RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Apply a moist, warm compress to the perineum. This action helps reduce swelling, promote healing, and provide comfort for the client with a fourth-degree laceration. A warm compress improves blood flow to the area, which aids in the healing process. It also provides pain relief and promotes relaxation.


Choice B is incorrect because a cool sitz bath may not be appropriate for a fourth-degree laceration as it can constrict blood vessels and slow healing.


Choice C is incorrect because methylergonovine is a medication used to prevent or control postpartum hemorrhage, not specifically for perineal laceration.


Choice D is incorrect because applying povidone-iodine may be too harsh for the sensitive perineal area and can potentially irritate the wound.

In summary, applying a moist, warm compress is the most appropriate and beneficial intervention for a client with a fourth-degree perineal laceration postpart

Correct Answer: D

Rationale: Legal issues include informed consent, patient confidentiality, and medical malpractice.

Correct Answer: A

Rationale: Levonorgestrel is an emergency contraceptive that should be taken within 72 hours of unprotected intercourse to be most effective in preventing pregnancy.

Correct Answer: D

Rationale: Cesarean delivery can lead to maternal infection, neonatal respiratory distress, and postoperative hemorrhage.

Correct Answer: B

Rationale: Oral drops are the recommended method for administering vitamin D to breastfed newborns.