PN Maternal Newborn Online Practice 2023 A -Nurselytic

Questions 47

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PN Maternal Newborn Online Practice 2023 A Questions

Question 1 of 5

What is the initial action for a mother experiencing severe vaginal bleeding during labor?

Correct Answer: C

Rationale: Administering oxygen improves maternal and fetal oxygenation during significant bleeding.

Question 2 of 5

A client at 34 weeks' gestation is diagnosed with polyhydramnios. What is the nurse's priority assessment?

Correct Answer: B

Rationale: Polyhydramnios increases the risk of preterm labor due to uterine overdistension, requiring close monitoring.

Question 3 of 5

A parent asks the nurse what makes the opening between the baby's atrium close at birth? The nurse's response is that cardiovascular changes that cause to foramen ovale to close at birth are the direct result of:

Correct Answer: C

Rationale: The foramen ovale is a normal fetal structure that allows blood to bypass the lungs by shunting blood from the right atrium to the left atrium. This is essential during fetal development since the lungs are not functioning until birth. After birth, when the baby takes its first breaths and the lungs start working, the pressure in the left atrium increases due to the increased blood flow from the pulmonary circulation. This increased pressure in the left atrium causes the foramen ovale to close, preventing blood from flowing from the right atrium to the left atrium.
Therefore, the closure of the foramen ovale is a result of the increased pressure in the left atrium rather than any other cardiovascular changes.

Question 4 of 5

The laboring person asks the nurse to review the birth plan. What item is on a typical birth plan?

Correct Answer: C

Rationale: Birth plans often include preferences for birthing positions to promote comfort and effectiveness.

Question 5 of 5

The nurse is educating a male patient on how a vasectomy works. What is the best explanation for this procedure?

Correct Answer: A

Rationale: A vasectomy involves blocking or cutting the vas deferens to prevent sperm from being ejaculated with semen, making it an effective method of contraception.
Choice B is incorrect because the testicles are not removed during a vasectomy, only the vas deferens is altered.
Choice C is incorrect because seminal fluid is still produced, but sperm are prevented from entering it.
Choice D is incorrect because sperm are not killed, but rather prevented from mixing with semen.

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