Maternity Nclex Questions and Correct Detailed
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Quiz: Prior to discharging a 24-hour-old newborn, the nurse assesses her respiratory
status. Which of the following would the nurse expect to assess?
A) Respiratory rate 45, irregular
B) Costal breathing pattern
C) Nasal flaring, rate 65
D) Crackles on auscultation
Ans: A
Typically, respirations in a 24-hour-old newborn are symmetric, slightly irregular, shallow,
and unlabored at a rate of 30 to 60 breaths/minute. The breathing pattern is primarily
diaphragmatic. Nasal flaring, rates above 60 breaths per minute, and crackles suggest a
problem.
Quiz: The nurse encourages the mother of a healthy newborn to put the newborn to the
breast immediately after birth for which reason?
A) To aid in maturing the newborn's sucking
reflex
B) To encourage the development of maternal antibodies
C) To facilitate maternal-infant bonding
D) To enhance the clearing of the newborn's respiratory passages
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, Ans: C
Breast-feeding can be initiated immediately after birth. This immediate mother-newborn
contact takes advantage of the newborn's natural alertness and fosters bonding. This
contact also reduces maternal bleeding and stabilizes the newborn's temperature, blood
glucose level, and respiratory rate. It is not associated with maturing the sucking reflex,
encouraging the development of maternal antibodies, or aiding in clearing of the
newborn's respiratory passages.
Quiz: When making a home visit, the nurse observes a newborn sleeping on his back in a
bassinet. In one corner of the bassinet is a soft stuffed animal and at the other end is a bulb
syringe. The nurse determines that the mother needs additional teaching because of which
of the following?
A) The newborn should not be sleeping on his back.
B) Stuffed animals should not be in areas where infants sleep.
C) The bulb syringe should not be kept in the bassinet.
D) This newborn should be sleeping in a crib.
Ans: B
The nurse should instruct the mother to remove all fluffy bedding, quilts, stuffed animals,
and pillows from the crib to prevent suffocation. Newborns and infants should be placed
on their backs to sleep. Having the bulb syringe nearby in the bassinet is appropriate.
Although a crib is the safest sleeping location, a bassinet is appropriate initially.
Quiz: Assessment of a newborn reveals a heart rate of 180 beats/minute. To determine
whether this finding is a common variation rather than a sign of distress, what else does the
nurse need to know?
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in the number given.
, A) How many hours old is this newborn?
B) How long ago did this newborn eat?
C) What was the newborn's birthweight?
D) Is acrocyanosis present?
Ans: A
The typical heart rate of a newborn ranges from 120 to 160 beats per minute with wide
fluctuation during activity and sleep. Typically heart rate is assessed every 30 minutes until
stable for 2 hours after birth. The time of the newborn's last feeding and his birthweight
would have no effect on his heart rate. Acrocyanosis is a common normal finding in
newborns.
Quiz: Just after delivery, a newborn's axillary temperature is 94 degrees F. What action
would be most appropriate?
A) Assess the newborn's gestational age.
B) Rewarm the newborn gradually.
C) Observe the newborn every hour.
D) Notify the physician if the temperature goes lower.
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in the number given.
, Ans: B
A newborn's temperature is typically maintained at 36.5 to 37.5 degrees C (97.7 to 99.7
degrees F). Since this newborn's temperature is significantly lower, the nurse should
institute measures to rewarm the newborn gradually. Assessment of gestational age is
completed regardless of the newborn's temperature. Observation would be inappropriate
because lack of action may lead to a further lowering of the temperature. The nurse
should notify the physician of the newborn's current temperature since it is outside
normal parameters.
Quiz: The parents of a newborn become concerned when they notice that their baby
seems to stop breathing for a few seconds. After confirming the parents' findings by
observing the newborn, which of the following actions would be most appropriate?
A) Notify the health care provider immediately.
B) Assess the newborn for signs of respiratory distress.
C) Reassure the parents that this is an expected pattern.
D) Tell the parents not to worry since his color is fine.
Ans: B
Although periods of apnea of less than 20 seconds can occur, the nurse needs to gather
additional information about the newborn's respiratory status to determine if this finding
is indicative of a developing problem. Therefore, the nurse would need to assess for signs
of respiratory distress. Once this information is obtained, then the nurse can notify the
health care provider or explain that this finding is an expected one. However, it would be
inappropriate to tell the parents not to worry, because additional information is needed.
Also, telling them not to worry ignores their feelings and is not therapeutic.
o
o
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in the number given.
