RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: A

Rationale:
Correct Answer: A: You should have your provider refit you for a new diaphragm.


Rationale: It is crucial for the nurse to advise the postpartum client to have her provider refit her for a new diaphragm as the body undergoes changes after childbirth. The size and shape of the cervix and vaginal canal may change, affecting the fit of the diaphragm. Using an ill-fitting diaphragm can lead to ineffective contraception and potential risks.
Therefore, ensuring a proper fit by the provider is essential for the client's safety and contraceptive efficacy.

Summary of Incorrect

Choices:
B: Using an oil-based vaginal lubricant can degrade the diaphragm material, leading to damage and reducing its effectiveness.
C: Keeping the diaphragm in place for an extended period can increase the risk of toxic shock syndrome. It is recommended to remove it within 24 hours to prevent complications.
D: Storing the diaphragm in sterile water is not necessary and may

Correct Answer: D

Rationale: The correct answer is D because using a combination of breathing techniques, massage, and water immersion can provide effective pain relief during labor without medication. Breathing techniques help manage contractions, massage can release tension, and water immersion can reduce discomfort. Option A, B, and C all play a role in promoting relaxation and reducing pain. Options E, F, and G are not applicable as they are not related to non-medication pain relief during labor. In summary, choosing all of the above options provides a holistic approach to managing pain during labor for women who prefer to avoid medication.

Correct Answer: C

Rationale: Tube feeding is often recommended for premature infants who may not have the ability to suck and swallow effectively. It ensures they receive adequate nutrition.

Correct Answer: B

Rationale: The correct answer is B: Kernicterus. Neonatal hyperbilirubinemia can lead to kernicterus, a serious complication where bilirubin crosses the blood-brain barrier, causing brain damage.
Choice A, hypoglycemia, is not a typical complication of hyperbilirubinemia.
Choice C, respiratory distress syndrome, is a separate condition caused by immature lungs.
Choice D, "All of the above," is incorrect as hyperbilirubinemia specifically leads to kernicterus, not the other complications listed.

Correct Answer: C

Rationale: Jaundice within the first 24 hours of life is considered pathological and should be reported to the provider, as it may indicate hemolytic disease or other serious conditions.