Maternity Nursing (OB Maternal & Newborn) NCLEX Practice | Quiz #3 QUESTION AND ANSWERS A+

1. Question A newborn who has an asymmetrical Moro reflex response should be further assessed for which of the following? • A. Talipes equinovarus • B. Fractured clavicle • C. Congenital hypothyroidism • D. Increased intracranial pressure Correct Answer: B. Fractured clavicle A fractured clavicle would prevent the normal Moro response of symmetrical sequential extension and abduction of the arms followed by flexion and adduction. 2. Question During the first 4 hours after a male circumcision, assessing for which of the following is the priority? • A. Infection • B. Hemorrhage • C. Discomfort • D. Dehydration Correct Answer: B. Hemorrhage Hemorrhage is a potential risk following any surgical procedure. Although the infant has been given vitamin K to facilitate clotting, the prophylactic dose is often not sufficient to prevent bleeding. 3. Question The mother asks the nurse. “What’s wrong with my son’s breasts? Why are they so enlarged?” Which of the following would be the best response by the nurse? • A. “The breast tissue is inflamed from the trauma experienced with birth.” • B. “A decrease in material hormones present before birth causes enlargement,” • C. “You should discuss this with your doctor. It could be a malignancy.” • D. “The tissue has hypertrophied while the baby was in the uterus.” Correct Answer: B. “A decrease in material hormones present before birth causes enlargement,” The presence of excessive estrogen and progesterone in the maternal-fetal blood followed by prompt withdrawal at birth precipitates breast engorgement, which will spontaneously resolve in 4 to 5 days after birth