NCLEX-PN
NCLEX Maternal Newborn Questions
Extract:
Question 1 of 5
A woman is in labor with her first baby. She has prepared for a natural childbirth. As labor progresses, she becomes increasingly irritable with her husband, complaining of lower back pain and fatigue. What is the most appropriate response for the nurse to make?
Correct Answer: C
Rationale: Reassuring the husband normalizes irritability and teaching counterpressure supports natural childbirth goals.
Question 2 of 5
The nurse is caring for a child who had a tonsillectomy this morning. The child is observed to be swallowing continuously. What is the most appropriate initial nursing action?
Correct Answer: C
Rationale: Continuous swallowing suggests possible bleeding, a serious post-tonsillectomy complication, requiring immediate notification.
Question 3 of 5
The nurse is feeding a newborn infant glucose water. Which finding would make the nurse suspect that the infant has esophageal atresia?
Correct Answer: D
Rationale: Choking after a few sucks suggests esophageal atresia, as the esophagus is blocked, preventing swallowing.
Question 4 of 5
A baby boy was born at 2:45 A.M. after a 35-week gestation. He weighed 1170 g. Upon admission to the premature nursery, he had slight respiratory distress, nasal flaring, grunting, intercostal retractions, and slight cyanosis. Apgar score at one minute was 4, and at five minutes, it was 6. Apical pulse is 164, respirations are 44, and axillary temperature is 96°F. What was the most likely cause of the baby's cyanosis?
Correct Answer: B
Rationale: Cyanosis in a preterm infant with respiratory distress is due to inadequate oxygenation from immature lungs.
Question 5 of 5
The parents of a newborn with hypospadias ask the nurse why the doctor told them the baby could not be circumcised. What is the best response?
Correct Answer: C
Rationale: The foreskin is often used in surgical repair of hypospadias, necessitating its preservation.