RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: D

Rationale: The correct action is to administer a 500 mL lactated Ringer’s IV bolus. This is because the steady trickle of vaginal bleeding despite fundal massage could indicate hypovolemia, which requires fluid replacement. Evaluating urinary output (
Choice
B) is important but not the immediate priority. Replacing the surgical dressing (
Choice
A) may be necessary later but does not address the underlying issue of hypovolemia. Applying an ice pack to the incision site (
Choice
C) is not appropriate for treating postpartum bleeding.

Correct Answer: A

Rationale: The correct answer is A: Turn the client to a side-lying position. This action helps improve venous return by reducing pressure on the vena cava, thus increasing cardiac output and blood pressure. It prevents supine hypotensive syndrome.
B: Applying oxygen won't directly address hypotension caused by epidural anesthesia.
C: Massaging the fundus is not relevant for treating hypotension related to epidural anesthesia.
D: Assisting the client to empty the bladder may be needed, but it won't directly address hypotension.

Correct Answer: D

Rationale: Contractions can indicate preterm labor, a potential complication following amniocentesis. Vomiting, hypertension, and epigastric pain are less directly related to the procedure.

Correct Answer: C

Rationale: The correct answer is C: Maintain a healthy weight. This is because maintaining a healthy weight can positively impact fertility by promoting hormonal balance and regular ovulation. Excess weight can disrupt menstrual cycles and ovulation, leading to fertility issues. By suggesting maintaining a healthy weight, the nurse is addressing a crucial aspect of fertility optimization.


Choice A (Use a lubricant during intercourse) is incorrect because while lubricants can aid in sexual comfort, they do not directly impact fertility.


Choice B (Drink herbal tea two times daily) is incorrect as there is no scientific evidence to support the efficacy of herbal teas in improving fertility.


Choice D (Take daily hot baths) is incorrect as excessive heat from hot baths can actually negatively affect sperm production and motility, reducing fertility chances.

Overall, maintaining a healthy weight is the most evidence-based and beneficial nonpharmacological treatment option for enhancing fertility.

Correct Answer: A

Rationale: The ethical issue of autonomy versus beneficence arises when a mother's request for a cesarean delivery conflicts with medical recommendations. Respecting patient autonomy while ensuring beneficence (doing what is best for the patient) can create ethical dilemmas.