Maternal Newborn NCLEX Practice Questions

Extract:

Question 1 of 5

A 3-year-old child is admitted with a diagnosis of nephrotic syndrome. Which signs and symptoms would the nurse expect the parents to report when the child is admitted?

Correct Answer: D

Rationale: Puffy eyes and weight gain are classic signs of nephrotic syndrome due to edema from protein loss.

Question 2 of 5

Methergine 5 mg qid is ordered for a postpartum client. An hour after taking the drug, the woman complains of uterine cramping. What is the best explanation for the nurse to give her?

A. This is an unfortunate side effect, but you need the medicine.' B. The cramping is uncomfortable, but it is a sign that the drug is keeping your uterus contracted so you won't bleed too much.' C. Since you are experiencing cramps, I'll ask the doctor to discontinue the drug.' D. The cramping should decrease soon. If it does not, let me know. I'll see if the doctor will decrease the dosage.'

Correct Answer: B

Rationale: Methergine causes uterine contractions to prevent bleeding, and cramping indicates it is working effectively.

Question 3 of 5

A child is admitted with asthma. Which aspects of the health history would be most closely associated with asthma?

A. The child's grandfather died of emphysema at age 76. B. The child's grandmother died of lung cancer. C. The child had respiratory distress syndrome following premature birth. D. The child had eczema as an infant and toddler.

Correct Answer: D

Rationale: Eczema is associated with asthma as part of the atopic triad, indicating a predisposition to allergic conditions.

Question 4 of 5

A 6-year-old boy has tetralogy of Fallot. He is being admitted for surgery. The nurse knows that which problem is not associated with tetralogy of Fallot?

A. Severe atrial septal defect B. Pulmonary stenosis C. Right ventricular hypertrophy D. Overriding aorta

Correct Answer: A

Rationale: Tetralogy of Fallot includes pulmonary stenosis, right ventricular hypertrophy, overriding aorta, and ventricular septal defect, not an atrial septal defect.

Question 5 of 5

Which of the following children would most likely be diagnosed with pituitary dwarfism?

A. A 13-month-old who weighs 21 pounds B. A 4-year-old who is 41 inches tall C. A 9-year-old who has no permanent teeth D. A 15-year-old girl who has not begun to menstruate

Correct Answer: D

Rationale: Delayed puberty, such as a 15-year-old girl not menstruating, is suggestive of pituitary dwarfism due to growth hormone deficiency.

Maternal Newborn NCLEX Practice Questions | Nurselytic

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NCLEX-PN

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