A 1-month-old infant is seen in the clinic and is diagnosed as having

Maternal Newborn NCLEX Practice Questions

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Question 1 of 5.

A 1-month-old infant is seen in the clinic and is diagnosed as having congenital hypothyroidism (cretinism). Her parents ask the nurse if their child will be normal. What is the best response for the nurse?

A. Your child will need to take medication for life but has a good chance of normal development because of the early detection.

B. Cretinism causes both physical delay and mental retardation in the vast majority of children with the condition.

C. There is no way to tell at this point if there is permanent damage; your child will need continual evaluation.

D. Your child will need to take medication until puberty is completed; if there are no serious problems by then, your child should be perfectly normal.

Explanation: Early detection and lifelong thyroid hormone replacement allow normal development in congenital hypothyroidism.

Question 2 of 5.

A 45-year-old woman has been having menorrhagia and metrorrhagia for several months. She is also feeling very tired and run down. Which is the most likely explanation for her fatigue?

A. Hormonal changes related to menopause

B. Psychological exhaustion produced by continuous worry about her illness

C. Interference with digestion due to pressure on the small bowel

D. Decreased oxygen-carrying capacity of the blood due to chronic loss of iron stores

Explanation: Chronic blood loss from menorrhagia and metrorrhagia leads to iron deficiency anemia, reducing oxygen-carrying capacity and causing fatigue.

Question 3 of 5.

A 39-year-old woman is seen in the gynecology clinic and asks the nurse about menopause. What is the best explanation for the nurse to give her?

A. It usually occurs around the age of 40. You can expect severe hot flashes.'

B. It usually occurs after the age of 45 and frequently marks the end of a woman's sex life.'

C. You can expect to have symptoms for about three years while your body adjusts to additional hormones.'

D. No more ovarian hormones are produced, so you will stop menstruating.'

Explanation: Menopause involves cessation of ovarian hormone production, leading to the end of menstruation.

Question 4 of 5.

The nurse is caring for a woman the day after the insertion of radium rods for treatment of cancer of the cervix. The woman calls the nurse and says, 'There is something between my legs. It fell out of me.' What is the most appropriate initial action for the nurse to take?

A. Call the radiation safety officer

B. Put on rubber gloves and put the radiation rod in the bathroom until help arrives

C. Using long forceps, place the radium needle in a lead-lined container

D. Calmly reinsert the rod in the vagina

Explanation: Using long forceps to place the rod in a lead-lined container ensures safe handling of radioactive material, protecting the nurse and client.

Question 5 of 5.

A woman is to have a routine gynecological examination tomorrow. What instructions should the nurse give this client?

A. Bring a urine sample with you.'

B. Be sure to drink plenty of fluids in the morning before you come so that your bladder will be full.'

C. Be sure not to douche today or tomorrow.'

D. Don't eat breakfast. You will be able to eat right after the exam.'

Explanation: Avoiding douching ensures accurate gynecological exam results by preserving natural vaginal flora and secretions.