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Maternity NCLEX PN Exam Questions with 100% Verified Answers 1. Phototherapy is prescribed for a neonate with hyper- bilirubinemia. Which nursing intervention is appropri- ate to reduce the potentially harmful side effect of the phototherapy? 2. During a vertex vaginal birth the nurse notes me...

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  • January 26, 2025
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  • 2024/2025
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Maternity NCLEX PN Exam Questions with 100% Verified Answers

1. Phototherapy is prescribed for a neonate with hyper- Using shields on
bilirubinemia. Which nursing intervention is appropri- the eyes to protect
ate to reduce the potentially harmful side effect of the them from the light
phototherapy?

2. During a vertex vaginal birth the nurse notes meconi- Suctioning the air-
um-stained amniotic fluid. What is the priority nursing way
intervention for the newborn?

3. What is the most important parameter for the nurse to Respiratory dis-
monitor during the first 24 hours after the birth of an tress
infant at 36 weeks' gestation?

4. A new mother asks the nurse administering ery- "This antibiotic
thromycin ophthalmic ointment to her newborn why helps keep ba-
her baby must be subjected to this procedure. What bies from contract-
is the best response by the nurse? ing eye infections."

5. After the birth of her daughter, a mother tells the "Newborns are de-
nurse, "I was told that my baby has to have an injec- ficient in vitamin K.
tion of vitamin K. She's so small to be getting a shot. This treatment will
Why does she have to have it?" How should the nurse protect your baby
respond? from bleeding."

6. A new mother exclaims to the nurse, "My baby looks "This often hap-
like a Conehead!" How should the nurse respond? pens as the baby's
head moves
down the birth
canal—the bones
move for easier
passage."

7. During labor a client states that she does not want "Let's talk about
eyedrops or ointment placed in her baby's eyes imme- why you don't want
diately after birth. How should the nurse respond? the medicine to
be put into your
baby's eyes."

8. A 7-lb newborn is admitted to the nursery with a Promote clotting of
prescription for intramuscular phytonadione (vitamin the blood
1/7

, Maternity NCLEX PN Exam Questions with 100% Verified Answers

K, Aquamephyton) 1 mg. The nurse explains to the
parents that this vitamin is administered to:

9. The nurse observes several dark round areas on a Mongolian spots
newborn's buttocks on a dark-skinned neonate. How
should this observation be documented?

10. A nurse is planning to use a newborn's foot to ob- Outer heel
tain blood for the required newborn metabolic testing.
What part of the foot is the best site to use for the
puncture?

11. A nurse plans to administer vitamin K to a newborn. Vastus lateralis
What site should the nurse use for the injection?

12. During the second reactive period a newborn be- Remove secre-
comes more alert and responsive and there is an tions from the
increase in mucus production and gagging. What pharynx
should the nurse do first?

13. An infant is born with a bilateral cleft palate. Plans Demonstrating
are made to begin reconstruction immediately. What positive
nursing intervention should be included to promote acceptance of the
parent-infant attachment? infant

14. After the birth of a neonate, a parent asks, "What "It's expected, and
is that white substance over the baby's body?" The it's called vernix
nurse initially responds: caseosa."

15. Shortly after birth the nurse instills erythromycin oph- Chlamydia and
thalmic ointment in the newborn's eyes. The father gonorrhea
asks why an antibiotic is needed because the mother
does not have an infection. The nurse explains that it
protects the newborn from:

16. How should the nurse assess a newborn's grasp re- By pressing the
flex? examining fingers
against the palms
of the newborn's
hands
2/7

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