NCLEX-PN
NCLEX Practice Questions Maternal Newborn Questions
Extract:
Question 1 of 5
During aminophylline infusion, a child becomes restless and nauseated, and his blood pressure drops. What is the appropriate nursing response to these findings?
Correct Answer: B
Rationale: Restlessness, nausea, and hypotension suggest aminophylline toxicity, requiring immediate cessation and physician notification.
Question 2 of 5
A 6-year-old child is in the terminal stage of leukemia. The child appears helpless and afraid. How can the nurse best help the child?
Correct Answer: D
Rationale: Discussing the reasons for her fears allows the nurse to address specific concerns, providing comfort and reducing anxiety in a terminally ill child.
Question 3 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 4 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?
Correct Answer: B
Rationale: Acrocyanosis, blue hands and feet, is normal in newborns for the first 24 hours due to immature circulation.
Question 5 of 5
The nurse is working at a summer camp for diabetic children. A 7-year-old child comes to the nurse complaining of dizziness and nausea. It is a warm day, and the child has just returned from horseback riding, followed by a walk back from the stables. The nurse notes that the child is sweaty. Which action should the nurse take first?
Correct Answer: C
Rationale: Dizziness, nausea, and sweating suggest hypoglycemia, and crackers provide quick carbohydrates to raise blood glucose.