NCLEX Practice Questions Maternal Newborn

Extract:

Question 1 of 5

An epidural block is ordered for a woman in labor. Which nursing action is essential because the client has epidural anesthesia?

Correct Answer: D

Rationale: Epidurals can cause hypotension, requiring close blood pressure monitoring.

Question 2 of 5

A 10-year-old boy tells his neighbor, a nurse, that his eyes were 'stuck together' this morning when he woke up. The nurse notes that his eyes are red, and the conjunctiva is inflamed. What should the nurse neighbor recommend to the boy's mother?

A. Tell his mother that he may have a contagious disease and should be seen by his doctor today. B. Encourage the mother to make an appointment to see the eye doctor. C. Suggest to the mother that the boy go to school today but make an appointment with the doctor if the condition does not clear up soon. D. Explain to the boy that he should wash his face and eyes with a wash cloth as soon as he wakes up.

Correct Answer: A

Rationale: â€˜Stuck together' eyes and red conjunctiva suggest bacterial conjunctivitis, a contagious condition requiring prompt medical evaluation.

Question 3 of 5

A pregnant woman tells the nurse that she is planning to breastfeed because 'You don't have to take contraceptives until you wean the baby.' What is the best response for the nurse?

A. Lactation does suppress ovulation, so you are not likely to get pregnant.' B. You will not get pregnant until you start to menstruate again.' C. When a woman is breastfeeding, she may not menstruate, although she may ovulate. It is best to use some type of birth control.' D. You will find that you won't be interested in resuming sexual activity until after you wean the baby.'

Correct Answer: C

Rationale: Breastfeeding may suppress ovulation but is not reliable contraception, necessitating additional birth control.

Question 4 of 5

A woman, gravida 5, para 4, is unable to get to the hospital because labor has progressed very rapidly. A nurse, who lives upstairs, comes down to assist her with the emergency home delivery. The nurse examines the woman and assesses that the perineum is bulging. What is the priority nursing measure at this time?

A. Encourage the woman to push during the contraction B. Place a clean sheet under the perineal area C. Accurately time the contractions D. Contact the physician by phone for instructions

Correct Answer: B

Rationale: Placing a clean sheet ensures a sterile field, critical for safe delivery in an emergency setting.

Question 5 of 5

The mother of a term newborn born two hours ago asks the nurse why the baby's hands and feet are blue. What information should the nurse include when responding?

A. Blue hands and feet can indicate possible heart defects. B. This is normal in newborns for the first 24 hours. C. This pattern of coloration is more common in infants who will eventually have darker skin color. D. Once the baby's temperature is stabilized, the hands and feet will warm up and be less blue.

Correct Answer: B

Rationale: Acrocyanosis, blue hands and feet, is normal in newborns for the first 24 hours due to immature circulation.

NCLEX Practice Questions Maternal Newborn | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN