NCLEX-PN
NCLEX Questions Maternal Newborn Nursing Questions
Extract:
Question 1 of 5
A pregnant woman comes for her sixth-month checkup and mentions to the nurse that she is gaining so much weight that even her shoes and rings are getting tight. What should the nurse plan to include in her care?
Correct Answer: B
Rationale: Tightness in shoes and rings suggests edema, requiring assessment of weight, blood pressure, and urine for signs of preeclampsia.
Question 2 of 5
An infant has had frequent episodes of green, mucus-containing stools. The nursing assessment reveals that the infant has dry mucous membranes, poor skin turgor, and an absence of tearing. Based on these data, what is the most appropriate nursing diagnosis?
Correct Answer: B
Rationale: Dry mucous membranes, poor skin turgor, and absent tearing indicate deficient fluid volume due to diarrhea.
Question 3 of 5
A 29-year-old woman who is pregnant for the first time and is 40 weeks gestation is admitted to labor and delivery. She is 3-cm dilated, 80% effaced, and head at 0 station. She and her husband have been to prepared childbirth classes and are eager to give birth naturally. During her first contraction in the hospital, which lasts 30 seconds, the nurse observes the client using rapid pant-blow breathing. What is the most appropriate response for the nurse to make at this time?
Correct Answer: A
Rationale: Rapid pant-blow breathing is typically used in later labor, so it's too early at 3 cm, indicating a need to adjust her technique.
Question 4 of 5
The nurse is providing home care for an 8-year-old boy who has Legg-Calvé-Perthes disease. The boy asks the nurse to let him get out of bed to walk to the bathroom. What should the nurse do?
Correct Answer: B
Rationale: Bed rest is essential in Legg-Calvé-Perthes disease to reduce weight-bearing and promote hip healing.
Question 5 of 5
A 2-year-old child is hospitalized for a fractured femur. During his first two days in the hospital, he lies quietly, sucks his thumb, and does not cry. Which is the best interpretation of his behavior?
Correct Answer: C
Rationale: Quiet behavior and thumb-sucking in a 2-year-old suggest anxiety, a common response to hospitalization.