Answers (Verified Answers) ||Already Graded
A+||Newest Version
Quiz: Prior to discharging a 24-hour-old newborn, the nurse assesses her respiratory
status. Which of the following would the nurse expect to assess?
A) Respiratory rate 45, irregular
B) Costal breathing pattern
C) Nasal flaring, rate 65
D) Crackles on auscultation
Ans: A
Typically, respirations in a 24-hour-old newborn are symmetric, slightly irregular, shallow,
and unlabored at a rate of 30 to 60 breaths/minute. The breathing pattern is primarily
diaphragmatic. Nasal flaring, rates above 60 breaths per minute, and crackles suggest a
problem.
Quiz: The nurse encourages the mother of a healthy newborn to put the newborn to the
breast immediately after birth for which reason?
A) To aid in maturing the newborn's sucking
reflex
B) To encourage the development of maternal antibodies
C) To facilitate maternal-infant bonding
D) To enhance the clearing of the newborn's respiratory passages
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
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in the number given.
, Ans: C
Breast-feeding can be initiated immediately after birth. This immediate mother-newborn
contact takes advantage of the newborn's natural alertness and fosters bonding. This
contact also reduces maternal bleeding and stabilizes the newborn's temperature, blood
glucose level, and respiratory rate. It is not associated with maturing the sucking reflex,
encouraging the development of maternal antibodies, or aiding in clearing of the
newborn's respiratory passages.
Quiz: When making a home visit, the nurse observes a newborn sleeping on his back in a
bassinet. In one corner of the bassinet is a soft stuffed animal and at the other end is a bulb
syringe. The nurse determines that the mother needs additional teaching because of which
of the following?
A) The newborn should not be sleeping on his back.
B) Stuffed animals should not be in areas where infants sleep.
C) The bulb syringe should not be kept in the bassinet.
D) This newborn should be sleeping in a crib.
Ans: B
The nurse should instruct the mother to remove all fluffy bedding, quilts, stuffed animals,
and pillows from the crib to prevent suffocation. Newborns and infants should be placed
on their backs to sleep. Having the bulb syringe nearby in the bassinet is appropriate.
Although a crib is the safest sleeping location, a bassinet is appropriate initially.
Quiz: Assessment of a newborn reveals a heart rate of 180 beats/minute. To determine
whether this finding is a common variation rather than a sign of distress, what else does the
nurse need to know?
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
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in the number given.
, A) How many hours old is this newborn?
B) How long ago did this newborn eat?
C) What was the newborn's birthweight?
D) Is acrocyanosis present?
Ans: A
The typical heart rate of a newborn ranges from 120 to 160 beats per minute with wide
fluctuation during activity and sleep. Typically heart rate is assessed every 30 minutes until
stable for 2 hours after birth. The time of the newborn's last feeding and his birthweight
would have no effect on his heart rate. Acrocyanosis is a common normal finding in
newborns.
Quiz: Just after delivery, a newborn's axillary temperature is 94 degrees F. What action
would be most appropriate?
A) Assess the newborn's gestational age.
B) Rewarm the newborn gradually.
C) Observe the newborn every hour.
D) Notify the physician if the temperature goes lower.
o
o
© 2025 TestTrackers
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[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
, Ans: B
A newborn's temperature is typically maintained at 36.5 to 37.5 degrees C (97.7 to 99.7
degrees F). Since this newborn's temperature is significantly lower, the nurse should
institute measures to rewarm the newborn gradually. Assessment of gestational age is
completed regardless of the newborn's temperature. Observation would be inappropriate
because lack of action may lead to a further lowering of the temperature. The nurse
should notify the physician of the newborn's current temperature since it is outside
normal parameters.
Quiz: The parents of a newborn become concerned when they notice that their baby
seems to stop breathing for a few seconds. After confirming the parents' findings by
observing the newborn, which of the following actions would be most appropriate?
A) Notify the health care provider immediately.
B) Assess the newborn for signs of respiratory distress.
C) Reassure the parents that this is an expected pattern.
D) Tell the parents not to worry since his color is fine.
Ans: B
Although periods of apnea of less than 20 seconds can occur, the nurse needs to gather
additional information about the newborn's respiratory status to determine if this finding
is indicative of a developing problem. Therefore, the nurse would need to assess for signs
of respiratory distress. Once this information is obtained, then the nurse can notify the
health care provider or explain that this finding is an expected one. However, it would be
inappropriate to tell the parents not to worry, because additional information is needed.
Also, telling them not to worry ignores their feelings and is not therapeutic.
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [ Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
