NCLEX-PN
NCLEX Maternal Newborn Questions
Extract:
Question 1 of 5
A 3-month-old infant is hospitalized for repair of a cleft lip. Following surgery, the baby returns to the unit with a Logan bow in place. The baby is awake and beginning to whimper. The baby's color is pink, and pulse is 120 with respirations of 38. An IV is ordered in the baby's right hand at 15 cc per hour. The fluid is not infusing well. Her right hand is edematous. The jacket restraint has loosened, and one arm has partially come out. What is the priority nursing action?
Correct Answer: B
Rationale: Edema and poor infusion suggest IV infiltration, a priority to prevent tissue damage and ensure fluid delivery.
Question 2 of 5
A woman is to have internal radiation as part of her treatment for cancer of the cervix. In teaching her about the preoperative preparation for this procedure, the nurse should include which information?
Correct Answer: B
Rationale: An indwelling catheter is inserted to keep the bladder empty, reducing radiation exposure to nearby organs.
Question 3 of 5
The mother of a child who has ringworm asks what kind of worm the child has. How should the nurse respond?
Correct Answer: A
Rationale: Ringworm is a fungal infection, not a worm, and its circular appearance is characteristic.
Question 4 of 5
The mother of a 2-year-old child asks the nurse how to cope with the child's frequent temper tantrums when he does not get what he wants immediately. What information should the nurse include when responding?
Correct Answer: A
Rationale: Ignoring tantrums, while ensuring safety, prevents reinforcement of the behavior, helping the child learn self-regulation.
Question 5 of 5
A laboring woman is to be transferred to the delivery room. The nurse is positioning her on the table when she has a very strong contraction and starts to bear down. What should the nurse tell her to do?
Correct Answer: A
Rationale: Panting prevents premature pushing during transfer, avoiding potential cervical or perineal trauma.