NCLEX-PN
NCLEX Maternal Newborn Questions
Extract:
Question 1 of 5
The nurse is discussing breast self-examination with a group of women in a clinic. One woman asks, 'When should I do this examination?' What is the best response for the nurse?
Correct Answer: B
Rationale: Performing breast self-examination a few days after menstruation, when breasts are less tender, ensures accuracy.
Question 2 of 5
A 6-year-old child is admitted for a tonsillectomy. Considering the child's age, which of the following would be the most important to include in a preoperative physical assessment?
Correct Answer: C
Rationale: Assessing loose teeth is critical before a tonsillectomy to prevent dislodgement and aspiration during intubation in a 6-year-old.
Question 3 of 5
The nurse is caring for a woman who had a hysterectomy. Which vascular complication should the nurse be especially alert for because of the location of the surgery?
Correct Answer: A
Rationale: Pelvic surgery, like a hysterectomy, increases the risk of thrombophlebitis due to venous stasis and surgical trauma.
Question 4 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 5 of 5
After her examination by the physician, the antepartal client tells the nurse that the doctor said she had positive Chadwick's and Goodell's signs. She asks the nurse what this means. What is the best response for the nurse to make?
Correct Answer: A
Rationale: Chadwick's sign is bluish discoloration of the vagina/cervix, and Goodell's sign is cervical softening, both confirming pregnancy.