Questions 82

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions Maternity Questions

Extract:


Question 1 of 5

Initial assessment of a term female neonate about 4 hours old reveals a normal anterior fontanel. The nurse documents its shape as which of the following?

Correct Answer: C

Rationale: The anterior fontanel in a term neonate is typically diamond-shaped.

Question 2 of 5

Which of the following actions should the nurse take when performing external cardiac massage on a neonate born at 28 weeks' gestation?

Correct Answer: A

Rationale: Alternating cardiac massage with ventilation follows neonatal resuscitation guidelines to restore circulation and oxygenation.

Question 3 of 5

While the nurse is caring for a neonate at 32 weeks' gestation in an isolette with continuous oxygen administration, the neonate's mother asks why the neonate's oxygen is humidified. The nurse should tell the mother?

Correct Answer: C

Rationale: Humidified oxygen prevents drying of the mucous membranes, which is critical for maintaining airway health in preterm neonates.

Question 4 of 5

An infant born premature at 34 weeks is receiving gavage feedings. The client holding her infant asks why the nurse places a pacifier in the infant's mouth during these feedings. The nurse replies that the pacifier helps in what ways? Select all that apply.

Correct Answer: B,D

Rationale: The pacifier provides oral stimulation and reminds the infant how to suck, promoting oral motor development.

Question 5 of 5

At a home visit, the nurse assesses a neonate delivered vaginally at 41 weeks' gestation 5 days ago, noting the following findings: frequent hiccups; loose, watery stool in diaper; red rash on face; and dry, peeling skin; which of these findings warrants further assessment?

Correct Answer: B

Rationale: Loose, watery stool may indicate diarrhea, which requires further assessment to rule out infection or malabsorption.

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