NCLEX Practice Questions Maternal Newborn

Extract:

Question 1 of 5

A woman who is 32 weeks gestation is admitted with contractions every four minutes. Ritodrine is given for which of the following purposes?

Correct Answer: A

Rationale: Ritodrine is a tocolytic used to suppress preterm uterine contractions, delaying delivery.

Question 2 of 5

The parents of a 2-year-old child who has meningitis ask the nurse why the lights are dim in the child's room even in the daytime. What information should the nurse include in the answer?

A. Rest is essential, and a dimly lit room promotes rest. B. The child is sensitive to light and may develop seizures. C. The IV medications are very sensitive to light. D. Light could cause severe damage to the eyes and possible blindness.

Correct Answer: B

Rationale: Photophobia is common in meningitis, and dim lighting reduces discomfort and seizure risk.

Question 3 of 5

A child with a cyanotic heart defect has an elevated hematocrit. What is the most likely cause of the elevated hematocrit?

A. Chronic infection B. Recent dehydration C. Increased cardiac output D. Chronic oxygen deficiency

Correct Answer: D

Rationale: Chronic oxygen deficiency in cyanotic heart defects stimulates erythropoiesis, elevating hematocrit.

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

A 3-year-old child is brought to the physician's office by the parent. The parent states that the child was completely toilet trained but has been 'having accidents' recently. The parent also tells the nurse that the child is voiding more often than usual and that the urine has a strong odor. What is the best response by the nurse?

A. These could be symptoms of a urinary tract infection. We should obtain a urine specimen for analysis.' B. Many preschool children regress when something stressful happens. Has your child been under any stress lately?' C. Accidents like these are not unusual. You have nothing to worry about as long as your child does not have a fever.' D. This is very unusual. Your child will probably need to be hospitalized to receive intravenous antibiotics.'

Correct Answer: A

Rationale: Frequent voiding, strong-smelling urine, and accidents suggest a urinary tract infection, requiring a urine specimen.

NCLEX Practice Questions Maternal Newborn | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN