Maternal Newborn NCLEX Practice Questions

Extract:

Question 1 of 5

A woman is to have a routine gynecological examination tomorrow. What instructions should the nurse give this client?

Correct Answer: C

Rationale: Avoiding douching ensures accurate gynecological exam results by preserving natural vaginal flora and secretions.

Question 2 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?

A. Early first stage of labor B. Transition phase of labor C. Late second stage of labor D. Early third stage of labor

Correct Answer: B

Rationale: Frequent, long contractions with backache and irritability indicate the transition phase, the end of the first stage.

Question 3 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?

A. Your child will need to take medication for life but has a good chance of normal development because of the early detection. B. Cretinism causes both physical delay and mental retardation in the vast majority of children with the condition. C. There is no way to tell at this point if there is permanent damage; your child will need continual evaluation. D. Your child will need to take medication until puberty is completed; if there are no serious problems by then, your child should be perfectly normal.

Correct Answer: A

Rationale: Early detection and lifelong thyroid hormone replacement allow normal development in congenital hypothyroidism.

Question 4 of 5

The nurse is caring for a 5-year-old child who has cystic fibrosis. What should the nurse do to help the child manage secretions and avoid respiratory distress?

A. Administer continuous oxygen therapy B. Perform chest physiotherapy every four hours C. Administer pancreatic enzymes as ordered D. Encourage a diet high in calories

Correct Answer: B

Rationale: Chest physiotherapy every four hours mobilizes secretions, preventing respiratory distress in cystic fibrosis.

Question 5 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?

A. Jaundiced skin and pale stools B. Blood in the urine and high fever C. Chest pain and shortness of breath D. Puffy eyes and weight gain

Correct Answer: D

Rationale: Puffy eyes and weight gain are classic signs of nephrotic syndrome due to edema from protein loss.

Maternal Newborn NCLEX Practice Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN