NCLEX Maternal Newborn

Extract:

Question 1 of 5

The nurse is caring for a child who has cerebral palsy. The nurse notes that the child does not writhe when sleeping but is in constant motion when awake. How should the nurse interpret this observation?

Correct Answer: C

Rationale: Involuntary movements during wakefulness are typical in cerebral palsy, and assisting with ADLs supports functional needs.

Question 2 of 5

The nurse is feeding a newborn infant glucose water. Which finding would make the nurse suspect that the infant has esophageal atresia?

A. The infant has projectile vomiting. B. The infant sucks very slowly. C. The infant seems fatigued after only a few sucks. D. The infant chokes after taking a few sucks of water.

Correct Answer: D

Rationale: Choking after a few sucks suggests esophageal atresia, as the esophagus is blocked, preventing swallowing.

Question 3 of 5

The nurse is caring for a child who has cerebral palsy. The nurse notes that the child does not writhe when sleeping but is in constant motion when awake. How should the nurse interpret this observation?

A. The child should be encouraged to do something productive so she will not think about writhing. B. This indicates that the child could control the movements if she wanted to. A behavior modification program may be effective. C. This is typical of cerebral palsy. The nurse should assist the child with activities of daily living (ADLs) as needed. D. The child should be sedated much of the time to prevent the dangerous writhing that occurs during waking.

Correct Answer: C

Rationale: Involuntary movements during wakefulness are typical in cerebral palsy, and assisting with ADLs supports functional needs.

Question 4 of 5

The mother of a child who has ringworm asks what kind of worm the child has. How should the nurse respond?

A. Ringworm is caused by a fungus, not a worm. The lesion often takes the form of a circle or ring. B. The same worm that causes pinworms can cause ringworm. Good hand washing is essential to prevent spreading. C. The worm is often on plants and leaves, such as those that cause poison ivy. D. Worms that are on house plants and common garden plants can cause ringworm.

Correct Answer: A

Rationale: Ringworm is a fungal infection, not a worm, and its circular appearance is characteristic.

Question 5 of 5

A 5-week-old infant is seen in the physician's office for gastroesophageal reflux. What should the nurse suggest to the parents regarding feeding practices?

A. Dilute the formula to facilitate better absorption. B. Position the child at a 30- to 45-degree angle after feedings. C. Change from milk-based formula to soy-based formula. D. Delay burping to prevent vomiting.

Correct Answer: B

Rationale: Positioning at a 30- to 45-degree angle post-feeding reduces reflux by using gravity to keep stomach contents down.

NCLEX Maternal Newborn | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN