RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: B

Rationale: Epigastric pain in a pregnant client can be a sign of preeclampsia or HELLP syndrome, both of which are serious conditions that require immediate medical attention.

Correct Answer: D

Rationale: Reporting the client's HIV status to the local health department is required by law to ensure proper public health monitoring and intervention.

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.

Correct Answer: B

Rationale: The correct answer is B: Anemia. Postpartum hemorrhage leads to excessive blood loss, causing a decrease in red blood cells, leading to anemia. Hypertension is not a typical complication of postpartum hemorrhage. Thrombocytopenia is a low platelet count and not directly related to blood loss. The correct answer is B because anemia is a common complication due to blood loss.

Correct Answer: A

Rationale: Neonatal hypothermia can lead to hypoglycemia due to the increased energy demands of maintaining body temperature.