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NCLEX PN· Maternal-Newborn · Maternal Newborn NCLEX Practice Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 13-month-old child has just been placed in a plaster hip spica cast to correct a congenital anomaly. Which nursing actions should be included in the plan of care?

A. Turn the child no more than every four hours to minimize manipulation of the wet cast.

B. Use only fingertips when moving the child to prevent indentations in the cast.

C. Assess and document neurovascular function at least every two hours.

D. Use a hair dryer to speed the cast-drying process.

Expert Explanatory Rationale

Correct Answer: Assess and document neurovascular function at least every two hours.

Question 2 of 5

What is the most common complication associated with too rapid delivery in precipitate labor?

A. Pitting edema of the baby's scalp

B. Dural or subdural tears in fetal brain tissue

C. Premature separation of the placenta

D. Prolonged retention of the placenta

Expert Explanatory Rationale

Correct Answer: Dural or subdural tears in fetal brain tissue

Question 3 of 5

The nurse is caring for a laboring woman who has a history of rheumatic heart disease. How should the nurse position her during labor?

A. Supine

B. Semi-recumbent

C. Side-lying

D. Sitting

Expert Explanatory Rationale

Correct Answer: Side-lying

Question 4 of 5

The parents of a child who is newly diagnosed with Tay-Sachs disease ask the nurse, 'If we have more children, could they be affected?' Which information should be included when responding to the parents?

A. Boys are more likely to inherit the disease than girls.

B. Tay-Sachs is not inherited, so there is little chance other children will have it.

C. There is a one-in-four chance that each pregnancy will result in a child who has the disease.

D. Fifty percent of the girls will have the disease.

Expert Explanatory Rationale

Correct Answer: There is a one-in-four chance that each pregnancy will result in a child who has the disease.

Question 5 of 5

Six hours after delivery, the nurse notes that a woman's fundus is two finger breadths above the umbilicus and deviated to the right of the midline. What is the most likely cause of this finding?

A. Retained placental fragments

B. Bladder distention

C. Normal involution

D. Second-degree uterine atony

Expert Explanatory Rationale

Correct Answer: Bladder distention

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