NCLEX-PN
NCLEX Questions Maternal Newborn Nursing Questions
Extract:
Question 1 of 5
A 29-year-old woman who is pregnant for the first time and is 40 weeks gestation is admitted to labor and delivery. She is 3-cm dilated, 80% effaced, and head at 0 station. She and her husband have been to prepared childbirth classes and are eager to give birth naturally. During her first contraction in the hospital, which lasts 30 seconds, the nurse observes the client using rapid pant-blow breathing. What is the most appropriate response for the nurse to make at this time?
Correct Answer: A
Rationale: Rapid pant-blow breathing is typically used in later labor, so it's too early at 3 cm, indicating a need to adjust her technique.
Question 2 of 5
A young woman has been having lower abdominal pain and amenorrhea. She is diagnosed as having an ovarian cyst. She asks the nurse what the usual treatment is for an ovarian cyst. What is the best response for the nurse to make?
Correct Answer: C
Rationale: Ovarian cysts often require surgical removal, especially if symptomatic or large, as they may not resolve spontaneously.
Question 3 of 5
A young couple asks the nurse which method of contraception is the best and the one that they should use. Which response is most helpful to the couple?
Correct Answer: B
Rationale: The best contraceptive method is one both partners agree on and will use consistently, ensuring effectiveness.
Question 4 of 5
The nurse is caring for an infant who is admitted with bacterial meningitis. What is the first priority when providing nursing care for this child?
Correct Answer: A
Rationale: Administering antibiotics promptly is critical to treat bacterial meningitis and prevent complications.
Question 5 of 5
The nurse is administering the daily digoxin dose of 0.035 mg to a 10-month-old child. Before administering the dose, the nurse takes the child's apical pulse, and it is 85. Which of the following interpretations of these data is most accurate?
Correct Answer: C
Rationale: A pulse of 85 in a 10-month-old is low (normal is 100-160), suggesting possible digoxin toxicity, which can cause heart block.