NCLEX Maternal Newborn

Extract:

Question 1 of 5

Which finding, if present, would suggest to the nurse that the infant was not at term when born?

Correct Answer: B

Rationale: Undescended testicles are common in preterm infants, indicating prematurity.

Question 2 of 5

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?

A. Chadwick's sign is a dark blue coloring of the vagina and cervix. Goodell's sign is softening of the cervix of the uterus.' B. These help to confirm pregnancy. They refer to color changes and changes in the uterus caused by increased hormones of pregnancy.' C. Those are medical terms. You don't need to be concerned about them.' D. It refers to changes that occasionally happen in pregnancy but are unlikely to cause problems.'

Correct Answer: A

Rationale: Chadwick's sign is bluish discoloration of the vagina/cervix, and Goodell's sign is cervical softening, both confirming pregnancy.

Question 3 of 5

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

A. Help the mother push effectively B. Prepare the mother to breastfeed on the delivery table C. Check the fetal position D. Administer medication for pain

Correct Answer: A

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

Question 4 of 5

On the first day after a cesarean section, the client is ambulating. She is uncomfortable and asks the nurse, 'Why am I being made to walk so soon after surgery?' What is the nurse's best response?

A. You can get to hold your baby more quickly if you walk around.' B. Early walking keeps the blood from pooling in your legs and prevents blood clots.' C. Walking early will prevent your wound from opening.' D. Early walking helps lower the incidence of wound infection.'

Correct Answer: B

Rationale: Early ambulation prevents venous stasis and blood clots, a key postoperative goal.

Question 5 of 5

A newborn has been diagnosed as having mild hip dysplasia. The mother asks the nurse why the physician told her to 'triple diaper' the baby. What should the nurse include when responding?

A. It is important that there be no contamination of the area. B. Extra diapers will abduct the hips and help to put the hip in the socket correctly. C. Triple diapers cause the baby's legs to be sharply flexed and realign the hip. D. Hip dysplasia can cause abnormal stooling.

Correct Answer: B

Rationale: Triple diapering abducts the hips, promoting proper alignment of the femoral head in the acetabulum.

NCLEX Maternal Newborn | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN