NCLEX-PN
Maternal Newborn NCLEX Practice Questions Questions
Extract:
Question 1 of 5
When planning outdoor play activities for a normal 4-year-old child, which activity is most appropriate?
Correct Answer: B
Rationale: Sandbox play is safe and developmentally appropriate for a 4-year-old, fostering creativity and motor skills without the risks of biking or climbing.
Question 2 of 5
A 23-year-old woman, pregnant for the first time, is 39 weeks gestation. She is admitted to the labor room with contractions every five minutes lasting 45 seconds. On vaginal exam, she is noted to be completely effaced and 5-cm dilated. Station is 0. She asks the nurse for pain medication. What is the best response for the nurse to make?
Correct Answer: D
Rationale: Encouraging breathing techniques supports her goal of natural childbirth and manages pain non-pharmacologically.
Question 3 of 5
The nurse is teaching the mother of a newborn who has a cleft lip and palate to feed the infant. Which would be least appropriate to include?
Correct Answer: A
Rationale: Placing the syringe tip at the front of the mouth is inappropriate; it should be directed toward the side to avoid the cleft and ensure safe feeding.
Question 4 of 5
A woman who had a normal vaginal delivery two hours ago has just arrived on the postpartum floor. Vital signs are normal. When assessing her uterus, the nurse notes that it is boggy. What should be the nurse's initial intervention?
Correct Answer: A
Rationale: Massaging a boggy uterus stimulates contraction, preventing postpartum hemorrhage.
Question 5 of 5
A woman is to have a routine gynecological examination tomorrow. What instructions should the nurse give this client?
Correct Answer: C
Rationale: Avoiding douching ensures accurate gynecological exam results by preserving natural vaginal flora and secretions.