NCLEX-PN
NCLEX Questions Maternal Newborn Nursing Questions
Extract:
Question 1 of 5
The nurse is administering the daily digoxin dose of 0.035 mg to a 10-month-old child. Before administering the dose, the nurse takes the child's apical pulse, and it is 85. Which of the following interpretations of these data is most accurate?
Correct Answer: C
Rationale: A pulse of 85 in a 10-month-old is low (normal is 100-160), suggesting possible digoxin toxicity, which can cause heart block.
Question 2 of 5
An oxytocin challenge test is ordered for a woman who is 42 weeks pregnant. What should the nurse plan for in the care of this client?
Correct Answer: C
Rationale: Emptying the bladder ensures comfort and accurate monitoring during the oxytocin challenge test.
Question 3 of 5
In establishing a teaching plan for a client who is in the first trimester of pregnancy, the nurse identifies a long list of topics to discuss. Which is most appropriate for the first visit?
Correct Answer: C
Rationale: Nutrition and activity are critical early in pregnancy to support fetal development and maternal health.
Question 4 of 5
A 12-month-old child who was diagnosed at birth as having Hirschsprung's disease has been maintained at home under conservative treatment. The parents have brought the child to the clinic for a well-baby examination. After interviewing the child's parents, the nurse concludes that an appropriate treatment regimen is being followed. Which of the following would indicate this?
Correct Answer: D
Rationale: Isotonic saline enemas and a low-residue diet are appropriate to manage constipation in Hirschsprung's disease without causing irritation.
Question 5 of 5
A 5-year-old child has cystic fibrosis. What is best to offer the child on a hot summer day?
Correct Answer: D
Rationale: Broth provides hydration and electrolytes, critical for a child with cystic fibrosis who loses salt through sweat.