NCLEX Practice Questions Maternal Newborn

Extract:

Question 1 of 5

The nurse is working at a summer camp for diabetic children. A 7-year-old child comes to the nurse complaining of dizziness and nausea. It is a warm day, and the child has just returned from horseback riding, followed by a walk back from the stables. The nurse notes that the child is sweaty. Which action should the nurse take first?

Correct Answer: C

Rationale: Dizziness, nausea, and sweating suggest hypoglycemia, and crackers provide quick carbohydrates to raise blood glucose.

Question 2 of 5

The nurse is caring for a 6-year-old child who had a tonsillectomy this morning. Once the child is fully awake and alert, which liquid is the best to offer her?

A. A cherry popsicle B. Apple juice C. Orange juice D. Cranberry juice

Correct Answer: B

Rationale: Apple juice is clear and non-irritating, ideal post-tonsillectomy to avoid throat irritation.

Question 3 of 5

A client asks the nurse the difference between an intrauterine device (IUD) and a diaphragm. The nurse's response should be based on which information?

A. The diaphragm is inserted into the uterine cavity, and the IUD covers the cervix. B. The IUD is 97% effective, and the diaphragm is 50% effective. C. The IUD is placed into the uterine cavity by the doctor, and the diaphragm is placed into the vagina each time by the user. D. The IUD must be used with contraceptive jelly, and the diaphragm does not require contraceptive jelly.

Correct Answer: C

Rationale: The IUD is inserted into the uterus by a physician, while the diaphragm is user-inserted into the vagina before intercourse.

Question 4 of 5

A woman, gravida 5, para 4, is unable to get to the hospital because labor has progressed very rapidly. A nurse, who lives upstairs, comes down to assist her with the emergency home delivery. The nurse examines the woman and assesses that the perineum is bulging. What is the priority nursing measure at this time?

A. Encourage the woman to push during the contraction B. Place a clean sheet under the perineal area C. Accurately time the contractions D. Contact the physician by phone for instructions

Correct Answer: B

Rationale: Placing a clean sheet ensures a sterile field, critical for safe delivery in an emergency setting.

Question 5 of 5

During aminophylline infusion, a child becomes restless and nauseated, and his blood pressure drops. What is the appropriate nursing response to these findings?

A. Because these are common side effects of the drug, which will pass when the infusion is completed, simply chart the response. B. Stop the infusion immediately and notify the physician or charge nurse because the symptoms are suggestive of an adverse response to aminophylline. C. Continue to monitor the child because the symptoms are probably related to the child's illness because they are not commonly associated with aminophylline. D. Continue to monitor the child because these are expected responses to aminophylline.

Correct Answer: B

Rationale: Restlessness, nausea, and hypotension suggest aminophylline toxicity, requiring immediate cessation and physician notification.

NCLEX Practice Questions Maternal Newborn | Nurselytic

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