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NCLEX RN· RN Maternal Newborn · NCLEX RN Practice Questions Maternal Newborn

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

While working in the nursery, a nurse assesses a newborn born less than two hours ago. Which of the following findings by the nurse would necessitate further investigation?

A. A diamond-shaped soft area present at the top of the newborn's head

B. Greasy, white substance that resembles cheese on the newborn's neck, back, and thighs

C. A single crease on the palm

D. Acrocyanosis

Expert Explanatory Rationale

Correct Answer: A single crease on the palm

Question 2 of 5

The nurse is caring for four newborns during their shift in the unit. After performing an assessment, which newborn should the nurse see first?

A. A 48-hour old newborn that has not yet passed meconium.

B. A 3-day old infant with mild jaundice and a bilirubin of 3 mg/dL [0.3-1 mg/dL, 3-17 Î¼mol/L].

C. A 3-hour old infant that has just passed meconium.

D. A 5-day old infant with a positive Babinski reflex.

Expert Explanatory Rationale

Correct Answer: A 48-hour old newborn that has not yet passed meconium.

Question 3 of 5

A 38-week pregnant woman comes into the emergency department complaining of vaginal bleeding. The client is not in obvious distress or pain. Which statement by the client would lead the nurse to suspect placenta previa?

A. I don't feel any pain at all. It's just the bleeding that concerns me.

B. I feel like I'm about to go into labor. My tummy is starting to contract.

C. I started bleeding when I picked up my 3-year-old son, who weighs 32 pounds.

D. I feel like I'm about to vomit.

Expert Explanatory Rationale

Correct Answer: I don't feel any pain at all. It's just the bleeding that concerns me.

Question 4 of 5

The nurse recognizes that Vitamin K is given to neonates because

A. the inability to synthesize it in the intestines without bacterial flora.

B. of hemolysis related to hepatic immaturity.

C. of the reduced vitamin B12 storage.

D. reduced iron storage in the liver and spleen.

Expert Explanatory Rationale

Correct Answer: the inability to synthesize it in the intestines without bacterial flora.

Question 5 of 5

A pregnant client at 37 weeks gestation arrives at the hospital with the following signs and symptoms: severe headache, blurred vision, and epigastric pain not relieved by pain medication. The client's blood pressure is 160/110 mm Hg. The nurse suspects the client is experiencing which condition?

A. Preterm labor

B. Ectopic pregnancy

C. Severe preeclampsia

D. Pre-eclampsia

Expert Explanatory Rationale

Correct Answer: Severe preeclampsia

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