NCLEX Maternal Newborn

Extract:

Question 1 of 5

A 6-year-old child with tetralogy of Fallot is being admitted for surgery. What is most important to teach the child during the preoperative period?

Correct Answer: B

Rationale: Teaching coughing and deep breathing prepares the child for postoperative recovery, reducing respiratory complications.

Question 2 of 5

A child with an asthma attack has received epinephrine. The child is also to receive isoproterenol (Isuprel) via intermittent positive pressure breathing. When should the isoproterenol be given in relation to the epinephrine?

A. Isoproterenol should be given 30 minutes prior to the administration of epinephrine. B. Isoproterenol should never be given in conjunction with epinephrine. Check with the physician. C. Isoproterenol should not be given within one hour after the administration of epinephrine. D. Isoproterenol should be given at the same time as epinephrine for maximum benefit.

Correct Answer: C

Rationale: Isoproterenol should be delayed at least one hour after epinephrine to avoid additive cardiovascular effects.

Question 3 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?

A. Denial B. Repression C. Hero worship D. Fantasy

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 4 of 5

The nurse is feeding a newborn infant glucose water. Which finding would make the nurse suspect that the infant has esophageal atresia?

A. The infant has projectile vomiting. B. The infant sucks very slowly. C. The infant seems fatigued after only a few sucks. D. The infant chokes after taking a few sucks of water.

Correct Answer: D

Rationale: Choking after a few sucks suggests esophageal atresia, as the esophagus is blocked, preventing swallowing.

Question 5 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?

A. Chadwick's sign is a dark blue coloring of the vagina and cervix. Goodell's sign is softening of the cervix of the uterus.' B. These help to confirm pregnancy. They refer to color changes and changes in the uterus caused by increased hormones of pregnancy.' C. Those are medical terms. You don't need to be concerned about them.' D. It refers to changes that occasionally happen in pregnancy but are unlikely to cause problems.'

Correct Answer: A

Rationale: Chadwick's sign is bluish discoloration of the vagina/cervix, and Goodell's sign is cervical softening, both confirming pregnancy.

NCLEX Maternal Newborn | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN