NCLEX-PN
NCLEX Practice Questions Maternal Newborn Questions
Extract:
Question 1 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 2 of 5
A woman delivered a baby in the car on the way to the hospital. In the emergency room, the physician examined the mother. What is the priority action for the nurse at this time?
Correct Answer: D
Rationale: Clearing mucus from the baby's mouth and nose ensures a patent airway, the priority for newborn stabilization.
Question 3 of 5
A 32-year-old, gravida 2, para 1, term 1, preterm 0, abortion 0, living 1, is admitted to the labor room. Her previous delivery was a normal, spontaneous vaginal delivery without complications. She has been having contractions for four hours at home. The registered nurse examines her and determines that she is 4-cm dilated and 70% effaced. The fetus is in the breech position. She calls for the nurse saying, 'My water just broke!' What should the practical nurse do initially?
Correct Answer: C
Rationale: Checking the fetal heart rate is critical after membrane rupture in a breech presentation to detect cord compression or distress.
Question 4 of 5
Which assessment finding would the nurse expect in an infant diagnosed with pyloric stenosis?
Correct Answer: C
Rationale: Visible peristaltic waves are characteristic of pyloric stenosis due to gastric obstruction.
Question 5 of 5
At one minute after birth, an infant is crying, has a heart rate of 140, has acrocyanosis, resists the suction catheter, and keeps his arms extended and his legs flexed. What is the Apgar score?
Correct Answer: C
Rationale: Crying (2), heart rate 140 (2), acrocyanosis (1), active resistance (2), and flexed limbs (1) yield an Apgar score of 8.