NCLEX-PN
NCLEX Pediatric Questions
Extract:
Question 1 of 5
Perinatal mortality rate is defined as:
Correct Answer: A
Rationale: Perinatal mortality rate is defined as the number of stillbirths and deaths in the first week of life per 1000 live births and stillbirths capturing early neonatal and late fetal losses.
Question 2 of 5
Total bishops score is:
Correct Answer: E
Rationale: The Bishop score assesses cervical readiness for labor with a maximum of 13 points (dilation effacement station consistency position). Higher scores indicate better inducibility.
Question 3 of 5
The nurse finds documentation in the 4-hour-old newborn’s medical record that states,“Clamping of the umbilical cord was delayed until cord pulsations ceased.” When assessing and collecting additional information about the newborn,what effect should the nurse find as a result of the delayed cord clamping?
Correct Answer: D
Rationale: Newborn Hgb and Hct values will be higher when placental transfusion accomplished through delayed cord clamping occurs at birth. Blood volume increases by up to 50% with delayed cord clamping. Meconium passage alertness and temperature are not affected by delayed clamping.
Question 4 of 5
As the nurse prepares to administer prophylactic eye treatment to prevent gonorrheal conjunctivitis in the full-term newborn,the newborn’s father asks if it is really necessary to put something into his baby’s eyes. Which statement should be the basis for the nurse’s response?
Correct Answer: A
Rationale: Currently every U.S. state requires that newborns receive prophylactic eye treatment against gonorrheal conjunctivitis. Refusal requires formal documentation the antibiotic is topical only and prophylaxis must be given within 1 hour of birth.
Question 5 of 5
The nurse assesses that the 8-hour-old infant’s axillary temperature is 97°F (36.1°C). Which intervention should the nurse implement first?
Correct Answer: B
Rationale: An axillary temperature of 97°F is below the normal range (97.7°F–98.9°F). The infant should be gradually rewarmed under a radiant warmer. Documentation follows intervention feeding warm formula is unnecessary and HCP notification is needed only if warming fails.