NCLEX Practice Questions Maternal Newborn

Extract:

Question 1 of 5

Ten days after cardiac surgery, an 18-month-old child is recovering well. The child is alert and fairly active and is playing well with the parents. The nurse notes that the parents are still very reluctant to allow the child to do anything without help. What is the best initial action for the nurse to take?

Correct Answer: C

Rationale: Reassessing the parents' needs and concerns helps identify barriers to promoting autonomy, fostering a supportive approach.

Question 2 of 5

A woman is admitted to the postpartum unit two hours after delivery of a baby. What action is especially important because the membranes were ruptured for 28 hours before delivery?

A. Monitor her temperature every two hours B. Provide perineal care with Zephiran every four hours C. Maintain a strict perineal pad count D. Have the mother take a sitz bath four times a day

Correct Answer: A

Rationale: Prolonged rupture of membranes increases infection risk, necessitating frequent temperature monitoring.

Question 3 of 5

A 6-year-old with tetralogy of Fallot has open heart surgery. The septal defect was closed, and the pulmonic valve was replaced. When the child returns to the unit, he has oxygen, IVs, and closed chest drainage. How should the nurse position the chest drainage system?

A. Above the level of the bed B. At the level of the heart C. Below the level of the bed D. Alternating above and below the bed every two hours

Correct Answer: C

Rationale: The chest drainage system must be below the bed to facilitate gravity-dependent drainage of fluid and air.

Question 4 of 5

The mother of a 6-year-old child who has chickenpox asks the nurse when the child can go back to school. What information should be included in the nurse's response? The child is contagious:

A. until all signs of the disease are gone. B. as long as the child has scabs. C. as long as there are fluid-filled vesicles. D. until the rash and fever are gone.

Correct Answer: C

Rationale: Chickenpox is contagious until all vesicles have crusted over, which occurs after fluid-filled vesicles are no longer present.

Question 5 of 5

A child with a cyanotic heart defect has an elevated hematocrit. What is the most likely cause of the elevated hematocrit?

A. Chronic infection B. Recent dehydration C. Increased cardiac output D. Chronic oxygen deficiency

Correct Answer: D

Rationale: Chronic oxygen deficiency in cyanotic heart defects stimulates erythropoiesis, elevating hematocrit.

NCLEX Practice Questions Maternal Newborn | Nurselytic

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