NCLEX-PN
NCLEX Practice Questions Maternal Newborn Questions
Extract:
Question 1 of 5
An antepartal client asks when her baby is due. Her last menstrual period was August 28. Using Naegele's rule, calculate the estimated date of delivery.
Correct Answer: C
Rationale: Using Naegele's rule (subtract 3 months, add 7 days), August 28 becomes June 4 as the estimated delivery date.
Question 2 of 5
How should the nurse position a 4-month-old infant who has hydrocephalus?
Correct Answer: A
Rationale: Side-lying reduces pressure on the head and prevents aspiration in an infant with hydrocephalus.
Question 3 of 5
A 25-year-old woman is four months pregnant. She had rheumatic fever at age 15 and developed a systolic murmur. She reports exertional dyspnea. What instruction should the nurse give her?
Correct Answer: C
Rationale: Avoiding strenuous activities reduces cardiac strain in a pregnant woman with a history of rheumatic heart disease.
Question 4 of 5
Ten days after cardiac surgery, an 18-month-old child is recovering well. The child is alert and fairly active and is playing well with the parents. The nurse notes that the parents are still very reluctant to allow the child to do anything without help. What is the best initial action for the nurse to take?
Correct Answer: C
Rationale: Reassessing the parents' needs and concerns helps identify barriers to promoting autonomy, fostering a supportive approach.
Question 5 of 5
The nurse is preparing a 3-day-old infant for discharge from the hospital. When checking the record for completeness, the nurse checks to see that the infant has had which of the following?
Correct Answer: D
Rationale: Newborns typically receive the hepatitis B vaccine and a PKU test before discharge.