NCLEX Maternal Newborn | Nurselytic

Questions 53

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NCLEX Maternal Newborn Questions

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Question 1 of 5

Which assessment regularly performed on newborns and infants will do most to help with early identification of infants who might have hydrocephalus?

Correct Answer: A

Rationale: Measuring head circumference detects abnormal increases suggestive of hydrocephalus.

Question 2 of 5

A 6-month-old child is being seen for a well-baby visit. The child has received all immunizations as recommended so far. What immunizations does the nurse expect to give at this visit?

Correct Answer: B

Rationale: At 6 months, DTP, hepatitis B, and HIB are standard immunizations, per CDC guidelines, while MMR and varicella are given later.

Question 3 of 5

Which nursing action has the highest priority for a client in the second stage of labor?

Correct Answer: A

Rationale: Helping the mother push effectively is critical in the second stage to facilitate delivery.

Question 4 of 5

A 6-year-old child with tetralogy of Fallot is being admitted for surgery. What is most important to teach the child during the preoperative period?

Correct Answer: B

Rationale: Teaching coughing and deep breathing prepares the child for postoperative recovery, reducing respiratory complications.

Question 5 of 5

A 5-year-old child is admitted with his first asthma attack. Which of the following would have been least likely to have precipitated his asthma attack?

Correct Answer: D

Rationale: Eating fresh fruit salad is unlikely to trigger asthma, unlike allergens (pets), irritants (smoke), or weather changes.

Similar Questions

After her examination by the physician, the antepartal client tells the nurse that the doctor said she had positive Chadwick's and Goodell's signs. She asks the nurse what this means. What is the best response for the nurse to make?
The nurse is caring for a toddler with a cardiac defect who has had several episodes of congestive heart failure in the past few months. Which data would be the most useful to the nurse in assessing the child's current congestive heart failure?
The nurse is caring for a woman who had a hysterectomy. Which vascular complication should the nurse be especially alert for because of the location of the surgery?
An 11-year-old boy is admitted to the pediatric unit in traction with a fractured femur sustained in a motorcycle accident. His uncle, who was driving the cycle when the accident occurred, received only minor injuries. The child tells the nurse that his uncle was not to blame for the accident. He is 'the best motorcycle rider in the world.' The nurse interprets this to mean that the child is exhibiting which defense mechanism?
The nurse is caring for a woman who delivered a healthy infant via cesarean delivery 30 minutes ago. The mother says to the nurse, 'Please don't touch my belly. I had an operation.' What is the nurse's best response?

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