NCLEX-PN
NCLEX Maternal Newborn Questions
Extract:
Question 1 of 5
Which of the following is the most important nursing assessment during the fourth stage of labor?
Correct Answer: B
Rationale: Assessing bladder distention is critical to prevent uterine displacement and postpartum hemorrhage.
Question 2 of 5
Which toys would be best for a 5-month-old infant who has infantile eczema?
Correct Answer: A
Rationale: Soft, washable toys are best for a 5-month-old with eczema to avoid skin irritation from rough or non-washable materials, and puzzles or cars are not age-appropriate.
Question 3 of 5
The nurse is caring for a child who has Duchenne's muscular dystrophy. What understanding is correct about the progress of the disease?
Correct Answer: C
Rationale: Duchenne's is X-linked, so brothers should be evaluated for carrier status or disease.
Question 4 of 5
What should the nurse do to stimulate the separation of the placenta after home delivery of a baby?
Correct Answer: C
Rationale: Breastfeeding stimulates oxytocin release, promoting uterine contractions and placental separation.
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.