NCLEX-PN
Maternal Newborn NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A woman who is 28 weeks gestation comes to the emergency room with painful, bright red bleeding of 1.5 hours in duration. Which of the following would the nurse expect during assessment of this woman?
Correct Answer: A
Rationale: Painful bleeding suggests abruptio placenta, which can cause fetal distress, leading to altered fetal heart rates. Painless bleeding is more indicative of placenta previa, so the question likely contains a typo, but based on the provided options, abruptio placenta fits best.
Question 2 of 5
A newborn has a myelomeningocele. What is the most important nursing action prior to surgery?
Correct Answer: C
Rationale: Applying sterile, moist dressings protects the myelomeningocele from infection and drying before surgery.
Question 3 of 5
The physician is performing an amniotomy on a woman in labor. What is the most important nursing action during this procedure?
Correct Answer: C
Rationale: Monitoring fetal heart tones is critical during amniotomy to detect distress from potential cord compression.
Question 4 of 5
The nurse has been asked to set up a program to screen children for scoliosis. What age group should the nurse screen?
Correct Answer: C
Rationale: Junior high students (ages 10-14) are screened for scoliosis, as it often becomes apparent during the growth spurt of puberty.
Question 5 of 5
What is the most common complication associated with too rapid delivery in precipitate labor?
Correct Answer: B
Rationale: Rapid delivery in precipitate labor increases the risk of dural or subdural tears due to sudden pressure changes on the fetal head.