NCLEX-PN
NCLEX Maternal Newborn Questions
Extract:
Question 1 of 5
A 5-week-old infant is seen in the physician's office for gastroesophageal reflux. What should the nurse suggest to the parents regarding feeding practices?
Correct Answer: B
Rationale: Positioning at a 30- to 45-degree angle post-feeding reduces reflux by using gravity to keep stomach contents down.
Question 2 of 5
An 11-year-old boy is admitted to the pediatric unit in traction with a fractured femur sustained in a motorcycle accident. His uncle, who was driving the cycle when the accident occurred, received only minor injuries. The child tells the nurse that his uncle was not to blame for the accident. He is 'the best motorcycle rider in the world.' The nurse interprets this to mean that the child is exhibiting which defense mechanism?
Correct Answer: A
Rationale: The child's insistence that his uncle is faultless reflects denial, a defense mechanism to cope with the trauma of the accident.
Question 3 of 5
A 26-year-old, gravida 3, para 0, term 0, preterm 0, abortion 2, living 0 in early labor is admitted to labor and delivery. She is not sure if her membranes have ruptured. She has had some leakage of fluid. How should the nurse begin the assessment?
Correct Answer: C
Rationale: Asking about a sample of the leaking fluid aids in confirming membrane rupture, a priority assessment.
Question 4 of 5
On the first day after a cesarean section, the client is ambulating. She is uncomfortable and asks the nurse, 'Why am I being made to walk so soon after surgery?' What is the nurse's best response?
Correct Answer: B
Rationale: Early ambulation prevents venous stasis and blood clots, a key postoperative goal.
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.