Maternal Newborn NCLEX Practice Questions

Extract:

Question 1 of 5

After having chronic sore throats and repeated absences from school over the past year, a 6-year-old has been admitted to the pediatric unit for a tonsillectomy. Which would be the most important information to obtain in a preoperative health history?

Correct Answer: A

Rationale: Bleeding tendencies are critical to assess pre-tonsillectomy due to the risk of postoperative hemorrhage.

Question 2 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 3 of 5

A newborn has a myelomeningocele. What is the most important nursing action prior to surgery?

A. Turn the infant every two hours B. Encourage holding and cuddling by the parents C. Apply sterile, moist, nonadherent dressings over the lesion D. Administer pain medication every three to four hours

Correct Answer: C

Rationale: Applying sterile, moist dressings protects the myelomeningocele from infection and drying before surgery.

Question 4 of 5

A 23-year-old woman, pregnant for the first time, is 39 weeks gestation. She is admitted to the labor room with contractions every five minutes lasting 45 seconds. On vaginal exam, she is noted to be completely effaced and 5-cm dilated. Station is 0. She asks the nurse for pain medication. What is the best response for the nurse to make?

A. I'll ask your doctor for medication.' B. Can you hold out for a few more minutes? It's too soon for you to have medication.' C. Pain medication will hurt your baby. We would rather not give you any unless absolutely necessary.' D. Can your husband help you with your breathing techniques?'

Correct Answer: D

Rationale: Encouraging breathing techniques supports her goal of natural childbirth and manages pain non-pharmacologically.

Question 5 of 5

A hospitalized 2.5-year-old child has a temper tantrum while her mother is bathing her. Her mother asks the nurse how she should handle this behavior. Which information should be included in the nurse's reply?

A. Temper tantrums in a hospitalized child indicate regression. B. Tantrums suggest a poorly developed sense of trust. C. Discipline is necessary when a child has a temper tantrum. D. This behavior is a normal response to limit setting in a child of this age.

Correct Answer: D

Rationale: Temper tantrums are normal at 2.5 years, especially in response to limit-setting, even in a hospital setting.

Maternal Newborn NCLEX Practice Questions | Nurselytic

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NCLEX-PN

NCLEX-PN