Questions 81

NCLEX-RN

NCLEX-RN Test Bank

RN NCLEX Maternal Neonatal Nursing Questions

Extract:


Question 1 of 5

A client delivered 2 days ago and has been given instructions on breast care for bottle-feeding mothers. Which of the following statements indicates that the nurse should reinforce the instructions to the client?

Correct Answer: D

Rationale: Using a breast pump can stimulate milk production, which is counterproductive for bottle-feeding mothers.

Question 2 of 5

A septic preterm neonate's I.V. was removed due to infiltration. While restarting the I.V., the nurse should carefully assess the neonate for:

Correct Answer: C

Rationale: Tachycardia can indicate pain, stress, or cardiovascular compromise during I.V. insertion, especially in a septic preterm neonate.

Question 3 of 5

Soon after admission of a primigravid client at 38 weeks' gestation with severe preeclampsia, the physician orders a continuous intravenous infusion of 5% dextrose in Ringer's solution and 4 g of magnesium sulfate. While the medication is being administered, which of the following assessment findings should the nurse report immediately?

Correct Answer: A

Rationale: A respiratory rate of 12 breaths/minute indicates potential magnesium sulfate toxicity.

Question 4 of 5

The nurse is to assess a newborn for incurving of the trunk. Which illustration indicates the position in which the nurse should place the newborn?

Correct Answer: B

Rationale:
To assess for incurving of the trunk, the newborn should be placed in a side-lying position to observe spinal curvature.

Question 5 of 5

A primiparous client expresses concern, asking the nurse why her neonate's eyes are crossed. Which of the following would the nurse include when teaching the mother about neonatal strabismus?

Correct Answer: B

Rationale: Neonatal strabismus is common due to immature eye muscle coordination and typically resolves as the muscles develop.

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