Questions 81

NCLEX-RN

NCLEX-RN Test Bank

RN NCLEX Maternal Neonatal Nursing Questions

Extract:


Question 1 of 5

A 16-year-old client at 34 weeks' gestation, who is being monitored at home with home nursing visits, is diagnosed with mild preeclampsia and has gained 2 lb in the past week. Her current blood pressure is 144/92 mm Hg. Which assessment finding would require further action by the home health nurse?

Correct Answer: D

Rationale: Significant proteinuria suggests worsening preeclampsia.

Question 2 of 5

The nurse in the newborn nursery has just received shift report about a group of newborns and is to receive another admission in 30 minutes. In order to provide the safest care and plan for the new admission, the nurse should do which of the following in order of first to last?

Order the Items

Source Container

Move quickly from room to room and assess all clients.
Check the room to which the new client will be admitted to be sure all supplies and equipment are available.
Log on to the clinical information system and determine if there are new orders.
Review notes from shift report and prioritize all clients; make rounds on the most critical first.

Correct Answer: D,C,A,B

Rationale: First, review and prioritize clients (
D).
Then, check for new orders (
C), assess all clients (
A), and finally prepare the room for the new admission (
B).

Question 3 of 5

After teaching a primiparous client who used cocaine during pregnancy about possible gastrointestinal signs and symptoms in her neonate, which of the following, if stated by the mother as common, indicates effective teaching?

Correct Answer: C

Rationale: Vomiting is a common gastrointestinal symptom in neonates with cocaine exposure due to neurological irritability.

Question 4 of 5

The nurse is reviewing the chart of a multigravid client at 39 weeks' gestation with suspected HELLP syndrome. The nurse should notify the health care provider about which of the following test results?

Correct Answer: B

Rationale: Elevated LDH indicates possible hemolysis in HELLP syndrome.

Question 5 of 5

Which of the following subjects should the nurse include when teaching the mother of a neonate diagnosed with retinopathy of prematurity (ROP) about possible treatment for complications?

Correct Answer: A

Rationale: Laser therapy is a common treatment for severe ROP to prevent retinal detachment.

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