NCLEX-PN
NCLEX Practice Questions Maternal Newborn Questions
Extract:
Question 1 of 5
The nurse is caring for a 6-year-old child who had a tonsillectomy this morning. Once the child is fully awake and alert, which liquid is the best to offer her?
Correct Answer: B
Rationale: Apple juice is clear and non-irritating, ideal post-tonsillectomy to avoid throat irritation.
Question 2 of 5
An antepartal client asks when her baby is due. Her last menstrual period was August 28. Using Naegele's rule, calculate the estimated date of delivery.
Correct Answer: C
Rationale: Using Naegele's rule (subtract 3 months, add 7 days), August 28 becomes June 4 as the estimated delivery date.
Question 3 of 5
The nurse is caring for an infant who is being treated for severe diarrhea. Twenty-four hours after admission, the diet is advanced from NPO to clear liquids. After clear liquids are started, the baby has four stools in two hours. What should the nurse do?
Correct Answer: C
Rationale: Four stools in two hours suggest intolerance to oral fluids, requiring a pause in feedings to prevent worsening dehydration.
Question 4 of 5
The nurse is caring for an adult woman who had a vaginal hysterectomy today. The client is now returned to the nursing care unit following an uneventful stay in the postanesthesia care unit. What is the priority nursing action for this client?
Correct Answer: B
Rationale: Coughing and deep breathing are critical post-hysterectomy to prevent respiratory complications like atelectasis or pneumonia.
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.