NCLEX-PN
Maternal Newborn NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A 21-year-old married woman thinks she may be pregnant. She goes to her physician and tells the nurse that the drugstore test was positive for pregnancy. She asks the nurse if the test is reliable. What is the best response for the nurse to make?
Correct Answer: A
Rationale: Home pregnancy tests are reliable but require confirmation with clinical assessment, prompting further information collection.
Question 2 of 5
A 13-month-old child has just been placed in a plaster hip spica cast to correct a congenital anomaly. Which nursing actions should be included in the plan of care?
Correct Answer: C
Rationale: Frequent neurovascular assessments ensure circulation and nerve function are intact in a spica cast.
Question 3 of 5
A new mother is about to be discharged from the hospital. Which statement made by a new mother indicates a need for more instruction?
Correct Answer: A
Rationale: Using an old diaphragm is unsafe postpartum due to potential size changes, indicating a need for further teaching.
Question 4 of 5
The nurse makes an initial assessment of a 4-year-old child admitted with possible epiglottitis. Which observation is most suggestive of epiglottitis?
Correct Answer: C
Rationale: Excessive drooling is a hallmark of epiglottitis due to difficulty swallowing from airway obstruction.
Question 5 of 5
Six hours after delivery, the nurse notes that a woman's fundus is two finger breadths above the umbilicus and deviated to the right of the midline. What is the most likely cause of this finding?
Correct Answer: B
Rationale: A fundus deviated to the right and above the umbilicus is typically caused by bladder distention.