RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Nitrous oxide inhalation. This is recommended for low-risk pregnancies because it provides pain relief without affecting the baby's heart rate or the progress of labor. It is self-administered by the woman, allowing for control over the dosage. Epidural and spinal anesthesia carry potential risks and may interfere with the natural process of labor. Choosing "All of the above" (
D) is incorrect as epidural and spinal anesthesia are not recommended for low-risk pregnancies due to their potential side effects.

Correct Answer: C

Rationale: The correct answer is C: Birth trauma. Forceps-assisted delivery can result in birth trauma due to the application of forceps on the baby's head, leading to injuries such as facial bruising or lacerations. Shoulder dystocia (choice
A) is a complication during natural delivery, not specific to forceps. Hemorrhage (choice
B) can occur post-delivery and is not directly related to forceps.
Choice D is incorrect as not all complications listed are directly associated with forceps-assisted delivery.

Correct Answer: B

Rationale: The correct answer is B: Anemia. Postpartum hemorrhage can lead to excessive blood loss, causing a drop in red blood cell count and hemoglobin levels, resulting in anemia. Hypertension is not a typical complication of postpartum hemorrhage, as it is more commonly associated with conditions like preeclampsia. Thrombocytopenia, a low platelet count, may occur in severe cases of postpartum hemorrhage but is not a common complication compared to anemia.
Choice D, "All of the above," is incorrect as only anemia is a direct potential complication of postpartum hemorrhage.

Correct Answer: D

Rationale: The correct answer is D: All of the above. After a cesarean delivery, a combination of pain relief methods is often recommended to manage postoperative pain effectively. Epidural anesthesia provides continuous pain relief, intravenous opioids offer immediate relief, and patient-controlled analgesia allows the woman to self-administer pain medication as needed. This multimodal approach ensures adequate pain control while minimizing side effects. Choosing only one method may not address all aspects of pain management.
Therefore, utilizing all three options in combination is the most comprehensive and effective approach in managing pain after a cesarean delivery.

Correct Answer: D

Rationale: The correct answer is D: All of the above. Preterm infants are at increased risk for various complications due to their immature organ systems. Hypoglycemia can occur due to limited glycogen stores. Respiratory distress syndrome results from insufficient surfactant production in underdeveloped lungs. Hyperbilirubinemia is common as the liver may not efficiently process bilirubin. Choosing D is correct as all these complications can affect preterm infants. Options A, B, and C are incorrect as they individually address only one potential complication, whereas D encompasses all possibilities.