RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: A

Rationale: Substernal retractions are a sign of respiratory distress in newborns and require immediate medical attention to ensure proper oxygenation.

Correct Answer: B

Rationale: The correct answer is B because cytomegalovirus can be transmitted through saliva and urine of the newborn. This is important for nurses to understand in order to prevent transmission to other infants and staff.
Choice A is incorrect as acyclovir is used for herpes simplex virus, not cytomegalovirus.
Choice C is incorrect because lesions are not typically visible in maternal cytomegalovirus.
Choice D is incorrect as airborne precautions are not required for cytomegalovirus.

Correct Answer: D

Rationale: The correct answer is D: All of the above. A cesarean delivery can lead to hemorrhage due to the incision made in the uterus, infection can occur at the incision site or in the uterus post-surgery, and uterine rupture is a risk especially in future pregnancies. Choosing A, B, or C individually would be incorrect as each of these complications can indeed occur following a cesarean delivery. Selecting any of the other choices would not encompass all potential complications associated with a cesarean delivery.

Correct Answer: D

Rationale: The correct answer is D: Check the client’s serum medication level. This is the best action to evaluate medication adherence for a client taking digoxin during pregnancy. Digoxin has a narrow therapeutic range, and monitoring serum levels is crucial to ensure the medication is being taken as prescribed. By checking the client's serum medication level, the nurse can accurately assess if the client is adhering to the prescribed regimen. Asking the client if they are taking the medication as prescribed (choice
A) relies on self-reporting, which may not always be accurate. Assessing kidney function (choice
B) is important for monitoring digoxin but does not directly evaluate medication adherence. Determining the client’s apical pulse rate (choice
C) is important but does not provide a direct measure of medication adherence.

Correct Answer: D

Rationale: All of the above are potential ethical issues in neonatal intensive care. Allocation of resources raises questions about fairness, withholding or withdrawing treatment involves difficult decisions about quality of life, and using alternative therapies without consent violates patient autonomy.