NCLEX-PN
Maternal Newborn NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A woman in labor does not continue to dilate. The physician decides to perform a cesarean section. A healthy 7-lb, 12-oz baby boy is delivered. What is the most essential nursing intervention in the immediate postpartum period?
Correct Answer: A
Rationale: Checking the fundus for firmness prevents postpartum hemorrhage, a priority post-cesarean.
Question 2 of 5
A 1-month-old infant is seen in the clinic and is diagnosed as having congenital hypothyroidism (cretinism). Her parents ask the nurse if their child will be normal. What is the best response for the nurse?
Correct Answer: A
Rationale: Early detection and lifelong thyroid hormone replacement allow normal development in congenital hypothyroidism.
Question 3 of 5
On the evening of the second day after birth, an infant was observed to be icteric, so he was exposed to blue light. What is the purpose of the blue light?
Correct Answer: C
Rationale: Blue light (phototherapy) converts indirect bilirubin to a water-soluble, less toxic form for excretion.
Question 4 of 5
The physician is performing an amniotomy on a woman in labor. What is the most important nursing action during this procedure?
Correct Answer: C
Rationale: Monitoring fetal heart tones is critical during amniotomy to detect distress from potential cord compression.
Question 5 of 5
A woman comes to the doctor's office for her routine checkup. She is 34 weeks gestation. The nurse notes all of the following. Which would be of greatest concern to the nurse?
Correct Answer: D
Rationale: A blood pressure of 150/94 suggests pregnancy-induced hypertension, requiring immediate evaluation.