RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Frequent vomiting with weight loss of 3 lb in 1 week. This finding indicates hyperemesis gravidarum, a severe form of morning sickness that can lead to dehydration and electrolyte imbalances, posing a risk to both the mother and fetus. It requires immediate medical attention to prevent further complications. Reports of mood swings (
B) are common in pregnancy due to hormonal changes and do not pose a direct risk to the client. Nosebleeds (
C) are common in pregnancy due to increased blood volume and are not typically a cause for concern unless severe or persistent. Increased vaginal discharge (
D) is also common in pregnancy due to hormonal changes and increased blood flow to the pelvic area and is not typically a cause for immediate concern.

Correct Answer: D

Rationale: The correct answer is D: All of the above. Collaboration with interdisciplinary team members is crucial in providing comprehensive care. Advocacy for patients and families is essential for ensuring their rights and best interests are upheld. Incorporation of evidence-based practice ensures that nursing care is based on the latest research and best practices. Choosing "All of the above" reflects the comprehensive nature of professional standards in maternal and newborn healthcare, encompassing collaboration, advocacy, and evidence-based practice to provide high-quality care. Other choices are incorrect as they do not capture the full scope of professional standards in this specific context.

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: B

Rationale: The correct answer is B: Within 48 hours of birth. The rationale behind this is that the first dose of hepatitis B vaccine is recommended to be administered within 24-48 hours after birth to provide early protection. This timing is crucial as newborns are at risk of contracting hepatitis B from their mothers during childbirth. Administering the vaccine soon after birth helps prevent transmission and ensures the baby's immune system starts developing protection against the virus.

Choices A, C, and D are incorrect because delaying the vaccine beyond the first 48 hours increases the risk of infection.

Correct Answer:

Rationale: