NCLEX-PN
NCLEX Questions Maternal Newborn Nursing Questions
Extract:
Question 1 of 5
An infant has had frequent episodes of green, mucus-containing stools. The nursing assessment reveals that the infant has dry mucous membranes, poor skin turgor, and an absence of tearing. Based on these data, what is the most appropriate nursing diagnosis?
Correct Answer: B
Rationale: Dry mucous membranes, poor skin turgor, and absent tearing indicate deficient fluid volume due to diarrhea.
Question 2 of 5
The fetus is in the breech position. Inspection of the amniotic fluid after the membranes rupture shows a greenish-black cast to the fluid. What is the best interpretation of this finding?
Correct Answer: D
Rationale: Greenish-black amniotic fluid (meconium) is common in breech presentations due to fetal compression, not necessarily indicating distress.
Question 3 of 5
The delivery room nurse is explaining Apgar scoring to new parents. Which information pertaining to the purpose of a five-minute Apgar score should be included in the explanation?
Correct Answer: B
Rationale: The five-minute Apgar score assesses how well the newborn is transitioning to extrauterine life.
Question 4 of 5
A new mother who has been breastfeeding her infant for six weeks calls the nurse at the doctor's office and says her right nipple is cracked and sore; she has a temperature and feels as though she had the flu. How should the nurse respond to the woman?
Correct Answer: C
Rationale: Fever, flu-like symptoms, and a sore nipple suggest mastitis, requiring medical evaluation and possible antibiotics.
Question 5 of 5
A newborn is thought to have toxoplasmosis. The nurse explains to the family that toxoplasmosis is most likely to have been transmitted to the infant in which manner?
Correct Answer: D
Rationale:
Toxoplasmosis is typically transmitted transplacentally during pregnancy, causing congenital infection.