NCLEX-PN
NCLEX Maternal Newborn Questions
Extract:
Question 1 of 5
The nurse is caring for a toddler with a cardiac defect who has had several episodes of congestive heart failure in the past few months. Which data would be the most useful to the nurse in assessing the child's current congestive heart failure?
Correct Answer: C
Rationale: Recent weight fluctuations are the most reliable indicator of fluid retention or loss in congestive heart failure.
Question 2 of 5
The nurse at a summer camp for diabetics is assisting a 15-year-old girl with adjusting her daily insulin dosage. Which factor will have the greatest impact on insulin needs?
Correct Answer: B
Rationale: Increased physical activity significantly lowers blood glucose, requiring insulin dose adjustments.
Question 3 of 5
A laboring woman is to be transferred to the delivery room. The nurse is positioning her on the table when she has a very strong contraction and starts to bear down. What should the nurse tell her to do?
Correct Answer: A
Rationale: Panting prevents premature pushing during transfer, avoiding potential cervical or perineal trauma.
Question 4 of 5
A child with an asthma attack has received epinephrine. The child is also to receive isoproterenol (Isuprel) via intermittent positive pressure breathing. When should the isoproterenol be given in relation to the epinephrine?
Correct Answer: C
Rationale: Isoproterenol should be delayed at least one hour after epinephrine to avoid additive cardiovascular effects.
Question 5 of 5
Parents of a newborn note petechiae on the newborn's face and neck. The nurse should tell them that this is a result of which of the following?
Correct Answer: A
Rationale: Petechiae on the face and neck result from increased pressure during vaginal delivery.