NCLEX-PN
Maternal Newborn NCLEX Practice Questions Questions
Extract:
Question 1 of 5
At 3 hours of age, a term newborn seems jittery and has a weak and high-pitched cry and irregular respirations. The nurse suspects that the infant may have which of the following?
Correct Answer: A
Rationale: Jitteriness, weak cry, and irregular respirations in a newborn suggest hypoglycemia, requiring immediate assessment.
Question 2 of 5
The nurse is caring for a woman the day after the insertion of radium rods for treatment of cancer of the cervix. The woman calls the nurse and says, 'There is something between my legs. It fell out of me.' What is the most appropriate initial action for the nurse to take?
Correct Answer: C
Rationale: Using long forceps to place the rod in a lead-lined container ensures safe handling of radioactive material, protecting the nurse and client.
Question 3 of 5
The nurse is caring for an infant admitted with diarrhea, poor skin turgor, and dry mucous membranes. Which laboratory data would cause the nurse the most concern?
Correct Answer: B
Rationale: A urine specific gravity of 1.035 indicates concentrated urine, suggesting significant dehydration.
Question 4 of 5
A woman is to have a routine gynecological examination tomorrow. What instructions should the nurse give this client?
Correct Answer: C
Rationale: Avoiding douching ensures accurate gynecological exam results by preserving natural vaginal flora and secretions.
Question 5 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?
Correct Answer: B
Rationale: Methergine causes uterine contractions to prevent bleeding, and cramping indicates it is working effectively.