NCLEX-PN
NCLEX Maternal Newborn Questions
Extract:
Question 1 of 5
A 26-year-old, gravida 3, para 0, term 0, preterm 0, abortion 2, living 0 in early labor is admitted to labor and delivery. She is not sure if her membranes have ruptured. She has had some leakage of fluid. How should the nurse begin the assessment?
Correct Answer: C
Rationale: Asking about a sample of the leaking fluid aids in confirming membrane rupture, a priority assessment.
Question 2 of 5
The nurse notes that a child who has had a serious heart condition since birth does not do the expected activities for that age. The child's mother says, 'I worry constantly about my child. I don't let the older children or the neighborhood kids play with my child very much. I try to make things as easy for my child as I can.' What is the best interpretation of these data?
Correct Answer: B
Rationale: The mother's overprotectiveness likely limits the child's opportunities for age-appropriate activities, hindering development.
Question 3 of 5
A 6-month-old child is being seen for a well-baby visit. The child has received all immunizations as recommended so far. What immunizations does the nurse expect to give at this visit?
Correct Answer: B
Rationale: At 6 months, DTP, hepatitis B, and HIB are standard immunizations, per CDC guidelines, while MMR and varicella are given later.
Question 4 of 5
The nurse is caring for a woman who had a hysterectomy. Which vascular complication should the nurse be especially alert for because of the location of the surgery?
Correct Answer: A
Rationale: Pelvic surgery, like a hysterectomy, increases the risk of thrombophlebitis due to venous stasis and surgical trauma.
Question 5 of 5
A 5-year-old child is admitted with his first asthma attack. Which of the following would have been least likely to have precipitated his asthma attack?
Correct Answer: D
Rationale: Eating fresh fruit salad is unlikely to trigger asthma, unlike allergens (pets), irritants (smoke), or weather changes.