Questions 81

NCLEX-RN

NCLEX-RN Test Bank

RN NCLEX Maternal Neonatal Nursing Questions

Extract:


Question 1 of 5

A client asks about the risks of the contraceptive injection. Which of the following would the nurse include?

Correct Answer: B

Rationale: The contraceptive injection may decrease bone density with long-term use, which is a significant risk. It does not significantly increase blood clot risk, cause permanent weight loss, or guarantee regular periods.

Question 2 of 5

A female neonate delivered vaginally at term with a cleft lip and cleft palate is admitted to the regular nursery. Which of the following actions should the nurse do the first time that the parents visit the neonate in the nursery?

Correct Answer: C

Rationale: Emphasizing the neonate's normal characteristics helps promote bonding and reduces parental anxiety during the initial visit.

Question 3 of 5

The nurse in the newborn nursery has just received shift report about a group of newborns and is to receive another admission in 30 minutes. In order to provide the safest care and plan for the new admission, the nurse should do which of the following in order of first to last?

Order the Items

Source Container

Move quickly from room to room and assess all clients.
Check the room to which the new client will be admitted to be sure all supplies and equipment are available.
Log on to the clinical information system and determine if there are new orders.
Review notes from shift report and prioritize all clients; make rounds on the most critical first.

Correct Answer: D,C,A,B

Rationale: First, review and prioritize clients (
D).
Then, check for new orders (
C), assess all clients (
A), and finally prepare the room for the new admission (
B).

Question 4 of 5

A multigravid client in labor at 38 weeks' gestation has been diagnosed with Rh sensitization and probable fetal hydrops and anemia. When the nurse observes the fetal heart rate pattern on the monitor, which of the following patterns is most likely?

Correct Answer: B

Rationale: Rh sensitization with fetal hydrops and anemia often causes a sinusoidal fetal heart rate pattern due to severe fetal anemia and hypoxia. Early, variable, or late decelerations are less specific to this condition.

Question 5 of 5

A primiparous client asks when to transition her bottle-fed neonate to a sippy cup. The nurse should recommend introducing a sippy cup around:

Correct Answer: D

Rationale: Introducing a sippy cup around 12 months aligns with developmental readiness for independent drinking.

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