NCLEX-PN
NCLEX Maternal Newborn Questions
Extract:
Question 1 of 5
Magnesium sulfate is ordered for a client who is hospitalized for pregnancy-induced hypertension (PIH). What effects would the nurse expect to see as a result of this medication?
Correct Answer: A
Rationale: Magnesium sulfate causes CNS depression, reducing seizure risk in PIH.
Question 2 of 5
The nurse is feeding a newborn infant glucose water. Which finding would make the nurse suspect that the infant has esophageal atresia?
Correct Answer: D
Rationale: Choking after a few sucks suggests esophageal atresia, as the esophagus is blocked, preventing swallowing.
Question 3 of 5
A woman spontaneously delivers a baby girl who is immediately handed to the nurse. Which action is of highest priority for the nurse?
Correct Answer: D
Rationale: Clearing the nasopharynx ensures a patent airway, the priority for newborn care.
Question 4 of 5
The nurse is caring for a 9-month-old infant who is allowed only clear fluids. What are the most appropriate liquids for the nurse to offer?
Correct Answer: B
Rationale: Pedialyte and glucose water provide electrolytes and hydration, suitable for a dehydrated infant.
Question 5 of 5
The nurse is caring for a toddler with a cardiac defect who has had several episodes of congestive heart failure in the past few months. Which data would be the most useful to the nurse in assessing the child's current congestive heart failure?
Correct Answer: C
Rationale: Recent weight fluctuations are the most reliable indicator of fluid retention or loss in congestive heart failure.