RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Questions 349

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RN Maternal Nursing OB Newborn 2023 2024 Exam Questions

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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 crucial during a nonstress test to monitor fetal heart rate in response to movement. Pressing the button helps correlate fetal movements with any changes in heart rate, providing valuable data on fetal well-being. Maintaining NPO (
A) is not necessary for a nonstress test. Placing the client in a supine position (
B) can compress the vena cava, compromising blood flow to the fetus. Instructing the client to massage the abdomen (
C) may artificially stimulate fetal movement, affecting test results.

Question 2 of 5

What is the recommended method of administering the second dose of hepatitis B vaccine to a newborn?

Correct Answer: A

Rationale: Intramuscular injection is the recommended method for administering the second dose of the hepatitis B vaccine to a newborn, as it ensures proper absorption and effectiveness.

Question 3 of 5

A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Reporting the client’s HIV status to the local health department is a legal requirement to ensure proper public health tracking and intervention.

Question 4 of 5

A nurse is teaching a client who is at 35 weeks of gestation about manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include?

Correct Answer: C

Rationale: The correct answer is C: Headache that is unrelieved by analgesia. This is a crucial symptom to report as it could indicate preeclampsia, a serious pregnancy complication characterized by high blood pressure and organ damage. Headaches in preeclampsia are often severe and persistent. Shortness of breath (
A) can be common in late pregnancy due to the growing uterus but is not necessarily a sign of a complication. Swelling of feet and ankles (
B) is also common in pregnancy and mostly due to fluid retention. Braxton Hicks contractions (
D) are normal, irregular contractions that do not signify labor.

Question 5 of 5

Which of the following is a potential indication for induction of labor?

Correct Answer: A

Rationale: Preeclampsia is a common indication for the induction of labor.

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