NCLEX-PN
NCLEX Practice Questions Maternal Newborn Questions
Extract:
Question 1 of 5
The nurse is caring for a 6-month-old infant who is in a croup tent. The child's mother calls and tells the nurse that the child's clothes are all wet. What is the best action for the nurse to take?
Correct Answer: B
Rationale: Changing wet clothing prevents hypothermia and discomfort, maintaining the child's comfort in the humid croup tent.
Question 2 of 5
Following surgery for repair of a cleft lip, it is important to prevent excessive crying by the infant. What should the nurse do to accomplish this?
Correct Answer: C
Rationale: Maternal holding comforts the infant, reducing crying and protecting the surgical site.
Question 3 of 5
A 3-year-old child is admitted to the pediatric unit for diagnostic tests. His mother is discussing the child's hospitalization with the nurse. She is concerned about staying with this child and caring for her other two children at home. Which suggestion to the mother will most help the child adjust to being in the hospital?
Correct Answer: C
Rationale: Familiar items like a teddy bear and blanket provide comfort and reduce anxiety, aiding the child's adjustment to the hospital.
Question 4 of 5
A client with PIH asks the nurse, 'When will I get over this?' What is the best response for the nurse to make?
Correct Answer: B
Rationale: PIH typically resolves after delivery, as it is pregnancy-related.
Question 5 of 5
At one minute after birth, an infant is crying, has a heart rate of 140, has acrocyanosis, resists the suction catheter, and keeps his arms extended and his legs flexed. What is the Apgar score?
Correct Answer: C
Rationale: Crying (2), heart rate 140 (2), acrocyanosis (1), active resistance (2), and flexed limbs (1) yield an Apgar score of 8.