NCLEX EXAM zm
Exam Solution zm
Exam 3 maternal newborn nclex questions 2026 A+ GR
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ADE ASSURED COMPLETE SOLUTIONS AND VERIFIED A
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NSWERS (D173F) zm
QUESTION 1 zm
Term
ANSWER
Definition
QUESTION 2 zm
The nurse is proving care to a 1-hour-
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old newborn who was born at 39 weeks' gestation. Which assessment data is cause fo
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r concern? Select all that apply.
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A) Respiratory rate of 82 breaths per minute
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B) Negative Babinski reflex
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C) Mean blood pressure of 52 mmHg
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D) Acrocyanosis
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E) Presence of soft heart murmur
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ANSWER
Respiratory rate of 82 breaths per minute Negative Babinski reflex
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QUESTION 3 zm
The nurse is caring for a newborn boy who was circumcised an hour ago. Which is th
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e priority nursing diagnosis for the newborn?
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A) Risk for Injury
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B) Risk for Infection
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C) Risk for Imbalanced Nutrition
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D) Risk for Ineffective Breathing Pattern
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ANSWER
, Risk for Infection
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QUESTION 4 zm
A nurse is caring for the 1-hour-
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old newborn of a mother with diabetes mellitus. Which actions will the nurse include
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in the newborn's plan of care? Select all that apply.
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A) Assess blood glucose frequently.
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B) Assess for SGA.
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C) Assess for hyperthyroidism.
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D) Assess the newborn's temperature hourly.
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E) Assess for hyperbilirubinemia.
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ANSWER
Assess blood glucose frequently. Assess for hyperbilirubinemia.
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QUESTION 5 zm
When administering an intramuscular dose of vitamin K (phytonadione) to a newborn
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, which actions by the nurse are appropriate? Select all that apply.
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A) Using a 23-gauge 1/2-inch needle
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B) Cleaning the skin with an alcohol swab
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C) Preparing 5 mg of the medication for injection
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D) Using the middle third of the vastus lateralis muscle
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E) Washing the skin with soap and water
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ANSWER
Cleaning the skin with an alcohol swab Using the middle third of the vastus lateralis muscle
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QUESTION 6 zm
The nurse is providing care to a newborn during the first 24 hours of life. Which is a
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n abnormal finding?
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A) Respiratory rate of 58 breaths per minute
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B) Heart rate of 140 beats per minute
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C) Presence of meconium stool
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D) Yellowing of the skin
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ANSWER
Yellowing of the skin zm zm zm
QUESTION 7 zm
Exam Solution zm
Exam 3 maternal newborn nclex questions 2026 A+ GR
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ADE ASSURED COMPLETE SOLUTIONS AND VERIFIED A
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NSWERS (D173F) zm
QUESTION 1 zm
Term
ANSWER
Definition
QUESTION 2 zm
The nurse is proving care to a 1-hour-
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old newborn who was born at 39 weeks' gestation. Which assessment data is cause fo
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r concern? Select all that apply.
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A) Respiratory rate of 82 breaths per minute
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B) Negative Babinski reflex
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C) Mean blood pressure of 52 mmHg
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D) Acrocyanosis
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E) Presence of soft heart murmur
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ANSWER
Respiratory rate of 82 breaths per minute Negative Babinski reflex
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QUESTION 3 zm
The nurse is caring for a newborn boy who was circumcised an hour ago. Which is th
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e priority nursing diagnosis for the newborn?
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A) Risk for Injury
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B) Risk for Infection
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C) Risk for Imbalanced Nutrition
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D) Risk for Ineffective Breathing Pattern
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ANSWER
, Risk for Infection
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QUESTION 4 zm
A nurse is caring for the 1-hour-
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old newborn of a mother with diabetes mellitus. Which actions will the nurse include
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in the newborn's plan of care? Select all that apply.
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A) Assess blood glucose frequently.
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B) Assess for SGA.
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C) Assess for hyperthyroidism.
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D) Assess the newborn's temperature hourly.
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E) Assess for hyperbilirubinemia.
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ANSWER
Assess blood glucose frequently. Assess for hyperbilirubinemia.
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QUESTION 5 zm
When administering an intramuscular dose of vitamin K (phytonadione) to a newborn
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, which actions by the nurse are appropriate? Select all that apply.
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A) Using a 23-gauge 1/2-inch needle
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B) Cleaning the skin with an alcohol swab
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C) Preparing 5 mg of the medication for injection
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D) Using the middle third of the vastus lateralis muscle
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E) Washing the skin with soap and water
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ANSWER
Cleaning the skin with an alcohol swab Using the middle third of the vastus lateralis muscle
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QUESTION 6 zm
The nurse is providing care to a newborn during the first 24 hours of life. Which is a
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n abnormal finding?
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A) Respiratory rate of 58 breaths per minute
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B) Heart rate of 140 beats per minute
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C) Presence of meconium stool
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D) Yellowing of the skin
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ANSWER
Yellowing of the skin zm zm zm
QUESTION 7 zm
