NCLEX : Care

Study concepts, example questions & explanations for NCLEX

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Example Questions

Example Question #3 : Infant And Postpartum Care

What is the cause of postpartum depression?

Possible Answers:

Social stress

Specific vitamin deficiencies

An extreme drop in hormone levels

Lack of sleep

Correct answer:

An extreme drop in hormone levels

Explanation:

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?

Possible Answers:

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

Correct answer:

This is normal bleeding as she expels the remains of the content of her uterus after labor

Explanation:

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?  

Possible Answers:

Benign cyst

Mastitis

Fibrocystic breast disorder

Ductal carcinoma

Correct answer:

Mastitis

Explanation:

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?

Possible Answers:

2-3 weeks

1 week

2-5 days

4 weeks

Correct answer:

2-3 weeks

Explanation:

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?  

Possible Answers:

Pus and swelling around the umbilicus

Bleeding as the stump falls off

Blackening of the umbilical cord stump

Frequent crying

Correct answer:

Pus and swelling around the umbilicus

Explanation:

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?

Possible Answers:

60-80%

50-75%

35-40%

45-65%

Correct answer:

45-65%

Explanation:

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?

Possible Answers:

All of these are correct

Wear loose-fitting bra

Go to urgent care if a high fever develops

Breast feed as much as possible

Correct answer:

All of these are correct

Explanation:

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?

Possible Answers:

3-5 months

5-6 months

6-8 months

2-4 months

Correct answer:

5-6 months

Explanation:

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?

Possible Answers:

Respiration

Gurgling

Appearance

Activity

Correct answer:

Gurgling

Explanation:

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?

Possible Answers:

All of these

Coughing

Sneezing

Pulling away

Correct answer:

All of these

Explanation:

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.

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