NCLEX Practice Questions Maternal Newborn

Extract:

Question 1 of 5

A woman is admitted to the postpartum unit two hours after delivery of a baby. What action is especially important because the membranes were ruptured for 28 hours before delivery?

Correct Answer: A

Rationale: Prolonged rupture of membranes increases infection risk, necessitating frequent temperature monitoring.

Question 2 of 5

Which diversion would be appropriate for the nurse to plan to use with an 8-month-old infant?

A. A colorful mobile B. Large blocks to stack C. A colorful rattle D. A game of peek-a-boo

Correct Answer: D

Rationale: Peek-a-boo is an engaging, interactive game that promotes social development and object permanence, suitable for an 8-month-old's developmental stage.

Question 3 of 5

The nurse is caring for a client who has had a right modified radical mastectomy this morning. Which exercise should the nurse encourage the client to perform this evening?

A. Hair combing exercises with the right arm B. Wall climbing exercises with the right arm C. Movement of the fingers and wrists of the right arm D. Exercises of the left arm only

Correct Answer: C

Rationale: Finger and wrist movements are safe early exercises to promote circulation without straining the surgical site.

Question 4 of 5

During aminophylline infusion, a child becomes restless and nauseated, and his blood pressure drops. What is the appropriate nursing response to these findings?

A. Because these are common side effects of the drug, which will pass when the infusion is completed, simply chart the response. B. Stop the infusion immediately and notify the physician or charge nurse because the symptoms are suggestive of an adverse response to aminophylline. C. Continue to monitor the child because the symptoms are probably related to the child's illness because they are not commonly associated with aminophylline. D. Continue to monitor the child because these are expected responses to aminophylline.

Correct Answer: B

Rationale: Restlessness, nausea, and hypotension suggest aminophylline toxicity, requiring immediate cessation and physician notification.

Question 5 of 5

The nurse is planning care for an 11-year-old child who has a fractured femur and is in traction. Which activity would be most appropriate?

A. Dramatizing with puppets B. Building with popsicle sticks C. Watching television D. Coloring with crayons or colored pencils

Correct Answer: B

Rationale: Building with popsicle sticks engages an 11-year-old's creativity and fine motor skills, suitable for traction.

NCLEX Practice Questions Maternal Newborn | Nurselytic

Nurselytic

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