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Maternal Newborn NCLEX Practice Questions

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Question 1 of 5.

At 3 hours of age, a term newborn seems jittery and has a weak and high-pitched cry and irregular respirations. The nurse suspects that the infant may have which of the following?

A. Hypoglycemia

B. Hypercalcemia

C. Hypervolemia

D. Hypothyroidism

Explanation: Jitteriness, weak cry, and irregular respirations in a newborn suggest hypoglycemia, requiring immediate assessment.

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.