NCLEX-PN
NCLEX Maternal Newborn Questions
Extract:
Question 1 of 5
Which factor would most likely be a cause of epiglottitis?
Correct Answer: C
Rationale: Haemophilus influenzae, type B is the most common cause of epiglottitis, leading to rapid airway swelling.
Question 2 of 5
A laboring woman is to be transferred to the delivery room. The nurse is positioning her on the table when she has a very strong contraction and starts to bear down. What should the nurse tell her to do?
Correct Answer: A
Rationale: Panting prevents premature pushing during transfer, avoiding potential cervical or perineal trauma.
Question 3 of 5
A child with an asthma attack has received epinephrine. The child is also to receive isoproterenol (Isuprel) via intermittent positive pressure breathing. When should the isoproterenol be given in relation to the epinephrine?
Correct Answer: C
Rationale: Isoproterenol should be delayed at least one hour after epinephrine to avoid additive cardiovascular effects.
Question 4 of 5
An 8-year-old child is terminally ill. Considering the child's age, which statement would you most expect the child to make?
Correct Answer: C
Rationale: An 8-year-old is likely to fear pain associated with death, making this statement developmentally appropriate.
Question 5 of 5
A baby boy was born at 2:45 A.M. after a 35-week gestation. He weighed 1170 g. Upon admission to the premature nursery, he had slight respiratory distress, nasal flaring, grunting, intercostal retractions, and slight cyanosis. Apgar score at one minute was 4, and at five minutes, it was 6. Apical pulse is 164, respirations are 44, and axillary temperature is 96°F. What was the most likely cause of the baby's cyanosis?
Correct Answer: B
Rationale: Cyanosis in a preterm infant with respiratory distress is due to inadequate oxygenation from immature lungs.