Maternal Newborn NCLEX Practice Questions

Extract:

Question 1 of 5

An 18-month-old child is admitted for a repeat cardiac catheterization. The parents are continuously present and do everything for the childâ€”dress him, feed him, and even play for him. The nurse wants to prepare the child and the parents for the procedure. Which of the following should be included in the care plan?

Correct Answer: B

Rationale: Talking with the parents assesses their understanding and encourages their involvement, promoting a collaborative approach to prepare the child effectively.

Question 2 of 5

A 10-month-old infant is hospitalized with severe eczema. The child has elbow restraints applied. When should the elbow restraints be removed?

A. Every two hours for 10-15 minutes to allow for skin care and range of motion B. Only when the child is asleep to prevent scratching C. Once daily during bath time for thorough cleaning D. Permanently once the eczema lesions begin to heal

Correct Answer: A

Rationale: Removing restraints every two hours allows skin care and movement, preventing complications while minimizing scratching.

Question 3 of 5

Methergine 5 mg qid is ordered for a postpartum client. An hour after taking the drug, the woman complains of uterine cramping. What is the best explanation for the nurse to give her?

A. This is an unfortunate side effect, but you need the medicine.' B. The cramping is uncomfortable, but it is a sign that the drug is keeping your uterus contracted so you won't bleed too much.' C. Since you are experiencing cramps, I'll ask the doctor to discontinue the drug.' D. The cramping should decrease soon. If it does not, let me know. I'll see if the doctor will decrease the dosage.'

Correct Answer: B

Rationale: Methergine causes uterine contractions to prevent bleeding, and cramping indicates it is working effectively.

Question 4 of 5

The mother of a 2-year-old child calls the doctor's office because her child swallowed 'the rest of the bottle of adult aspirin' about a half hour ago. The nurse determines that there were about 15 tablets left in the bottle. What initial assessment findings are consistent with aspirin ingestion?

A. Bradypnea and pallor B. Hyperventilation and hyperpyrexia C. Subnormal temperature and bleeding D. Melena and bradycardia

Correct Answer: B

Rationale: Aspirin overdose causes hyperventilation (to compensate for metabolic acidosis) and hyperpyrexia due to uncoupling of oxidative phosphorylation.

Question 5 of 5

The parents of a child who is newly diagnosed with Tay-Sachs disease ask the nurse, 'If we have more children, could they be affected?' Which information should be included when responding to the parents?

A. Boys are more likely to inherit the disease than girls. B. Tay-Sachs is not inherited, so there is little chance other children will have it. C. There is a one-in-four chance that each pregnancy will result in a child who has the disease. D. Fifty percent of the girls will have the disease.

Correct Answer: C

Rationale: Tay-Sachs is an autosomal recessive disorder, with a 25% chance of recurrence in each pregnancy for carrier parents.

Maternal Newborn NCLEX Practice Questions | Nurselytic

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