NCLEX Questions Maternal Newborn Nursing

Extract:

Question 1 of 5

A 3-year-old child has all of the following abilities. Which did he acquire most recently?

Correct Answer: C

Rationale: Riding a tricycle is typically mastered around age 3, later than walking, throwing, or stating a name.

Question 2 of 5

The nurse is caring for an infant who has had surgery for a meningomyelocele. When thinking of long-term care needs, which understanding is most accurate?

A. The surgery corrects the defect, and the infant should develop normally. B. The infant is likely to have lower body paralysis and bowel and bladder dysfunction. C. The infant should develop normally physically but is likely to have some degree of mental retardation. D. The surgery may need to be repeated if the condition recurs.

Correct Answer: B

Rationale: Meningomyelocele often results in lower body paralysis and neurogenic bowel/bladder due to spinal nerve involvement.

Question 3 of 5

A woman who had a cesarean section tells the nurse, 'I guess I flunked natural childbirth because I had to have a cesarean.' This statement is most indicative of which phase of postpartum adjustment?

A. Taking in B. Working through C. Taking hold D. Letting go

Correct Answer: B

Rationale: Expressing disappointment about the cesarean reflects the working-through phase, processing the birth experience.

Question 4 of 5

A 4-year-old child has recently been diagnosed with Type 1 diabetes. The parents tell the nurse that they do not understand much about diabetes. Which is the best way to explain Type 1 diabetes to them? Type 1 diabetes is:

A. an inborn error of metabolism that makes the child unable to burn fatty acids without insulin requirements. B. a genetic disorder that makes the child unable to metabolize protein without insulin supplements. C. a deficiency in the secretion of insulin by the pancreas that makes the child unable to metabolize carbohydrates without insulin supplements. D. a problem that occurs when children eat too many sweets early in life and then are unable to metabolize sugar without insulin supplements.

Correct Answer: C

Rationale: Type 1 diabetes is caused by pancreatic insulin deficiency, impairing carbohydrate metabolism, requiring insulin therapy.

Question 5 of 5

A 12-month-old child who was diagnosed at birth as having Hirschsprung's disease has been maintained at home under conservative treatment. The parents have brought the child to the clinic for a well-baby examination. After interviewing the child's parents, the nurse concludes that an appropriate treatment regimen is being followed. Which of the following would indicate this?

A. Use of tap water enemas and a low-residue diet B. Use of soap suds enemas and a high-fiber diet C. Use of isotonic saline enemas and a high-fiber diet D. Use of isotonic saline enemas and a low-residue diet

Correct Answer: D

Rationale: Isotonic saline enemas and a low-residue diet are appropriate to manage constipation in Hirschsprung's disease without causing irritation.

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