RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Within 48 hours of birth. This is recommended because newborns are most susceptible to hepatitis B infection during delivery. Administering the vaccine within 48 hours provides early protection.
Choice A (At birth) is not specific enough and may delay vaccination.

Choices C and D are too late and leave the newborn vulnerable for a longer period.

Correct Answer: C

Rationale: The correct answer is C: Bottle feeding with breast milk. Preterm infants may have difficulty latching onto the breast due to their immature sucking reflex. Bottle feeding with breast milk allows for easier feeding and enables monitoring of intake. Breast milk provides essential nutrients and antibodies crucial for preterm infant development. Formula feeding (
B) may lack these benefits. Breastfeeding (
A) may be challenging for preterm infants initially. Parenteral nutrition (
D) is typically used when a baby cannot tolerate oral feedings.

Correct Answer: A

Rationale: The correct answer is A: Kernicterus. Kernicterus is a rare but serious complication of severe jaundice in newborns, where bilirubin levels become excessively high and cross the blood-brain barrier, leading to brain damage. Other choices are incorrect because:
B) Hypoglycemia is not directly related to jaundice,
C) Respiratory distress may occur but is not a direct complication of jaundice, and
D) Sepsis is a separate condition from jaundice.

Correct Answer: C

Rationale: The correct answer is C: Beneficence. In maternal and newborn healthcare, beneficence is the primary ethical principle guiding nursing practice. This principle emphasizes the nurse's duty to promote the well-being and best interests of both the mother and the newborn. Nurses must act in a way that benefits their patients and ensures their safety and health. Autonomy (
A) focuses on respecting the patient's right to make their own decisions, which is important but not the primary principle in this context. Non-maleficence (
B) involves avoiding harm, which is essential but not the primary guiding principle here. Justice (
D) pertains to fairness in healthcare access and resource allocation, which is also crucial but not the primary ethical principle for maternal and newborn healthcare.

Correct Answer: D

Rationale: The correct answer is D: All of the above. Lack of awareness of cultural differences can lead to misunderstandings and miscommunication in healthcare. Bias and prejudice can hinder the ability to provide equitable care to individuals from diverse backgrounds. Limited access to resources can restrict healthcare providers from offering culturally appropriate services.
Therefore, all these factors can act as potential barriers to providing culturally competent care in maternal and newborn healthcare.

Choices A, B, and C are incorrect because each of them individually contributes to the overall challenge of achieving cultural competence in healthcare.