NCLEX Maternal Newborn

Extract:

Question 1 of 5

A 6-year-old child is admitted for a tonsillectomy. Considering the child's age, which of the following would be the most important to include in a preoperative physical assessment?

Correct Answer: C

Rationale: Assessing loose teeth is critical before a tonsillectomy to prevent dislodgement and aspiration during intubation in a 6-year-old.

Question 2 of 5

A newborn has been diagnosed as having mild hip dysplasia. The mother asks the nurse why the physician told her to 'triple diaper' the baby. What should the nurse include when responding?

A. It is important that there be no contamination of the area. B. Extra diapers will abduct the hips and help to put the hip in the socket correctly. C. Triple diapers cause the baby's legs to be sharply flexed and realign the hip. D. Hip dysplasia can cause abnormal stooling.

Correct Answer: B

Rationale: Triple diapering abducts the hips, promoting proper alignment of the femoral head in the acetabulum.

Question 3 of 5

The mother of a 3-lb preterm infant has expressed a desire to breastfeed her baby. Because of his prematurity, she expresses fear that she can't. What is the best response for the nurse to make?

A. The baby won't be able to nurse for several weeks, but you can try at that time.' B. Breast milk does not have enough calories for premature babies.' C. You must be very disappointed that he is so small. Special formula is necessary. Perhaps you can nurse your next baby.' D. Breast milk is very good for premature babies. Even if he is not strong enough to nurse now, we will help you pump your breasts and give him the milk.'

Correct Answer: D

Rationale: Breast milk is ideal for preterm infants, and pumping allows feeding until the baby can nurse directly.

Question 4 of 5

A 5-year-old child is admitted with his first asthma attack. Which of the following would have been least likely to have precipitated his asthma attack?

A. A new puppy in the house B. A visit from his uncle who smokes cigars C. An unusually early snowstorm D. Eating fresh fruit salad

Correct Answer: D

Rationale: Eating fresh fruit salad is unlikely to trigger asthma, unlike allergens (pets), irritants (smoke), or weather changes.

Question 5 of 5

The nurse is teaching a prenatal class. A woman in the class who is eight months pregnant asks why her feet swell. The nurse includes which of the following information in the answer?

A. Swollen feet during pregnancy can indicate a serious problem. B. The enlarging baby reduces venous return, causing retention of fluid in the feet and ankles. C. Swelling of the feet during pregnancy is usually related to PIH. D. Swelling of the feet during pregnancy is due to the increased blood volume and will disappear after delivery.

Correct Answer: B

Rationale: The enlarging uterus compresses veins, reducing venous return and causing fluid retention in the feet and ankles.

NCLEX Maternal Newborn | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN