All NCLEX Resources
Example Questions
Example Question #41 : Care
Which of the following should be encouraged in a person presenting with mastitis?
All of these are correct
Wear loose-fitting bra
Go to urgent care if a high fever develops
Breast feed as much as possible
All of these are correct
The most common treatment for mastitis is frequent breastfeeding, along with rest and loosening of any tight-fitting clothing. Most cases of mastitis are non-infectious and do not require antibiotics. However, high fever can be a sign of infectious mastitis, and may require pharmaceutical intervention.
Example Question #42 : Care
At what age does an infant learn object permanence?
3-5 months
5-6 months
6-8 months
2-4 months
5-6 months
Object permanence is the understanding that an object still exists even when it can not be seen, heard, or touched. It is often tested by placing an object on a surface, then covering that object and allowing the infant to attempt to uncover it, thus demonstrating a knowledge that the object remains present though it is hidden.
Example Question #761 : Nclex
Which of the following is not a part of the APGAR score?
Respiration
Gurgling
Appearance
Activity
Gurgling
The APGAR score is a test of newborn health and physical function, designed to assess a newborn for need of emergency assistance. The factors used to calculate the score are the following:
- Appearance
- Pulse
- Grimace response
- Activity
- Respiration
Example Question #14 : Infant And Postpartum Care
Which of the following behaviors would be under the category "grimace" in the APGAR score?
All of these
Coughing
Sneezing
Pulling away
All of these
The "grimace" category of the APGAR score actually refers to a wide variety of reflexive behavior. These include sneezing and coughing, crying on stimulation, pulling away, and facial expression.
Example Question #51 : Care
At what time after birth is the APGAR score calculated?
At five minutes only
At one, five, and ten minutes
At one and five minutes
At one minute only
At one and five minutes
The APGAR score is calculated one minute after birth, and then again at five minutes after birth. It is common for infants to be born with depressed respiration, cyanosis, and other physical signs of struggle that are quickly resolved within five minutes after birth. If signs of respiratory or cardiovascular distress do not improve by this time, however, emergency intervention may be required.
Example Question #11 : Infant And Postpartum Care
You have just calculated a newborn's five minute APGAR score as 5. What is the proper response?
Do nothing: this is a normal score
Monitor closely: this is a moderately depressed score
Emergency intervention: this is a severely depressed score
Do nothing: this is a perfect score
Monitor closely: this is a moderately depressed score
The APGAR scale goes from 0-10. A score of 0-3 would indicate severe depression of function, 4-6 would indicate moderate depression, and 7-10 would be a normal, healthy score. In the case of moderate depression, the newborn should be monitored closely. Immediate emergency intervention may not be required, as healthy neonates can have moderately low APGAR score indicators that improve in the first few hours of life.
Example Question #13 : Infant And Postpartum Care
What is a normal heart rate for a newborn two hours postpartum?
80-110 bpm
110-160 bpm
60-90 bpm
140-190 bpm
110-160 bpm
A newborn's heart rate is significantly higher than that of an adult. Normal heart rate for a newborn two hours postpartum is 110-160 beats per minute. Heart rate decreases in the first year of life to 80-140 beats per minute.
Example Question #51 : Care
A nurse assists in the delivery of a healthy 7 lb, 4 oz infant. Six days later the parents call the clinic with some concern. They state that their daughter has begun to lose weight - she has lost nearly 10 oz since birth, despite breastfeeding regularly. How should the nurse counsel this couple?
This is an emergency; the couple should bring their infant to the emergency department
This is normal - a breastfed baby will generally lose 5-10% of their birthweight in the first week of life.
This is not normal but not yet a cause for concern
This is abnormal and cause for serious concern
This is normal - a breastfed baby will generally lose 5-10% of their birthweight in the first week of life.
It is normal for infants to lose 5-10% of their birth weight in the first seven days of their lives. In a healthy baby, this weight will be regained by the end of their second week. Infants who are born ill or premature may take longer to regain this weight. If an infant has passed the second week of life and it has not returned to or surpassed it's birthweight, the family may need to seek lactation counseling or bring the infant in for further evaluation.
Example Question #762 : Nclex
Which of the following is a test for hip dysplasia in an infant?
Ober test
Ortolani test
Thomas test
Faber test
Ortolani test
An examiner can look for hip dysplasia in an infant using the Ortolani test. This is performed by placing the child supine, then flexing the hip and knee to 90 degrees. They would then gently abduct the leg while placing downward pressure on the greater trochanter. In a healthy joint, the hip will move freely. In hip dysplasia, there will be a feeling of a "clunk" as the femoral head is relocated into the acetabulum. The Ober test, Thomas test, and Faber test all check for hip stability and injury in adult populations, rather than pediatric.
Example Question #12 : Infant And Postpartum Care
A new mother is holding her infant just moments after delivery. After she is able to rest for a short time, she looks down and notices that her newborn is covered in fine, but fairly dark hair. This is on the infant's arms, legs, and back. She is startled and asks the nurse if this is a sign of any disorder. How should the nurse reply?
This is a sign of a serious metabolic disorder
This is normal - it should be shed in a few days
This may be normal - the child should be monitored
This is abnormal - a hormone profile is required to rule out hormonal disorder
This is normal - it should be shed in a few days
Fine, downy hair, called lanugo, generally appears on the fetus around five months of gestation. It is often shed before birth, but some infants are born with this hair still intact. The hair is normally shed within the first 1-3 weeks of life. In most cases it is entirely normal and not a sign of hormone or metabolic disorder.