NCLEX-PN
Maternal Newborn NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for an infant admitted with diarrhea, poor skin turgor, and dry mucous membranes. Which laboratory data would cause the nurse the most concern?
Correct Answer: B
Rationale: A urine specific gravity of 1.035 indicates concentrated urine, suggesting significant dehydration.
Question 2 of 5
The nurse is caring for a 5-year-old child who has cystic fibrosis. What should the nurse do to help the child manage secretions and avoid respiratory distress?
Correct Answer: B
Rationale: Chest physiotherapy every four hours mobilizes secretions, preventing respiratory distress in cystic fibrosis.
Question 3 of 5
The nurse is caring for an infant admitted with diarrhea, poor skin turgor, and dry mucous membranes. Which laboratory data would cause the nurse the most concern?
Correct Answer: B
Rationale: A urine specific gravity of 1.035 indicates concentrated urine, suggesting significant dehydration.
Question 4 of 5
A hospitalized 2.5-year-old child has a temper tantrum while her mother is bathing her. Her mother asks the nurse how she should handle this behavior. Which information should be included in the nurse's reply?
Correct Answer: D
Rationale: Temper tantrums are normal at 2.5 years, especially in response to limit-setting, even in a hospital setting.
Question 5 of 5
A newborn infant is with his mother, who is a diabetic. He appeared pink and alert and his temperature was stable when he left the nursery 15 minutes ago. His mother calls the nurse and says, 'Look at his legs.' The nurse observes spontaneous jerky movements. What is the best INITIAL action for the nurse to take?
Correct Answer: C
Rationale: Jerky movements in an infant of a diabetic mother suggest hypoglycemia, requiring a Dextrostix test.