NCLEX-PN
NCLEX Practice Questions Maternal Newborn Questions
Question 1 of 5
The nurse is observing a new mother for good maternal-infant attachment. Which observation would be a sign of inappropriate attachment?
Correct Answer: D
Rationale: Refusing to hold the baby due to fatigue suggests poor attachment, indicating a need for support.
Question 2 of 5
An antepartal client asks when her baby is due. Her last menstrual period was August 28. Using Naegele's rule, calculate the estimated date of delivery.
Correct Answer: C
Rationale: Using Naegele's rule (subtract 3 months, add 7 days), August 28 becomes June 4 as the estimated delivery date.
Question 3 of 5
The nurse is caring for an infant who is being treated for severe diarrhea. Twenty-four hours after admission, the diet is advanced from NPO to clear liquids. After clear liquids are started, the baby has four stools in two hours. What should the nurse do?
Correct Answer: C
Rationale: Four stools in two hours suggest intolerance to oral fluids, requiring a pause in feedings to prevent worsening dehydration.
Question 4 of 5
A new mother is in the first period of adjustment following birth called the taking-in phase. What type of maternal behavior would the nurse expect her to exhibit?
Correct Answer: A
Rationale: During the taking-in phase, new mothers exhibit passivity and dependence, focusing on recovery and support.
Question 5 of 5
A woman, gravida 5, para 4, is unable to get to the hospital because labor has progressed very rapidly. A nurse, who lives upstairs, comes down to assist her with the emergency home delivery. The nurse examines the woman and assesses that the perineum is bulging. What is the priority nursing measure at this time?
Correct Answer: B
Rationale: Placing a clean sheet ensures a sterile field, critical for safe delivery in an emergency setting.