Exam (elaborations)
Maternal Child NCLEX Review Questions With Complete Solutions
Course
Maternal Child Nursing
Institution
Maternal Child Nursing
Maternal Child NCLEX Review Questions With Complete Solutions
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Maternal Child Nursing
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Maternal Child Nursing
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Maternal Child NCLEX Review Questions
With Complete Solutions
A nnnurse nnis nnassessing nna nnpremature nninfant. nnWhat nnwould nninitially nnalert nnthe nnnurse nnthat nnthe nninfant
nnis nnhaving nnrespiratory nndistress?
A. nnFlaring nnnostrils
B. nnSporadic nncrying
C. nnIneffective nncough
D. nnDecreased nnpulse nnrate nn- nncorrect nnanswers-Answer: nnA
Rationale:
In nnattempt nnto nnincrease nnintake nnof nnoxygen, nnthe nnrespiratory nnrate nnincreases nnwith nnflaring nnof nnnostrils
nnas nna nncardinal nnsign. nnIt nnis nnsignificant nnto nnnote nnthat nnwhen nna nnneonate nnis nnin nnrespiratory nndistress,
nnthe nnrate nnof nnrespirations nnwill nnincrease. nnSporadic nncrying, nnineffective nncough, nnand nndecreased nnpulse
nnrate nnmay nnbe nnindicative nnof nninfant nndistress nnbut nnare nnnot nnclassic nnsigns nnof nnrespiratory nndistress.
A nnnewborn nninfant nnis nndiagnosed nnwith nna nnpatent nnductus nnarteriosus nn(PDA). nnThe nnnurse nnis nnaware
nnthat nnthis nnis nnindicative nnof nna nndefect nnthat:
A. nntypically nnresults nnin nncyanosis
B. nnmay nnresult nnin nncongestive nnheart nnfailure
C. nnalso nncauses nnpulmonary nnstenosis
D. nnnormally nndoes nnnot nnclose nnafter nnbirth nn- nncorrect nnanswers-Answer: nnB
Rationale:
Defects nnthat nnresult nnin nnincreased nnpulmonary nnblood nnflow nnsuch nnas nnpatent nnductus nnarteriosus nn(PDA)
nnand nnother nnatrial nnand nnventricular nnseptal nndefects nnmay nncause nncongestive nnheart nnfailure. nnPDA nnis nna
nnvascular nnconnection nnthat nnduring nnfetal nnlife nnbypasses nnthe nnpulmonary nnvascular nnbed nnand nndirects
nnblood nnfrom nnthe nnpulmonary nnartery nnto nnthe nnaorta. nnDefects nnthat nninvolve nndecreased nnpulmonary
, nnblood nn(such nnas nntetralogy nnof nnFallot) nnor nnobstruction nnto nnblood nnflow nnout nnof nnthe nnheart nn(such nnas
nnpulmonary nnstenosis) nntypically nnresult nnin nncyanosis. nnPDA nndoes nnnot nncause nnpulmonary nnstenosis. nnA
nnPDA nnnormally nncloses nnsoon nnafter nnbirth. nnIf nnthe nnductus nndoes nnremain nnopen nnafter nnbirth, nnthe
nndirection nnof nnblood nnflow nnin nnthe nnductus nnis nnreversed nnby nnthe nnhigher nnpressure nnin nnthe nnaorta, nnso
nnthere nnmay nnnot nnbe nnany nnsigns nnof nnthe nndisorder.
Which nnof nnthe nnfollowing nnsigns nnwould nnalert nna nnnurse nnto nnwithdrawal nnin nnthe nninfant nnof nna nnmother
nnaddicted nnto nnheroin?
A. nnlethargy nnand nna nnlack nnof nnappetite
B. nnrestlessness, nnirritability, nnand nntremors
C. nnno nncrying nnand nnhypoactive nnreflexes
D. nnhyperactive nnreflexes nnand nndiaphoresis nn- nncorrect nnanswers-Answer: nnB
Rationale:
Heroin nndoes nncross nnthe nnplacental nnbarrier; nntherefore nnthe nninfant nnis nnborn nnaddicted nnto nnheroin nnand
nnwill nndisplay nnsigns nnof nnwithdrawal nnsuch nnas nnrestlessness, nnirritability, nnand nntremors. nnThe nnitems nnlisted
nnin nnanswer nnoptions nnA, nnC, nnand nnD nnare nnnot nnassociated nnwith nnheroin nnwithdrawal.
A nnneonate nnweights nn8 nnlb, nn1 nnoz nnat nnbirth. nnAt nnage nn3 nndays, nnthe nnweight nnhas nndecreased nnto nn7 nnlb,
nn12 nnoz. nnThe nnnurse nnshould nninstruct nnthe nnmother nnto:
A. nnincrease nnthe nnamount nnof nnformula nnto nnprevent nnfurther nndehydration nnand nnweight nnloss
B. nncontinue nnfeeding nnon nndemand nnbecause nnthe nnnoted nnweight nnloss nnis nnwithin nnnormal nnlimits
C. nngive nnadditional nnfeedings nnbecause nnthe nnweight nnloss nnindicates nninadequate nncaloric nnintake
D. nnswitch nnto nna nndifferent nnformula nnbecause nnthe nncurrent nnone nnis nninadequate nnto nnmaintain nnweight nn-
nncorrect nnanswers-Answer: nnB
Rationale:
Neonates nntend nnto nnlose nn5% nn-- nn10% nnof nntheir nnbirth nnweight nnduring nnthe nnfirst nnfew nndays nnafter nnbirth,
nnmostly nnbecause nnof nndecreased, nnbut nnacceptable, nnnutrition nnand nnextracellular nnfluid nnloss. nnIncreasing
nnformula nnvolumes nnand nnfeedings nnor nnchanging nnthe nnformula nnis nnnot nnnecessary nnin nnthis nnsituation.