NCLEX-PN
Maternal Newborn NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A 10-month-old infant is hospitalized with severe eczema. The child has elbow restraints applied. When should the elbow restraints be removed?
Correct Answer: A
Rationale: Removing restraints every two hours allows skin care and movement, preventing complications while minimizing scratching.
Question 2 of 5
The nurse is teaching the mother of a newborn who has a cleft lip and palate to feed the infant. Which would be least appropriate to include?
Correct Answer: A
Rationale: Placing the syringe tip at the front of the mouth is inappropriate; it should be directed toward the side to avoid the cleft and ensure safe feeding.
Question 3 of 5
The nurse is caring for a woman the day after the insertion of radium rods for treatment of cancer of the cervix. The woman calls the nurse and says, 'There is something between my legs. It fell out of me.' What is the most appropriate initial action for the nurse to take?
Correct Answer: C
Rationale: Using long forceps to place the rod in a lead-lined container ensures safe handling of radioactive material, protecting the nurse and client.
Question 4 of 5
A 3-month-old infant is admitted to the pediatric unit with a diagnosis of Hirschsprung's disease. What is most important when monitoring the infant's status?
Correct Answer: C
Rationale: Measuring abdominal girth monitors for distension, a key concern in Hirschsprung's disease due to bowel obstruction.
Question 5 of 5
A woman who is 38 weeks gestation tells the nurse that she sometimes gets dizzy when she lies down. Which information is it important for the nurse to give the client?
Correct Answer: C
Rationale: Lying on the left side prevents supine hypotensive syndrome, where the uterus compresses the vena cava, causing dizziness.