RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Questions 349

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RN Maternal Nursing OB Newborn 2023 2024 Exam Questions

Extract:


Question 1 of 5

A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?

Correct Answer: C

Rationale: Jaundice within the first 24 hours of life is considered pathological and should be reported to the provider, as it may indicate hemolytic disease or other serious conditions.

Question 2 of 5

What is the primary hormone responsible for maintaining the endometrium during pregnancy?

Correct Answer: A

Rationale: The correct answer is A: Progesterone. Progesterone is the primary hormone responsible for maintaining the endometrium during pregnancy. It helps thicken the endometrial lining to support implantation and nourishment of the embryo. Progesterone also inhibits contractions of the uterus to prevent premature labor. Estrogen, while important in preparing the endometrium for implantation, is not the primary hormone responsible for its maintenance during pregnancy. FSH and LH are involved in the menstrual cycle and ovulation but are not directly responsible for maintaining the endometrium during pregnancy.

Extract:

A nurse is reviewing the provider's prescription in the adolescent's
medical chart.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus


Question 3 of 5

The nurse is reviewing the provider's prescriptions in the adolescent's medical chart.Complete the following sentence by using the list of options. The nurse should first implement ---------------------- and ---------------------------------

Correct Answer: A,B

Rationale: Providing education on medications is correct. The nurse should first educate the adolescent regarding medications because clients have the right to know the purpose and potential adverse reactions of all prescribed medications before receiving them. An understanding of the prescribed medications will increase the likelihood that the adolescent will adhere to the prescribed therapy. Scheduling follow-up appointments and administering doxycycline is incorrect. The nurse should schedule the adolescent for a follow-up appointment; however, there is another action that the nurse should take first. The nurse should not administer
doxycycline because it is a prescription for the adolescent to begin once discharged, and the prescription will be provided to the adolescent upon discharge; therefore, there is another action that the nurse should take.Administering ceftriaxone is correct. Ceftriaxone is designated as a NOW prescription, which means it should be given within 90 min of the provider writing the prescription. The nurse should administer ceftriaxone after educating the adolescent about the purpose and potential adverse reactions of the medication. Administering metronidazole and educating on condom use is incorrect. The nurse should not administer metronidazole because it is a prescription for the adolescent to begin once discharged, and the prescription will be provided to the adolescent upon discharge; therefore, there is another action that the nurse should take. The nurse should educate the adolescent regarding condom use; however, there is another action that the nurse should take first.

Extract:


Question 4 of 5

A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: D

Rationale: Eliminating dairy products may help reduce nausea and vomiting in clients with hyperemesis gravidarum, as dairy can sometimes exacerbate these symptoms.

Question 5 of 5

What is the function of the umbilical cord during fetal development?

Correct Answer: D

Rationale: The umbilical cord transports oxygen and nutrients, removes waste, and helps regulate fetal temperature.

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