NCLEX-PN
Maternal Newborn NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse is teaching the mother of a newborn who has a cleft lip and palate to feed the infant. Which would be least appropriate to include?
Correct Answer: A
Rationale: Placing the syringe tip at the front of the mouth is inappropriate; it should be directed toward the side to avoid the cleft and ensure safe feeding.
Question 2 of 5
A woman, at 32 weeks gestation, delivers a 3-lb, 8-oz baby boy two hours after arriving at the hospital. What is the baby at risk for because of his gestational age?
Correct Answer: B
Rationale: Preterm infants at 32 weeks are at risk for hypothermia and respiratory distress due to immature thermoregulation and lung development.
Question 3 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.
Question 4 of 5
At 3 hours of age, a term newborn seems jittery and has a weak and high-pitched cry and irregular respirations. The nurse suspects that the infant may have which of the following?
Correct Answer: A
Rationale: Jitteriness, weak cry, and irregular respirations in a newborn suggest hypoglycemia, requiring immediate assessment.
Question 5 of 5
Six hours after delivery, the nurse notes that a woman's fundus is two finger breadths above the umbilicus and deviated to the right of the midline. What is the most likely cause of this finding?
Correct Answer: B
Rationale: A fundus deviated to the right and above the umbilicus is typically caused by bladder distention.