RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: A

Rationale: Decreasing lighting levels helps reduce overstimulation, which can exacerbate symptoms of neonatal abstinence syndrome.

Correct Answer: D

Rationale: The correct answer is D: All of the above. After a cesarean delivery, a combination of pain relief methods is recommended to effectively manage postoperative pain. Epidural anesthesia provides continuous pain relief, intravenous opioids offer immediate relief, and patient-controlled analgesia allows the patient to self-administer pain medication as needed. Using all three methods ensures comprehensive pain management.

Choices A, B, and C on their own may not offer sufficient pain relief compared to the combined approach of using all three methods.

Correct Answer: A

Rationale: The correct answer is A: Swelling of the face. This finding could indicate preeclampsia, a serious pregnancy complication characterized by high blood pressure and protein in the urine. The nurse should report this to the provider immediately for further evaluation and management to prevent potential complications for both the mother and the baby.

Incorrect choices:
B: Varicose veins in the calves - Common in pregnancy due to increased blood volume and hormonal changes, usually not a cause for immediate concern.
C: Nonpitting 1+ ankle edema - Mild swelling is common in pregnancy, but nonpitting edema is typically not a significant finding unless it worsens.
D: Hyperpigmentation of the cheeks - Common in pregnancy, known as melasma or "mask of pregnancy," not typically a cause for immediate concern.

Correct Answer: A

Rationale: The correct answer is A: "I should increase my protein intake to 60 grams each day." This is the correct answer because protein is essential for fetal development and maternal health during pregnancy. Protein helps in the growth of the baby's tissues and organs. The recommended daily protein intake during pregnancy is higher than usual, around 71 grams per day.
Therefore, increasing protein intake to 60 grams is a good indication that the client understands the importance of adequate protein during pregnancy.


Choice B is incorrect because while hydration is important during pregnancy, there is no specific recommended daily intake of 2 liters of water.


Choice C is incorrect because increasing overall caloric intake by 300 calories is a general recommendation for the second and third trimesters, not necessarily at 10 weeks of gestation.


Choice D is incorrect because while folic acid is important during pregnancy to prevent birth defects, the recommended daily intake is 400-800 micrograms, not specifically 600 micrograms.

Correct Answer: C

Rationale: The correct answer is C: Beneficence. In maternal and newborn healthcare, beneficence is the primary ethical principle guiding nursing practice. This principle emphasizes the obligation to act in the best interest of the mother and baby, promoting their well-being and health. Nurses are ethically bound to prioritize the welfare of their patients and provide care that maximizes benefits and minimizes harm. Autonomy (choice), non-maleficence (do no harm), and justice (fairness) are also important ethical principles in healthcare but beneficence takes precedence in maternal and newborn care due to the vulnerability of the patients and the need for optimal outcomes. Autonomy focuses on respecting the patient's rights to make decisions, non-maleficence emphasizes avoiding harm, and justice pertains to fairness in resource allocation. However, in the context of maternal and newborn healthcare, beneficence is the cornerstone principle to ensure the best possible care and outcomes for both mother and baby.