NCLEX-PN
NCLEX Questions Maternal Newborn Nursing Questions
Extract:
Question 1 of 5
A 5-year-old child keeps developing poison ivy. The child's mother insists that the child has not been near any poison ivy plants since the first outbreak several weeks ago. What question should the nurse ask the mother?
Correct Answer: D
Rationale: Pets can carry poison ivy oils on their fur, causing recurrent exposure without direct plant contact.
Question 2 of 5
The parents of a child who has otitis media ask the nurse why the doctor told them to give the child acetaminophen instead of aspirin. What should the nurse include when answering?
Correct Answer: D
Rationale: Aspirin is linked to Reye's syndrome in children, a potentially fatal condition, making acetaminophen safer.
Question 3 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 4 of 5
A 29-year-old woman who is pregnant for the first time and is 40 weeks gestation is admitted to labor and delivery. She is 3-cm dilated, 80% effaced, and head at 0 station. She and her husband have been to prepared childbirth classes and are eager to give birth naturally. During her first contraction in the hospital, which lasts 30 seconds, the nurse observes the client using rapid pant-blow breathing. What is the most appropriate response for the nurse to make at this time?
Correct Answer: A
Rationale: Rapid pant-blow breathing is typically used in later labor, so it's too early at 3 cm, indicating a need to adjust her technique.
Question 5 of 5
An infant has had frequent episodes of green, mucus-containing stools. The nursing assessment reveals that the infant has dry mucous membranes, poor skin turgor, and an absence of tearing. Based on these data, what is the most appropriate nursing diagnosis?
Correct Answer: B
Rationale: Dry mucous membranes, poor skin turgor, and absent tearing indicate deficient fluid volume due to diarrhea.