NCLEX-PN
Maternal Newborn NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A 3-month-old infant is admitted to the pediatric unit with a diagnosis of Hirschsprung's disease. What is most important when monitoring the infant's status?
Correct Answer: C
Rationale: Measuring abdominal girth monitors for distension, a key concern in Hirschsprung's disease due to bowel obstruction.
Question 2 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 3 of 5
A woman who had a normal vaginal delivery two hours ago has just arrived on the postpartum floor. Vital signs are normal. When assessing her uterus, the nurse notes that it is boggy. What should be the nurse's initial intervention?
Correct Answer: A
Rationale: Massaging a boggy uterus stimulates contraction, preventing postpartum hemorrhage.
Question 4 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 5 of 5
The physician is performing an amniotomy on a woman in labor. What is the most important nursing action during this procedure?
Correct Answer: C
Rationale: Monitoring fetal heart tones is critical during amniotomy to detect distress from potential cord compression.