NCLEX-PN
NCLEX Maternal Newborn Questions
Extract:
Question 1 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?
Correct Answer: C
Rationale: Isoproterenol should be delayed at least one hour after epinephrine to avoid additive cardiovascular effects.
Question 2 of 5
The nurse is teaching the parents of a child who has cerebral palsy to feed the child. What position is best to recommend?
Correct Answer: A
Rationale: A normal eating position with jaw stabilization promotes safe swallowing and feeding in cerebral palsy.
Question 3 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.
Question 4 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 5 of 5
A pregnant 16-year-old asks the nurse if she should have an abortion. How should the nurse respond initially?
Correct Answer: D
Rationale: Asking about her feelings promotes a nonjudgmental discussion, respecting her autonomy.