RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Assist the client to ambulate to the bathroom. This is the appropriate initial action for the nurse to take because post-cesarean birth, the client may have difficulty urinating due to anesthesia effects or discomfort. Ambulation can help stimulate the bladder and promote urine voiding. Inserting a urinary catheter (
B) is invasive and should be avoided unless necessary. Performing a bladder scan (
C) is a non-invasive way to assess for urinary retention, but ambulation should be attempted first. Administering a diuretic (
D) is not indicated without confirming urinary retention first.

Correct Answer: A

Rationale: The correct answer is A: Intramuscular injection. This is recommended as it ensures rapid and reliable absorption of vitamin K, preventing bleeding disorders in newborns. Intramuscular injection allows for efficient delivery into the bloodstream, ensuring the newborn receives the necessary vitamin K for clotting factor synthesis. Oral administration may be less effective due to variable absorption, while topical application and subcutaneous injection may not provide the needed systemic absorption.
Therefore, intramuscular injection is the optimal method for administering vitamin K to newborns at risk for bleeding.

Correct Answer: D

Rationale: The correct answer is D: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). During pregnancy, there is an increased risk of gestational diabetes. The normal fasting blood glucose range is 74 to 106 mg/dL, and a reading of 180 mg/dL indicates hyperglycemia, which can be harmful to both the mother and the fetus. The nurse should report this finding to the provider promptly for further evaluation and management to prevent complications.
A: Hematocrit within the normal range, so not concerning.
B: Creatinine within normal range, no immediate concern.
C: WBC count slightly elevated but could be due to pregnancy-related changes.
Summary: The correct answer is D because it indicates a potentially serious issue related to gestational diabetes. Other choices are within normal ranges or could be attributed to normal pregnancy changes.

Correct Answer: A

Rationale: Progesterone is responsible for maintaining the uterine lining during pregnancy, supporting the developing fetus.

Correct Answer: A

Rationale: The HBsAg test is the recommended method for screening for hepatitis B during pregnancy.