NCLEX-PN
NCLEX Questions Maternal Newborn Nursing Questions
Extract:
Question 1 of 5
During an emergency home delivery, the head is beginning to crown. What is the most appropriate action for the nurse to take at this time?
Correct Answer: C
Rationale: Gentle perineal pressure prevents rapid expulsion, reducing the risk of perineal tears and fetal trauma.
Question 2 of 5
A 12-month-old child who was diagnosed at birth as having Hirschsprung's disease has been maintained at home under conservative treatment. The parents have brought the child to the clinic for a well-baby examination. After interviewing the child's parents, the nurse concludes that an appropriate treatment regimen is being followed. Which of the following would indicate this?
Correct Answer: D
Rationale: Isotonic saline enemas and a low-residue diet are appropriate to manage constipation in Hirschsprung's disease without causing irritation.
Question 3 of 5
A 5-year-old child keeps developing poison ivy. The child's mother insists that the child has not been near any poison ivy plants since the first outbreak several weeks ago. What question should the nurse ask the mother?
Correct Answer: D
Rationale: Pets can carry poison ivy oils on their fur, causing recurrent exposure without direct plant contact.
Question 4 of 5
The nursing care plan for a woman who has placenta abruptio should include careful assessment for signs and symptoms of which of the following?
Correct Answer: B
Rationale: Abruptio placenta causes significant bleeding, leading to hypovolemic shock, requiring vigilant monitoring.
Question 5 of 5
The nurse is teaching the parents of a child who has celiac disease about the dietary modifications that need to be made. Which foods, if selected by the parents, indicate an understanding of the child's dietary needs?
Correct Answer: B
Rationale: Rice cake, milk, and banana are gluten-free, appropriate for celiac disease, unlike wheat-based toast, crackers, or buns.