NCLEX-PN
Maternal Newborn NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The mother of a 2-year-old child calls the doctor's office because her child swallowed 'the rest of the bottle of adult aspirin' about a half hour ago. The nurse determines that there were about 15 tablets left in the bottle. What initial assessment findings are consistent with aspirin ingestion?
Correct Answer: B
Rationale: Aspirin overdose causes hyperventilation (to compensate for metabolic acidosis) and hyperpyrexia due to uncoupling of oxidative phosphorylation.
Question 2 of 5
The physician is performing an amniotomy on a woman in labor. What is the most important nursing action during this procedure?
Correct Answer: C
Rationale: Monitoring fetal heart tones is critical during amniotomy to detect distress from potential cord compression.
Question 3 of 5
A woman is being treated for Trichomonas vaginalis with metronidazole (Flagyl). Which statement the woman makes indicates a need for further teaching?
Correct Answer: D
Rationale: Alcohol consumption with metronidazole can cause severe reactions, indicating a need for further teaching to avoid all alcohol.
Question 4 of 5
A hospitalized 2.5-year-old child has a temper tantrum while her mother is bathing her. Her mother asks the nurse how she should handle this behavior. Which information should be included in the nurse's reply?
Correct Answer: D
Rationale: Temper tantrums are normal at 2.5 years, especially in response to limit-setting, even in a hospital setting.
Question 5 of 5
The nurse is teaching the mother of a newborn who has a cleft lip and palate to feed the infant. Which would be least appropriate to include?
Correct Answer: A
Rationale: Placing the syringe tip at the front of the mouth is inappropriate; it should be directed toward the side to avoid the cleft and ensure safe feeding.