NCLEX Practice Questions Maternal Newborn

Extract:

Question 1 of 5

A woman, gravida 5, para 4, is unable to get to the hospital because labor has progressed very rapidly. A nurse, who lives upstairs, comes down to assist her with the emergency home delivery. The nurse examines the woman and assesses that the perineum is bulging. What is the priority nursing measure at this time?

Correct Answer: B

Rationale: Placing a clean sheet ensures a sterile field, critical for safe delivery in an emergency setting.

Question 2 of 5

The nurse is caring for a 6-month-old infant who is in a croup tent. The child's mother calls and tells the nurse that the child's clothes are all wet. What is the best action for the nurse to take?

A. Explain to the mother that this is normal because the croup tent has high humidity B. Change the child's clothing C. Cover the child with a dry blanket D. Remove the child from the croup tent until his/her clothes are dry

Correct Answer: B

Rationale: Changing wet clothing prevents hypothermia and discomfort, maintaining the child's comfort in the humid croup tent.

Question 3 of 5

The mother of a child who has pediculosis says that she plans to use kerosene to wash the child's hair just like her grandmother did for her. What is the best response for the nurse to make?

A. Your grandmother was a wise woman. Kerosene is the major ingredient in the special shampoo we recommend.' B. Kerosene will work, but the shampoo we recommend is less irritating.' C. Kerosene can cause serious injury to your child. Try using the shampoos that are not dangerous.' D. Your grandmother was not a physician. Please do what the doctor recommends.'

Correct Answer: C

Rationale: Kerosene is toxic and dangerous; safe, effective pediculicides should be used instead.

Question 4 of 5

A 3-year-old child is admitted to the pediatric unit for diagnostic tests. His mother is discussing the child's hospitalization with the nurse. She is concerned about staying with this child and caring for her other two children at home. Which suggestion to the mother will most help the child adjust to being in the hospital?

A. Do not visit the child until discharge so that your child won't cry when you leave. B. Spend the night in the hospital with your child. C. Bring your child's favorite teddy bear and security blanket to the hospital. D. Buy your child a gift to let the child know you care deeply.

Correct Answer: C

Rationale: Familiar items like a teddy bear and blanket provide comfort and reduce anxiety, aiding the child's adjustment to the hospital.

Question 5 of 5

A 6-year-old with tetralogy of Fallot has open heart surgery. The septal defect was closed, and the pulmonic valve was replaced. When the child returns to the unit, he has oxygen, IVs, and closed chest drainage. How should the nurse position the chest drainage system?

A. Above the level of the bed B. At the level of the heart C. Below the level of the bed D. Alternating above and below the bed every two hours

Correct Answer: C

Rationale: The chest drainage system must be below the bed to facilitate gravity-dependent drainage of fluid and air.

NCLEX Practice Questions Maternal Newborn | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN