NCLEX-PN
Maternal Newborn NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse makes an initial assessment of a 4-year-old child admitted with possible epiglottitis. Which observation is most suggestive of epiglottitis?
Correct Answer: C
Rationale: Excessive drooling is a hallmark of epiglottitis due to difficulty swallowing from airway obstruction.
Question 2 of 5
A 3-year-old child is admitted with a diagnosis of nephrotic syndrome. Which signs and symptoms would the nurse expect the parents to report when the child is admitted?
Correct Answer: D
Rationale: Puffy eyes and weight gain are classic signs of nephrotic syndrome due to edema from protein loss.
Question 3 of 5
A newborn has a myelomeningocele. What is the most important nursing action prior to surgery?
Correct Answer: C
Rationale: Applying sterile, moist dressings protects the myelomeningocele from infection and drying before surgery.
Question 4 of 5
The nurse is discussing dietary needs of a child with a serious heart defect. The child is being treated with digoxin and hydrochlorothiazide (Hydrodiuril). The nurse should stress the importance of giving the child which of the following foods?
Correct Answer: C
Rationale: Apricots and bananas are high in potassium, which is critical to replace due to losses from hydrochlorothiazide.
Question 5 of 5
A woman in labor does not continue to dilate. The physician decides to perform a cesarean section. A healthy 7-lb, 12-oz baby boy is delivered. What is the most essential nursing intervention in the immediate postpartum period?
Correct Answer: A
Rationale: Checking the fundus for firmness prevents postpartum hemorrhage, a priority post-cesarean.