NCLEX-PN
NCLEX Maternal Newborn Questions
Extract:
Question 1 of 5
A 3-year-old child is admitted with a tentative diagnosis of Wilms' tumor. What nursing action is essential because of the diagnosis?
Correct Answer: A
Rationale: Avoiding abdominal palpation prevents potential tumor rupture or seeding in Wilms' tumor.
Question 2 of 5
The nurse is caring for a 9-month-old infant who is allowed only clear fluids. What are the most appropriate liquids for the nurse to offer?
Correct Answer: B
Rationale: Pedialyte and glucose water provide electrolytes and hydration, suitable for a dehydrated infant.
Question 3 of 5
A 6-month-old child is being seen for a well-baby visit. The child has received all immunizations as recommended so far. What immunizations does the nurse expect to give at this visit?
Correct Answer: B
Rationale: At 6 months, DTP, hepatitis B, and HIB are standard immunizations, per CDC guidelines, while MMR and varicella are given later.
Question 4 of 5
After her examination by the physician, the antepartal client tells the nurse that the doctor said she had positive Chadwick's and Goodell's signs. She asks the nurse what this means. What is the best response for the nurse to make?
Correct Answer: A
Rationale: Chadwick's sign is bluish discoloration of the vagina/cervix, and Goodell's sign is cervical softening, both confirming pregnancy.
Question 5 of 5
An infant is born with a meningomyelocele. How should the nurse position the infant before surgery?
Correct Answer: C
Rationale: Side-lying with a pillow protects the meningomyelocele from pressure and trauma before surgery.