NCLEX-PN
Maternal Newborn NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A woman who had a normal vaginal delivery two hours ago has just arrived on the postpartum floor. Vital signs are normal. When assessing her uterus, the nurse notes that it is boggy. What should be the nurse's initial intervention?
Correct Answer: A
Rationale: Massaging a boggy uterus stimulates contraction, preventing postpartum hemorrhage.
Question 2 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?
Correct Answer: B
Rationale: Chest physiotherapy every four hours mobilizes secretions, preventing respiratory distress in cystic fibrosis.
Question 3 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 4 of 5
When planning outdoor play activities for a normal 4-year-old child, which activity is most appropriate?
Correct Answer: B
Rationale: Sandbox play is safe and developmentally appropriate for a 4-year-old, fostering creativity and motor skills without the risks of biking or climbing.
Question 5 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.