NCLEX-PN
NCLEX Maternal Newborn Questions
Extract:
Question 1 of 5
The nurse is caring for a woman who is 30 weeks gestation, has gained 17 pounds during the pregnancy, and has a blood pressure of 110/70. The woman states that she feels warmer than everyone around her. Which interpretation of these findings is most correct?
Correct Answer: A
Rationale: A 17-pound weight gain at 30 weeks, normal blood pressure, and feeling warm are typical in pregnancy due to increased metabolism.
Question 2 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 3 of 5
The nurse notes that a child who has had a serious heart condition since birth does not do the expected activities for that age. The child's mother says, 'I worry constantly about my child. I don't let the older children or the neighborhood kids play with my child very much. I try to make things as easy for my child as I can.' What is the best interpretation of these data?
Correct Answer: B
Rationale: The mother's overprotectiveness likely limits the child's opportunities for age-appropriate activities, hindering development.
Question 4 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 5 of 5
The parents of a newborn with hypospadias ask the nurse why the doctor told them the baby could not be circumcised. What is the best response?
Correct Answer: C
Rationale: The foreskin is often used in surgical repair of hypospadias, necessitating its preservation.