RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Intramuscular injection. Administering hepatitis B vaccine via intramuscular injection ensures proper absorption and immune response. Injecting into the muscle allows for efficient delivery to the bloodstream. Oral administration (
B) is not effective as the vaccine may be degraded in the digestive system.
Topical application (
C) and subcutaneous injection (
D) are not recommended for hepatitis B vaccine due to inadequate absorption and immune response.

Correct Answer: D

Rationale: The correct answer is D: All of the above. Hypoglycemia in a newborn can lead to hypothermia due to decreased energy production, hyperbilirubinemia as the liver struggles to process bilirubin, and respiratory distress syndrome as a result of decreased glucose for energy production in the lungs. Hypothermia can occur due to inadequate glucose supply for thermogenesis. Hyperbilirubinemia may occur as the liver is overwhelmed by the breakdown of red blood cells due to hypoglycemia. Respiratory distress syndrome can develop due to reduced glucose availability affecting lung maturation.
Therefore, all of the choices are potential complications of hypoglycemia in a newborn.

Correct Answer: B

Rationale: The correct answer is B:
To promote health equity. Culturally competent care in maternal and newborn healthcare aims to ensure that all individuals receive the same level of care regardless of their cultural background. This promotes health equity by reducing disparities in healthcare access and outcomes.
Choice A is incorrect because cultural competence embraces and respects cultural differences rather than eliminating them.
Choice C is incorrect as the focus should be on the patient's cultural background, not the provider's.
Choice D is incorrect as not all options align with the primary goal of culturally competent care.

Correct Answer: D

Rationale: The correct answer is D: All of the above. Lack of communication skills, knowledge, and cultural awareness can all act as barriers to providing patient-centered care in maternal and newborn healthcare. Communication skills are essential for understanding and addressing patient needs. Knowledge and expertise are crucial for making informed decisions and providing appropriate care. Cultural awareness is important for respecting and accommodating diverse beliefs and practices.
Therefore, all three factors are interrelated and collectively contribute to enhancing or hindering patient-centered care.

Correct Answer: D

Rationale: The correct answer is D: All of the above. Undertreatment of pain can lead to unnecessary suffering, while overtreatment can result in adverse effects for the mother and newborn. Additionally, using alternative therapies without informed consent violates the principle of autonomy. These issues highlight the importance of balancing pain management strategies to ensure optimal care and ethical practice in maternal and newborn healthcare.

Choices A, B, and C each represent distinct ethical concerns that may arise in pain management, emphasizing the need for a comprehensive approach to address these complexities.