NCLEX Practice Questions Maternal Newborn

Question 1 of 5

The mother of a 6-year-old child who has chickenpox asks the nurse when the child can go back to school. What information should be included in the nurse's response? The child is contagious:

A. until all signs of the disease are gone.B. as long as the child has scabs.C. as long as there are fluid-filled vesicles.D. until the rash and fever are gone.

Correct Answer: C

Rationale: Chickenpox is contagious until all vesicles have crusted over, which occurs after fluid-filled vesicles are no longer present.

Question 2 of 5

A woman delivered a baby in the car on the way to the hospital. In the emergency room, the physician examined the mother. What is the priority action for the nurse at this time?

A. Gently tug on the cord and massage the uterus to see if the placenta is ready to be deliveredB. Clamp and cut the cord with sterile scissorsC. Note and record the Apgar scoreD. Clear the mucus from the baby's mouth and nose

Correct Answer: D

Rationale: Clearing mucus from the baby's mouth and nose ensures a patent airway, the priority for newborn stabilization.

Question 3 of 5

A 3-year-old child is brought to the physician's office by the parent. The parent states that the child was completely toilet trained but has been 'having accidents' recently. The parent also tells the nurse that the child is voiding more often than usual and that the urine has a strong odor. What is the best response by the nurse?

A. These could be symptoms of a urinary tract infection. We should obtain a urine specimen for analysis.'B. Many preschool children regress when something stressful happens. Has your child been under any stress lately?'C. Accidents like these are not unusual. You have nothing to worry about as long as your child does not have a fever.'D. This is very unusual. Your child will probably need to be hospitalized to receive intravenous antibiotics.'

Correct Answer: A

Rationale: Frequent voiding, strong-smelling urine, and accidents suggest a urinary tract infection, requiring a urine specimen.

Question 4 of 5

A newborn has a total body response to noise or movement that is distressing to her parents. What should the nurse tell the parents about this response?

A. It is a reflexive response that indicates normal development.B. It is a voluntary response that indicates insecurity in a new environment.C. It is an automatic response that may indicate that the baby is hungry.D. It is an involuntary response that will remain for the first year of life.

Correct Answer: A

Rationale: The Moro reflex, a total body response to stimuli, is a normal developmental reflex in newborns.

Question 5 of 5

The nurse is observing a new mother for good maternal-infant attachment. Which observation would be a sign of inappropriate attachment?

A. Calling the baby 'little bit.'B. Holding the baby in 'en face' position.C. Telling the baby, 'You look just like your daddy.'D. Continually saying, 'I'm too tired to hold the baby.'

Correct Answer: D

Rationale: Refusing to hold the baby due to fatigue suggests poor attachment, indicating a need for support.

NCLEX Practice Questions Maternal Newborn | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN