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 caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Determining respiratory function is the first priority in an unresponsive client to ensure that the airway is patent and the client is breathing.

Question 2 of 5

Which hormone is responsible for stimulating the growth and development of the ovarian follicles?

Correct Answer: C

Rationale: The correct answer is C: Follicle-stimulating hormone (FSH). FSH is responsible for stimulating the growth and development of ovarian follicles by promoting the recruitment and maturation of follicles in the ovaries. It plays a crucial role in the menstrual cycle and is essential for the production of estrogen. Estrogen, choice A, is produced as a result of FSH action on the ovarian follicles. Progesterone, choice B, is produced after ovulation by the corpus luteum and is not directly involved in follicle growth. Luteinizing hormone (LH), choice D, triggers ovulation but does not stimulate follicle development.

Question 3 of 5

A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is because the lateral side has fewer nerve endings, making the finger stick less painful for the client. Puncturing the finger while still damp with antiseptic solution (
A) can dilute the blood sample. Smearing blood onto the reagent strip (
B) can cause inaccurate results. Holding the finger above the heart prior to puncture (
C) can increase blood flow and dilute the sample.
Therefore, selecting the lateral side of the finger for puncture (
D) is the best option for obtaining an accurate 2-hr postprandial blood glucose measurement.

Question 4 of 5

A nurse is assessing a newborn who has neonatal abstinence syndrome. Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: The correct answer is B: Excessive crying. Neonatal abstinence syndrome occurs in newborns exposed to addictive substances in utero. Excessive crying is a common symptom due to withdrawal. Diminished deep tendon reflexes (
A) are not typically associated. Decreased muscle tone (
C) is also not a common finding in neonatal abstinence syndrome. Absent Moro reflex (
D) is not a characteristic symptom.
Therefore, excessive crying is the most expected finding in a newborn with neonatal abstinence syndrome.

Question 5 of 5

A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first?

Correct Answer: A

Rationale: Abdominal cramping in early pregnancy can be a sign of a miscarriage or ectopic pregnancy, both of which require immediate evaluation and intervention.

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