sense of trust.C. Discipline is necessary when a child has a temper tantrum.D. This behavior is a normal response to limit setting in a child of this age.

Correct Answer: D

Rationale: Temper tantrums are normal at 2.5 years, especially in response to limit-setting, even in a hospital setting.

Question 4 of 5

A 6-year-old boy has tetralogy of Fallot. He is being admitted for surgery. The nurse knows that which problem is not associated with tetralogy of Fallot?

A. Severe atrial septal defectB. Pulmonary stenosisC. Right ventricular hypertrophyD. Overriding aorta

Correct Answer: A

Rationale: Tetralogy of Fallot includes pulmonary stenosis, right ventricular hypertrophy, overriding aorta, and ventricular septal defect, not an atrial septal defect.

Question 5 of 5

An 18-month-old child is admitted for a repeat cardiac catheterization. The parents are continuously present and do everything for the childâ€”dress him, feed him, and even play for him. The nurse wants to prepare the child and the parents for the procedure. Which of the following should be included in the care plan?

A. Give the child simple explanations.B. Talk with the parents to assess their knowledge and how they can help with the child's care.C. No specific action will be necessary because the child and family have been through a cardiac catheterization previously.D. Ask the parents to stay away as much as possible because they upset the child.

Correct Answer: B

Rationale: Talking with the parents assesses their understanding and encourages their involvement, promoting a collaborative approach to prepare the child effectively.

Maternal Newborn NCLEX Practice Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN