NCLEX-PN
Pediatric NCLEX Questions Questions
Extract:
Question 1 of 5
The pathological retraction ring of Bandl is associated with:
Correct Answer: B
Rationale: Bandl’s ring a pathological retraction ring forms in obstructed labor due to prolonged intense uterine contractions leading to a visible ridge between the upper and lower uterine segments.
Question 2 of 5
Preterm labour is defined as spontaneous onset of painful regular uterine contractions at any time prior to:
Correct Answer: D
Rationale: Preterm labor is defined as regular contractions before 37 weeks gestation leading to cervical change. This is the standard cutoff for preterm delivery.
Question 3 of 5
A primipara presents one week after delivery. She is tearful,has spells of cry and lack of appetite and sleep. What is the most likely diagnosis:
Correct Answer: B
Rationale: Post-natal depression is common in the first weeks postpartum presenting with tearfulness appetite loss and sleep disturbances. Other diagnoses are less likely without specific symptoms.
Question 4 of 5
A primigravida is in second stage of labour for the past two hours. Fetal head is at +1 station. Inspite of effective uterine contractions,mother is unable to push as she is exhausted. What will be the next step in her management:
Correct Answer: D
Rationale: Instrumental delivery (e.g. forceps or vacuum) is indicated for prolonged second stage due to maternal exhaustion provided the fetal head is engaged (+1 station). Cesarean section is considered if instrumental delivery is not feasible.
Question 5 of 5
Pregnancy induced hypertension is diagnosed when:
Correct Answer: A
Rationale: Pregnancy-induced hypertension (gestational hypertension) is diagnosed when hypertension (BP ≥140/90 mmHg) appears after 20 weeks gestation without proteinuria or other preeclampsia features.