NCLEX-PN
NCLEX Practice Questions Maternal Newborn Questions
Extract:
Question 1 of 5
The mother of a term newborn born two hours ago asks the nurse why the baby's hands and feet are blue. What information should the nurse include when responding?
Correct Answer: B
Rationale: Acrocyanosis, blue hands and feet, is normal in newborns for the first 24 hours due to immature circulation.
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?
Correct Answer: A
Rationale: Prolonged rupture of membranes increases infection risk, necessitating frequent temperature monitoring.
Question 3 of 5
A child with a cyanotic heart defect has an elevated hematocrit. What is the most likely cause of the elevated hematocrit?
Correct Answer: D
Rationale: Chronic oxygen deficiency in cyanotic heart defects stimulates erythropoiesis, elevating hematocrit.
Question 4 of 5
A woman, gravida 5, para 4, is unable to get to the hospital because labor has progressed very rapidly. A nurse, who lives upstairs, comes down to assist her with the emergency home delivery. The nurse examines the woman and assesses that the perineum is bulging. What is the priority nursing measure at this time?
Correct Answer: B
Rationale: Placing a clean sheet ensures a sterile field, critical for safe delivery in an emergency setting.
Question 5 of 5
The nurse is caring for a child who has epiglottitis. What position would the child be most likely to assume?
Correct Answer: B
Rationale: Sitting upright and leaning forward (tripod position) maximizes airway opening in epiglottitis.