NCLEX-PN
Maternal Newborn NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A newborn infant is with his mother, who is a diabetic. He appeared pink and alert and his temperature was stable when he left the nursery 15 minutes ago. His mother calls the nurse and says, 'Look at his legs.' The nurse observes spontaneous jerky movements. What is the best INITIAL action for the nurse to take?
Correct Answer: C
Rationale: Jerky movements in an infant of a diabetic mother suggest hypoglycemia, requiring a Dextrostix test.
Question 2 of 5
Which of the following children would most likely be diagnosed with pituitary dwarfism?
Correct Answer: D
Rationale: Delayed puberty, such as a 15-year-old girl not menstruating, is suggestive of pituitary dwarfism due to growth hormone deficiency.
Question 3 of 5
The nurse is caring for an 8-month-old infant who has had diarrhea for two days. Which is the most useful in assessing the degree of dehydration?
Correct Answer: D
Rationale: Daily weight is the most accurate measure of dehydration, reflecting fluid loss in infants.
Question 4 of 5
A 10-year-old girl is being treated for rheumatic fever. Which would be an appropriate activity while she is on bed rest?
Correct Answer: A
Rationale: Stringing large beads is a calm, creative activity suitable for a 10-year-old on bed rest, avoiding physical exertion.
Question 5 of 5
At 3 hours of age, a term newborn seems jittery and has a weak and high-pitched cry and irregular respirations. The nurse suspects that the infant may have which of the following?
Correct Answer: A
Rationale: Jitteriness, weak cry, and irregular respirations in a newborn suggest hypoglycemia, requiring immediate assessment.