NCLEX-PN
Maternal Newborn NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The physician is performing an amniotomy on a woman in labor. What is the most important nursing action during this procedure?
Correct Answer: C
Rationale: Monitoring fetal heart tones is critical during amniotomy to detect distress from potential cord compression.
Question 2 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 3 of 5
A newborn infant is with his mother, who is a diabetic. He appeared pink and alert and his temperature was stable when he left the nursery 15 minutes ago. His mother calls the nurse and says, 'Look at his legs.' The nurse observes spontaneous jerky movements. What is the best INITIAL action for the nurse to take?
Correct Answer: C
Rationale: Jerky movements in an infant of a diabetic mother suggest hypoglycemia, requiring a Dextrostix test.
Question 4 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 5 of 5
The nurse is caring for an 8-month-old infant who has had diarrhea for two days. Which is the most useful in assessing the degree of dehydration?
Correct Answer: D
Rationale: Daily weight is the most accurate measure of dehydration, reflecting fluid loss in infants.