NCLEX-PN
NCLEX Maternal Newborn Questions
Extract:
Question 1 of 5
Parents of a newborn note petechiae on the newborn's face and neck. The nurse should tell them that this is a result of which of the following?
Correct Answer: A
Rationale: Petechiae on the face and neck result from increased pressure during vaginal delivery.
Question 2 of 5
A 6-month-old child is being seen for a well-baby visit. The child has received all immunizations as recommended so far. What immunizations does the nurse expect to give at this visit?
Correct Answer: B
Rationale: At 6 months, DTP, hepatitis B, and HIB are standard immunizations, per CDC guidelines, while MMR and varicella are given later.
Question 3 of 5
An 11-year-old boy is admitted to the pediatric unit in traction with a fractured femur sustained in a motorcycle accident. His uncle, who was driving the cycle when the accident occurred, received only minor injuries. The child tells the nurse that his uncle was not to blame for the accident. He is 'the best motorcycle rider in the world.' The nurse interprets this to mean that the child is exhibiting which defense mechanism?
Correct Answer: A
Rationale: The child's insistence that his uncle is faultless reflects denial, a defense mechanism to cope with the trauma of the accident.
Question 4 of 5
After her examination by the physician, the antepartal client tells the nurse that the doctor said she had positive Chadwick's and Goodell's signs. She asks the nurse what this means. What is the best response for the nurse to make?
Correct Answer: A
Rationale: Chadwick's sign is bluish discoloration of the vagina/cervix, and Goodell's sign is cervical softening, both confirming pregnancy.
Question 5 of 5
Which nursing action has the highest priority for a client in the second stage of labor?
Correct Answer: A
Rationale: Helping the mother push effectively is critical in the second stage to facilitate delivery.