NCLEX-PN
Maternal Newborn NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A woman in labor is experiencing very strong contractions every two to three minutes, lasting 60 to 75 seconds. She complains of a severe backache and is irritable. The best interpretation of these data is that the woman is in which stage/phase of labor?
Correct Answer: B
Rationale: Frequent, long contractions with backache and irritability indicate the transition phase, the end of the first stage.
Question 2 of 5
A 3-year-old child is admitted with a diagnosis of nephrotic syndrome. Which signs and symptoms would the nurse expect the parents to report when the child is admitted?
Correct Answer: D
Rationale: Puffy eyes and weight gain are classic signs of nephrotic syndrome due to edema from protein loss.
Question 3 of 5
The mother of a 2-year-old child calls the doctor's office because her child swallowed 'the rest of the bottle of adult aspirin' about a half hour ago. The nurse determines that there were about 15 tablets left in the bottle. What initial assessment findings are consistent with aspirin ingestion?
Correct Answer: B
Rationale: Aspirin overdose causes hyperventilation (to compensate for metabolic acidosis) and hyperpyrexia due to uncoupling of oxidative phosphorylation.
Question 4 of 5
The nurse is caring for a woman the day after the insertion of radium rods for treatment of cancer of the cervix. The woman calls the nurse and says, 'There is something between my legs. It fell out of me.' What is the most appropriate initial action for the nurse to take?
Correct Answer: C
Rationale: Using long forceps to place the rod in a lead-lined container ensures safe handling of radioactive material, protecting the nurse and client.
Question 5 of 5
The nurse makes an initial assessment of a 4-year-old child admitted with possible epiglottitis. Which observation is most suggestive of epiglottitis?
Correct Answer: C
Rationale: Excessive drooling is a hallmark of epiglottitis due to difficulty swallowing from airway obstruction.