RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: C

Rationale:
Rationale: Postterm newborns have longer nails due to prolonged intrauterine exposure. This is known as "paronychia." The other options are not typical findings in postterm newborns. A: Large deposits of subcutaneous fat are seen in term or post-term newborns. B: Thin covering of fine hair on the shoulders and back, known as "lanugo," is seen in premature newborns. D: Pale, translucent skin is common in premature newborns.
Therefore, the correct answer is C, nails extending over the tips of fingers, as it aligns with the physiological characteristics of postterm newborns.

Correct Answer: A,C

Rationale: Oxytocin is administered postpartum to manage uterine atony (flaccid uterus) and control excessive bleeding, which are common indications for its use.

Correct Answer: B

Rationale: The correct answer is B: Respiratory distress syndrome. Hypothermia can lead to respiratory distress syndrome in a newborn due to decreased surfactant production, leading to alveolar collapse and impaired gas exchange. Hypoglycemia can also occur but is not directly related to hypothermia. Hypertension is not typically associated with hypothermia in newborns.
Choice D, "All of the above," is incorrect as only respiratory distress syndrome is a direct potential complication of hypothermia in a newborn.

Correct Answer: C

Rationale: The recommended method of feeding for a preterm infant is bottle feeding with breast milk (
Choice
C). This method provides the infant with the benefits of breast milk while allowing for precise monitoring of intake. Breast milk is easily digestible, promotes healthy growth, and boosts immunity. Formula feeding (
Choice
B) may not offer the same benefits as breast milk. Breastfeeding (
Choice
A) may be challenging for preterm infants due to their immature suckling reflex. Parenteral nutrition (
Choice
D) is typically reserved for infants who cannot tolerate enteral feeding.

Correct Answer: A

Rationale: The correct answer is A: Kernicterus. Jaundice in newborns can lead to the accumulation of bilirubin in the brain, causing permanent brain damage known as kernicterus. This occurs when bilirubin levels are too high and cross the blood-brain barrier. Other choices (B, C,
D) are potential complications of jaundice but do not specifically involve brain damage like kernicterus. Hypoglycemia may result from liver dysfunction due to jaundice. Respiratory distress may occur due to increased bilirubin affecting lung function. Sepsis can be a complication of untreated jaundice leading to systemic infection but is not directly related to brain damage like kernicterus.