NCLEX-PN
NCLEX Questions Maternal Newborn Nursing Questions
Extract:
Question 1 of 5
A 2-year-old child is in for an annual examination. Which comment by the mother alerts the nurse to a risk for lead poisoning?
Correct Answer: A
Rationale: Eating paint off window sills indicates pica, a risk factor for lead poisoning, especially in older homes with lead-based paint.
Question 2 of 5
A 5-year-old child has cystic fibrosis. What is best to offer the child on a hot summer day?
Correct Answer: D
Rationale: Broth provides hydration and electrolytes, critical for a child with cystic fibrosis who loses salt through sweat.
Question 3 of 5
A 40-year-old woman who is 28 weeks gestation comes to the emergency room with painless, bright red bleeding of 1.5 hours duration. What condition does the nurse suspect this client has?
Correct Answer: B
Rationale: Painless, bright red bleeding at 28 weeks suggests placenta previa, where the placenta covers the cervix.
Question 4 of 5
A new mother who has been breastfeeding her infant for six weeks calls the nurse at the doctor's office and says her right nipple is cracked and sore; she has a temperature and feels as though she had the flu. How should the nurse respond to the woman?
Correct Answer: C
Rationale: Fever, flu-like symptoms, and a sore nipple suggest mastitis, requiring medical evaluation and possible antibiotics.
Question 5 of 5
A 4-year-old child has been admitted to the nursing unit with a diagnosis of nephrotic syndrome. The symptoms include generalized edema with weight gain, hypoproteinemia, hyperlipidemia, hypotension, and decreased urine output. In developing a nursing care plan for this child, which nursing diagnosis would be highest priority?
Correct Answer: C
Rationale: Fluid volume excess is the highest priority due to generalized edema, which can lead to complications like respiratory distress.