NCLEX-PN
NCLEX Questions Maternal Newborn Nursing Questions
Extract:
Question 1 of 5
When changing her newborn infant, a mother notices a reddened area on the infant's buttocks. How should the nurse respond?
Correct Answer: C
Rationale: Frequent cleansing and diaper changes prevent diaper rash, addressing the reddened buttocks.
Question 2 of 5
A 40-year-old woman who is 28 weeks gestation comes to the emergency room with painless, bright red bleeding of 1.5 hours duration. What condition does the nurse suspect this client has?
Correct Answer: B
Rationale: Painless, bright red bleeding at 28 weeks suggests placenta previa, where the placenta covers the cervix.
Question 3 of 5
During an emergency home delivery, the head is beginning to crown. What is the most appropriate action for the nurse to take at this time?
Correct Answer: C
Rationale: Gentle perineal pressure prevents rapid expulsion, reducing the risk of perineal tears and fetal trauma.
Question 4 of 5
The nurse is administering the daily digoxin dose of 0.035 mg to a 10-month-old child. Before administering the dose, the nurse takes the child's apical pulse, and it is 85. Which of the following interpretations of these data is most accurate?
Correct Answer: C
Rationale: A pulse of 85 in a 10-month-old is low (normal is 100-160), suggesting possible digoxin toxicity, which can cause heart block.
Question 5 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?
Correct Answer: B
Rationale: Dry mucous membranes, poor skin turgor, and absent tearing indicate deficient fluid volume due to diarrhea.