NCLEX-PN
NCLEX Practice Questions Maternal Newborn Questions
Extract:
Question 1 of 5
The parents of a 2-year-old child who has meningitis ask the nurse why the lights are dim in the child's room even in the daytime. What information should the nurse include in the answer?
Correct Answer: B
Rationale: Photophobia is common in meningitis, and dim lighting reduces discomfort and seizure risk.
Question 2 of 5
An antepartal client asks when her baby is due. Her last menstrual period was August 28. Using Naegele's rule, calculate the estimated date of delivery.
Correct Answer: C
Rationale: Using Naegele's rule (subtract 3 months, add 7 days), August 28 becomes June 4 as the estimated delivery date.
Question 3 of 5
A 2-year-old child has just been diagnosed with a Wilms' tumor. Surgery is recommended. The parents tell the nurse that they feel they are being pushed into surgery and wonder if they should wait and get more opinions. What information is essential for the nurse to include when responding to the parents?
Correct Answer: B
Rationale: Surgery is a critical and urgent component of Wilms' tumor treatment to remove the tumor and prevent metastasis.
Question 4 of 5
The nurse is caring for a 6-month-old infant who is in a croup tent. The child's mother calls and tells the nurse that the child's clothes are all wet. What is the best action for the nurse to take?
Correct Answer: B
Rationale: Changing wet clothing prevents hypothermia and discomfort, maintaining the child's comfort in the humid croup tent.
Question 5 of 5
The nurse is caring for an infant who is being treated for severe diarrhea. Twenty-four hours after admission, the diet is advanced from NPO to clear liquids. After clear liquids are started, the baby has four stools in two hours. What should the nurse do?
Correct Answer: C
Rationale: Four stools in two hours suggest intolerance to oral fluids, requiring a pause in feedings to prevent worsening dehydration.