NCLEX-PN
NCLEX Maternal Newborn Questions
Extract:
Question 1 of 5
An 11-year-old boy is admitted to the pediatric unit in traction with a fractured femur sustained in a motorcycle accident. His uncle, who was driving the cycle when the accident occurred, received only minor injuries. The child tells the nurse that his uncle was not to blame for the accident. He is 'the best motorcycle rider in the world.' The nurse interprets this to mean that the child is exhibiting which defense mechanism?
Correct Answer: A
Rationale: The child's insistence that his uncle is faultless reflects denial, a defense mechanism to cope with the trauma of the accident.
Question 2 of 5
A young woman asks the nurse if oral contraceptives have any side effects. What is the best response for the nurse to make?
Correct Answer: A
Rationale: Nausea, fluid retention, and weight gain are common side effects of oral contraceptives, providing accurate information.
Question 3 of 5
The day after delivery, a new mother asks why her milk is so creamy and yellow. What is the best response for the nurse to make?
Correct Answer: B
Rationale: The creamy, yellow milk is colostrum, normal early breast milk that transitions to mature milk.
Question 4 of 5
Which toys would be best for a 5-month-old infant who has infantile eczema?
Correct Answer: A
Rationale: Soft, washable toys are best for a 5-month-old with eczema to avoid skin irritation from rough or non-washable materials, and puzzles or cars are not age-appropriate.
Question 5 of 5
Which finding, if present, would suggest to the nurse that the infant was not at term when born?
Correct Answer: B
Rationale: Undescended testicles are common in preterm infants, indicating prematurity.