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NCLEX RN· RN Maternal Newborn · NCLEX RN Questions Maternal Newborn Nursing

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is providing education about a nonstress test (NST) to a client who is pregnant. Which of the following statements by the client would require follow-up?

A. I cannot have anything to eat eight hours prior to this test.
B. I will have an external monitor across my abdomen.
C. A reactive result means my baby is doing well.
D. If this test is abnormal, I will need further testing.

Expert Explanatory Rationale

Correct Answer: I cannot have anything to eat eight hours prior to this test.

Question 2 of 5

The nurse is caring for a client in labor who just received epidural analgesia. The nurse should monitor the client for which adverse effects?

A. Hypertension
B. Bladder distention
C. Hypothermia
D. Precipitous labor

Expert Explanatory Rationale

Correct Answer: Bladder distention

Question 3 of 5

The nurse performs a physical assessment on a newborn and observes fine, downy hair on the cheeks and forehead. The nurse analyzes this finding as

A. milia.
B. lanugo.
C. vernix caseosa.
D. mongolian spot.

Expert Explanatory Rationale

Correct Answer: lanugo.

Question 4 of 5

The nurse is caring for a two-hour-old newborn with neonatal abstinence syndrome. The nurse plans to

A. decrease the newborn's sensory stimulation.
B. obtain a prescription for central nervous stimulant.
C. loosely wrap the neonate in a blanket.
D. place the newborn in a stimulating environment.

Expert Explanatory Rationale

Correct Answer: decrease the newborn's sensory stimulation.

Question 5 of 5

The nurse is in the postpartum unit assessing a client who gave birth 2 hours ago. The nurse notes that the client's fundus is soft and boggy. Her perineal pads have been changed twice over the past 2 hours. What is the initial action of the nurse?

A. Apply pressure on the fundus.
B. Massage the fundus until it is firm.
C. Notify the physician.
D. Elevate the client's legs.

Expert Explanatory Rationale

Correct Answer: Massage the fundus until it is firm.

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