NCLEX-PN
Maternal Newborn NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A 23-year-old woman, pregnant for the first time, is 39 weeks gestation. She is admitted to the labor room with contractions every five minutes lasting 45 seconds. On vaginal exam, she is noted to be completely effaced and 5-cm dilated. Station is 0. She asks the nurse for pain medication. What is the best response for the nurse to make?
Correct Answer: D
Rationale: Encouraging breathing techniques supports her goal of natural childbirth and manages pain non-pharmacologically.
Question 2 of 5
The nurse is administering eye drops to a child who has conjunctivitis. Where should the eye drops be placed?
Correct Answer: B
Rationale: Placing eye drops in the conjunctival sac ensures proper distribution and absorption.
Question 3 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 4 of 5
A 10-year-old girl is being treated for rheumatic fever. Which would be an appropriate activity while she is on bed rest?
Correct Answer: A
Rationale: Stringing large beads is a calm, creative activity suitable for a 10-year-old on bed rest, avoiding physical exertion.
Question 5 of 5
A newborn infant is with his mother, who is a diabetic. He appeared pink and alert and his temperature was stable when he left the nursery 15 minutes ago. His mother calls the nurse and says, 'Look at his legs.' The nurse observes spontaneous jerky movements. What is the best INITIAL action for the nurse to take?
Correct Answer: C
Rationale: Jerky movements in an infant of a diabetic mother suggest hypoglycemia, requiring a Dextrostix test.