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NCLEX PN· Maternal-Newborn · NCLEX Questions Maternal Newborn Nursing

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a woman who delivered a baby three hours ago. The woman pulls the emergency call light and says she is bleeding all over the bed. The nurse enters the room and sees the blood-soaked bed. What is the best initial action for the nurse to take?

A. Assess and massage the fundus if soft
B. Take vital signs
C. Place the client in sharp Trendelenburg position
D. Notify the physician immediately

Expert Explanatory Rationale

Correct Answer: Assess and massage the fundus if soft

Question 2 of 5

A woman who had a cesarean section tells the nurse, 'I guess I flunked natural childbirth because I had to have a cesarean.' This statement is most indicative of which phase of postpartum adjustment?

A. Taking in
B. Working through
C. Taking hold
D. Letting go

Expert Explanatory Rationale

Correct Answer: Working through

Question 3 of 5

An oxytocin challenge test is ordered for a woman who is 42 weeks pregnant. What should the nurse plan for in the care of this client?

A. Place her in the supine position during the test.
B. Keep her NPO before the test.
C. Have her empty her bladder before the test.
D. Prepare the client for the insertion of internal monitors.

Expert Explanatory Rationale

Correct Answer: Have her empty her bladder before the test.

Question 4 of 5

A 10-year-old child has had diagnosed bronchial asthma for three years. The child has been admitted to the pediatric unit in acute respiratory distress. Which of the following would be most characteristic of the child's asthmatic attack upon admission?

A. Expiratory wheezing
B. Inspiratory stridor
C. Cyanotic nail beds
D. Prolonged inspiratory phase

Expert Explanatory Rationale

Correct Answer: Expiratory wheezing

Question 5 of 5

The delivery room nurse is explaining Apgar scoring to new parents. Which information pertaining to the purpose of a five-minute Apgar score should be included in the explanation?

A. It evaluates the effectiveness of the labor and delivery.
B. It measures the adequacy of transition to extrauterine life.
C. It assesses the possibility of respiratory distress syndrome.
D. It gives an estimate of the gestational age of the infant.

Expert Explanatory Rationale

Correct Answer: It measures the adequacy of transition to extrauterine life.

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