NCLEX-PN
NCLEX Maternal Newborn Questions
Extract:
Question 1 of 5
The nurse notes that a child who has had a serious heart condition since birth does not do the expected activities for that age. The child's mother says, 'I worry constantly about my child. I don't let the older children or the neighborhood kids play with my child very much. I try to make things as easy for my child as I can.' What is the best interpretation of these data?
Correct Answer: B
Rationale: The mother's overprotectiveness likely limits the child's opportunities for age-appropriate activities, hindering development.
Question 2 of 5
What should the nurse do to stimulate the separation of the placenta after home delivery of a baby?
Correct Answer: C
Rationale: Breastfeeding stimulates oxytocin release, promoting uterine contractions and placental separation.
Question 3 of 5
A 6-year-old child with tetralogy of Fallot is being admitted for surgery. What is most important to teach the child during the preoperative period?
Correct Answer: B
Rationale: Teaching coughing and deep breathing prepares the child for postoperative recovery, reducing respiratory complications.
Question 4 of 5
The nurse is caring for a child who had a tonsillectomy this morning. The child is observed to be swallowing continuously. What is the most appropriate initial nursing action?
Correct Answer: C
Rationale: Continuous swallowing suggests possible bleeding, a serious post-tonsillectomy complication, requiring immediate notification.
Question 5 of 5
Which of the following is the most important nursing assessment during the fourth stage of labor?
Correct Answer: B
Rationale: Assessing bladder distention is critical to prevent uterine displacement and postpartum hemorrhage.