NCLEX-PN
NCLEX Practice Questions Maternal Newborn Questions
Extract:
Question 1 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 2 of 5
A 25-year-old woman is four months pregnant. She had rheumatic fever at age 15 and developed a systolic murmur. She reports exertional dyspnea. What instruction should the nurse give her?
Correct Answer: C
Rationale: Avoiding strenuous activities reduces cardiac strain in a pregnant woman with a history of rheumatic heart disease.
Question 3 of 5
The mother of a term newborn born two hours ago asks the nurse why the baby's hands and feet are blue. What information should the nurse include when responding?
Correct Answer: B
Rationale: Acrocyanosis, blue hands and feet, is normal in newborns for the first 24 hours due to immature circulation.
Question 4 of 5
What should the nurse do to assess for a positive sign of pregnancy?
Correct Answer: B
Rationale: Auscultating fetal heart sounds is a positive sign of pregnancy, confirming fetal presence.
Question 5 of 5
Which assessment finding would the nurse expect in an infant diagnosed with pyloric stenosis?
Correct Answer: C
Rationale: Visible peristaltic waves are characteristic of pyloric stenosis due to gastric obstruction.