NCLEX Practice Questions Maternal Newborn

Extract:

Question 1 of 5

The nurse is observing a new mother for good maternal-infant attachment. Which observation would be a sign of inappropriate attachment?

Correct Answer: D

Rationale: Refusing to hold the baby due to fatigue suggests poor attachment, indicating a need for support.

Question 2 of 5

The mother of a 6-year-old child who has chickenpox asks the nurse when the child can go back to school. What information should be included in the nurse's response? The child is contagious:

A. until all signs of the disease are gone. B. as long as the child has scabs. C. as long as there are fluid-filled vesicles. D. until the rash and fever are gone.

Correct Answer: C

Rationale: Chickenpox is contagious until all vesicles have crusted over, which occurs after fluid-filled vesicles are no longer present.

Question 3 of 5

A father has brought his 4-month-old daughter to the well-baby clinic. Which statement that he makes is the greatest cause for concern to the nurse?

A. She cannot sit up by herself.' B. She does not hold the rattle as well as she did at first.' C. She does not follow objects with her eyes.' D. She spits up after a feeding.'

Correct Answer: C

Rationale: Not following objects with eyes at 4 months suggests a potential visual or neurological issue, requiring further evaluation.

Question 4 of 5

A 6-year-old with tetralogy of Fallot has open heart surgery. The septal defect was closed, and the pulmonic valve was replaced. When the child returns to the unit, he has oxygen, IVs, and closed chest drainage. How should the nurse position the chest drainage system?

A. Above the level of the bed B. At the level of the heart C. Below the level of the bed D. Alternating above and below the bed every two hours

Correct Answer: C

Rationale: The chest drainage system must be below the bed to facilitate gravity-dependent drainage of fluid and air.

Question 5 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?

A. Try to keep as active as possible, but eliminate any activity that you find tiring.' B. Carry on all your usual activities, but learn to work at a slower pace.' C. Avoid heavy housework, shopping, stair climbing, and all unnecessary physical effort.' D. Get someone to do your housework, and stay in bed or in a wheelchair.'

Correct Answer: C

Rationale: Avoiding strenuous activities reduces cardiac strain in a pregnant woman with a history of rheumatic heart disease.

NCLEX Practice Questions Maternal Newborn | Nurselytic

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NCLEX-PN

NCLEX-PN