NCLEX-PN
NCLEX Questions Maternal Newborn Nursing Questions
Extract:
Question 1 of 5
A 6-year-old child is brought to the doctor's office with crusts on the eyelid and a very red conjunctiva. The doctor prescribes antibiotic eye drops. The child's mother asks the nurse if the child can go back to school this afternoon. How should the nurse respond?
Correct Answer: D
Rationale: Bacterial conjunctivitis is highly contagious, requiring 24-48 hours of antibiotic treatment before returning to school.
Question 2 of 5
During an emergency home delivery, the head is beginning to crown. What is the most appropriate action for the nurse to take at this time?
Correct Answer: C
Rationale: Gentle perineal pressure prevents rapid expulsion, reducing the risk of perineal tears and fetal trauma.
Question 3 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 4 of 5
A 40-year-old woman who is 28 weeks gestation comes to the emergency room with painless, bright red bleeding of 1.5 hours duration. What condition does the nurse suspect this client has?
Correct Answer: B
Rationale: Painless, bright red bleeding at 28 weeks suggests placenta previa, where the placenta covers the cervix.
Question 5 of 5
In establishing a teaching plan for a client who is in the first trimester of pregnancy, the nurse identifies a long list of topics to discuss. Which is most appropriate for the first visit?
Correct Answer: C
Rationale: Nutrition and activity are critical early in pregnancy to support fetal development and maternal health.