All NCLEX Resources
Example Questions
Example Question #3 : Infant And Postpartum Care
What is the cause of postpartum depression?
Social stress
Specific vitamin deficiencies
An extreme drop in hormone levels
Lack of sleep
An extreme drop in hormone levels
While vitamin deficiencies, lack of sleep, and social stresses can all contribute to depressed mood after giving birth, the primary cause of postpartum depression is an extreme drop in hormones (primarily estrogen and progesterone) that occurs after delivery of the placenta.
Example Question #1 : Infant And Postpartum Care
A first time mother comes in ten days after giving birth to a healthy daughter. She is concerned because she has been bleeding continuously from her vagina since labor. The blood is red to brown, and she has been using sanitary napkins, which she must change about every 3 hours. How do you counsel her?
This bleeding is abnormal and may be signs of a mild uterine tear
This is an emergency; refer to urgent care
This is normal bleeding most likely due to the sudden drop in her progesterone levels
This is normal bleeding as she expels the remains of the content of her uterus after labor
This is normal bleeding as she expels the remains of the content of her uterus after labor
Postpartum bleeding, referred to as lochia, is a normal process wherein the individual sheds blood, mucus, and uterine tissue after delivery. This bleeding can continue for up to six weeks, and coloration can change from bright red blood (lochia rubra) to pinkish-brown discharge (lochia serosa).
Example Question #4 : Infant And Postpartum Care
A new mother comes in two weeks postpartum. She is complaining of left breast tenderness and heat. On PE you note a slightly enlarged left breast that is mildly erythematous and very tender on palpation. This is most likely what condition?
Benign cyst
Mastitis
Fibrocystic breast disorder
Ductal carcinoma
Mastitis
Mastitis is an inflammation of the breast tissue, often due to milk stasis in a breastfeeding individual and occurring most commonly in the first few weeks after delivery. Causes can include poor latching, tight bras or clothing, or infection. Incidence is higher in individuals who are immunocompromised, and in people with cracked nipples or a past history of mastitis with a previous birth. Mastitis is not an emergency, nor is it any type of cancer, cyst, or serious breast disease.
Example Question #1 : Infant And Postpartum Care
How long with the umbilical cord stump generally remain on a newborn?
2-3 weeks
1 week
2-5 days
4 weeks
2-3 weeks
The stump of the umbilical cord will generally remain for 2-3 weeks after delivery. During that time the stump's coloration will change from blue to black as it dries. Eventually it will fall off much like a healing scab, leaving behind the umbilicus (navel).
Example Question #1 : Infant And Postpartum Care
Which of the following might be signs of an umbilical cord stump infection?
Pus and swelling around the umbilicus
Bleeding as the stump falls off
Blackening of the umbilical cord stump
Frequent crying
Pus and swelling around the umbilicus
An umbilical cord stump will normally turn black and may bleed slightly when it falls off. These are not signs of infection. If, however, there is pus or swelling around the umbilicus, this may be signs of infection and should be further evaluated by a pediatrician. Newborns cry for many different reasons - this is not necessarily a sign of physical illness or infection.
Example Question #5 : Infant And Postpartum Care
What is a normal hematocrit for a newborn?
60-80%
50-75%
35-40%
45-65%
45-65%
Normal hematocrit in a newborn is 45-65%. This is measured via heel-stick just after delivery. This test is useful in assessing for anemia (suggested by a low hematocrit) and polycythemia (suggested by a hematocrit over 65%).
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.