NCLEX-PN
Maternal Newborn NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The parents of a child who is newly diagnosed with Tay-Sachs disease ask the nurse, 'If we have more children, could they be affected?' Which information should be included when responding to the parents?
Correct Answer: C
Rationale: Tay-Sachs is an autosomal recessive disorder, with a 25% chance of recurrence in each pregnancy for carrier parents.
Question 2 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 3 of 5
An 18-month-old child is admitted for a repeat cardiac catheterization. The parents are continuously present and do everything for the child—dress him, feed him, and even play for him. The nurse wants to prepare the child and the parents for the procedure. Which of the following should be included in the care plan?
Correct Answer: B
Rationale: Talking with the parents assesses their understanding and encourages their involvement, promoting a collaborative approach to prepare the child effectively.
Question 4 of 5
A 10-month-old child is seen in the well baby clinic. Which assessment finding by the nurse indicates a need for further neurological evaluation?
Correct Answer: C
Rationale: Inability to sit up without support at 10 months suggests a neurological delay, warranting further evaluation.
Question 5 of 5
A woman, at 32 weeks gestation, delivers a 3-lb, 8-oz baby boy two hours after arriving at the hospital. What is the baby at risk for because of his gestational age?
Correct Answer: B
Rationale: Preterm infants at 32 weeks are at risk for hypothermia and respiratory distress due to immature thermoregulation and lung development.