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 planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?

Correct Answer: D

Rationale: The correct answer is D: Instruct the client to press the provided button each time fetal movement is detected. This action is essential during a nonstress test to monitor the fetal heart rate in response to movement. Pressing the button helps correlate fetal heart rate changes with fetal movements. Maintaining the client NPO (
Choice
A) is not necessary for a nonstress test. Placing the client in a supine position (
Choice
B) can decrease blood flow to the fetus. Instructing the client to massage the abdomen (
Choice
C) may alter the test results by artificially stimulating fetal movements.

Question 2 of 5

Which of the following is a potential ethical issue related to fetal surgery?

Correct Answer: A

Rationale: Informed consent is a key ethical issue in fetal surgery, ensuring parents understand the risks and benefits.

Question 3 of 5

A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Idiopathic thrombocytopenia purpura (ITP) is characterized by a decreased platelet count, which can lead to an increased risk of bleeding.

Question 4 of 5

What is the recommended age for the first hepatitis B vaccine for a newborn?

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.

Question 5 of 5

Which of the following hormones is responsible for stimulating milk production during lactation?

Correct Answer: C

Rationale: Prolactin is the hormone responsible for stimulating milk production during lactation.

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