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NCLEX PN· Maternal-Newborn · Maternal Newborn NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 5-year-old child has been diagnosed with congenital hypopituitarism. Which of the following should the nurse include when teaching the parents about this child's condition?

A. You will probably need to give him subcutaneous injections of human growth hormone three to seven times a week at bedtime.
B. Your child is unlikely to achieve normal intelligence and will probably need special schooling.
C. All the other children in the family should be evaluated to see if they have any of the same signs of the condition.
D. Your child is likely to have emotional problems related to growth retardation and should be referred to a psychiatrist soon.

Expert Explanatory Rationale

Correct Answer: You will probably need to give him subcutaneous injections of human growth hormone three to seven times a week at bedtime.

Question 2 of 5

The mother of a 2-month-old infant with a cleft lip and palate calls the clinic. She tells the nurse that the baby has a temperature of 102°F, has been turning her head from side to side, and has been eating poorly. What should the nurse advise?

A. Clean the baby's ears with warm water.
B. Give the baby infant acetaminophen 0.3 cc and call back in four hours after taking her temperature.
C. Bring the baby into the clinic for evaluation.
D. Give the baby 4 oz of water and retake her temperature in one hour.

Expert Explanatory Rationale

Correct Answer: Bring the baby into the clinic for evaluation.

Question 3 of 5

A young woman delivered her first baby this morning. She asks the nurse why the top of the baby's head is so soft and does not seem to have any bone. What should the nurse include when responding to the mother?

A. This soft spot is called a fontanel and is normal; it makes delivery easier.
B. It is a condition that occurs in some babies and will disappear within a few days.
C. The physician is monitoring the infant for any problems that might occur with this common defect.
D. It is called caput succedaneum and is caused by bleeding under the scalp during birth.

Expert Explanatory Rationale

Correct Answer: This soft spot is called a fontanel and is normal; it makes delivery easier.

Question 4 of 5

Following surgery for pyloric stenosis, a 5-week-old infant is started on glucose water. When will infant formula be started?

A. Following the return of bowel sounds
B. After vital signs are stable
C. When the infant is able to retain clear liquids
D. When there is no evidence of diarrhea

Expert Explanatory Rationale

Correct Answer: When the infant is able to retain clear liquids

Question 5 of 5

A woman is admitted with suspected placenta previa. What test does the nurse expect will be done to confirm the diagnosis?

A. Internal exam
B. Nonstress test
C. Oxytocin challenge test
D. Ultrasound

Expert Explanatory Rationale

Correct Answer: Ultrasound

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