NCLEX-PN
NCLEX Maternal Newborn Questions
Extract:
Question 1 of 5
The nurse is caring for several immediate postpartum women. Which client should the nurse attend to first?
Correct Answer: D
Rationale: A wet bed suggests potential postpartum hemorrhage, requiring immediate assessment.
Question 2 of 5
On the first day after a cesarean section, the client is ambulating. She is uncomfortable and asks the nurse, 'Why am I being made to walk so soon after surgery?' What is the nurse's best response?
Correct Answer: B
Rationale: Early ambulation prevents venous stasis and blood clots, a key postoperative goal.
Question 3 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.
Question 4 of 5
The mother of a 3-lb preterm infant has expressed a desire to breastfeed her baby. Because of his prematurity, she expresses fear that she can't. What is the best response for the nurse to make?
Correct Answer: D
Rationale: Breast milk is ideal for preterm infants, and pumping allows feeding until the baby can nurse directly.
Question 5 of 5
A baby boy was born at 2:45 A.M. after a 35-week gestation. He weighed 1170 g. Upon admission to the premature nursery, he had slight respiratory distress, nasal flaring, grunting, intercostal retractions, and slight cyanosis. Apgar score at one minute was 4, and at five minutes, it was 6. Apical pulse is 164, respirations are 44, and axillary temperature is 96°F. What was the most likely cause of the baby's cyanosis?
Correct Answer: B
Rationale: Cyanosis in a preterm infant with respiratory distress is due to inadequate oxygenation from immature lungs.