NCLEX Questions Maternal Newborn Nursing

Extract:

Question 1 of 5

The parents of a child who has otitis media ask the nurse why the doctor told them to give the child acetaminophen instead of aspirin. What should the nurse include when answering?

Correct Answer: D

Rationale: Aspirin is linked to Reye's syndrome in children, a potentially fatal condition, making acetaminophen safer.

Question 2 of 5

A 4-year-old child has been admitted to the nursing unit with a diagnosis of nephrotic syndrome. The symptoms include generalized edema with weight gain, hypoproteinemia, hyperlipidemia, hypotension, and decreased urine output. In developing a nursing care plan for this child, which nursing diagnosis would be highest priority?

A. Risk for imbalanced nutrition: less than body requirements related to protein loss and poor appetite B. Infection related to edema secondary to nephrotic syndrome C. Fluid volume excess related to nephrotic syndrome D. Disturbed body image related to edema

Correct Answer: C

Rationale: Fluid volume excess is the highest priority due to generalized edema, which can lead to complications like respiratory distress.

Question 3 of 5

It is important to teach the parents of a child with asthma about the disease and its long-term management. Teaching the child a play technique such as blowing cotton balls or ping pong balls across a table is good for him. Which is the best explanation for this play technique?

A. It decreases expiratory pressure. B. It provides for an extended expiratory phase of respiration. C. It promotes a fuller expansion of the thoracic cavity during inspiration. D. It develops the accessory muscles of respiration.

Correct Answer: B

Rationale: Blowing games extend the expiratory phase, strengthening respiratory muscles and improving air exchange in asthma.

Question 4 of 5

An infant has had frequent episodes of green, mucus-containing stools. The nursing assessment reveals that the infant has dry mucous membranes, poor skin turgor, and an absence of tearing. Based on these data, what is the most appropriate nursing diagnosis?

A. Impaired skin integrity related to irritation caused by frequent, loose stools B. Deficient fluid volume related to frequent, loose stools C. Pain related to abdominal cramping and diarrhea D. Imbalanced nutrition: less than body requirements related to diarrhea

Correct Answer: B

Rationale: Dry mucous membranes, poor skin turgor, and absent tearing indicate deficient fluid volume due to diarrhea.

Question 5 of 5

The nurse is caring for an infant who has had surgery for a meningomyelocele. When thinking of long-term care needs, which understanding is most accurate?

A. The surgery corrects the defect, and the infant should develop normally. B. The infant is likely to have lower body paralysis and bowel and bladder dysfunction. C. The infant should develop normally physically but is likely to have some degree of mental retardation. D. The surgery may need to be repeated if the condition recurs.

Correct Answer: B

Rationale: Meningomyelocele often results in lower body paralysis and neurogenic bowel/bladder due to spinal nerve involvement.

NCLEX Questions Maternal Newborn Nursing | Nurselytic

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