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 reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?

Correct Answer: A

Rationale: Oligohydramnios, or low amniotic fluid, is an indication for electronic fetal monitoring as it can be associated with fetal distress and other complications.

Question 2 of 5

A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?

Correct Answer: A

Rationale: The correct answer is A: Fortified soy milk. Vitamin B12 is primarily found in animal products, which are absent in a vegan diet. Fortified soy milk is a plant-based alternative that is often fortified with vitamin B12. Raw carrots (
B), fresh citrus fruits (
C), and brown rice (
D) do not contain significant amounts of vitamin B12. The nurse should recommend fortified soy milk as it is a reliable source of vitamin B12 for individuals following a vegan diet.

Question 3 of 5

What is the most common type of anesthesia used during labor?

Correct Answer: A

Rationale: The correct answer is A: Epidural. Epidural anesthesia is the most common type used during labor as it provides effective pain relief while allowing the mother to remain conscious and actively participate in the birthing process. It is administered through a catheter placed into the epidural space in the lower back, delivering medication to numb the lower half of the body. Spinal anesthesia (
B) is typically used for cesarean deliveries, not labor. General anesthesia (
C) is rarely used in labor due to its effects on the baby. Local anesthesia (
D) is not sufficient for labor pain relief.

Extract:

A nurse is caring for a postpartum client who gave birth 3 days ago.
Exhibit 1
Vital Signs
Temperature 38.4° C (101.1° F)
Heart rate 108/min
Respiratory rate 20/min
Blood pressure 118/72 mm Hg


Question 4 of 5

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

Correct Answer:

Rationale:

Extract:


Question 5 of 5

A nurse is caring for a client who is in labor and notes that the umbilical cord is prolapsed. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Placing the client in the Trendelenburg position helps reduce pressure on the prolapsed cord, preventing fetal distress. Other actions like applying fundal pressure or wrapping the cord are not appropriate.

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