RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

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RN Maternal Nursing OB Newborn 2023 2024 Exam Questions

Extract:

The nurse is reviewing laboratory results in the adolescent's medical
record.
Exhibit 1
Vital Signs
1300:
Blood pressure 118/72 mm Hg
Heart rate 100/min
Respiratory rate 20/min
Temperature 38.3° C (101° F)


Question 1 of 5

The nurse is reviewing the adolescent's medical record. Which of the following conditions is the client most likely developing? Complete the following sentence by using the list of options. The adolescent is most likely developing -------------------------- evidenced by --------------------------

Correct Answer:

Rationale:

Extract:

A nurse is caring for a postpartum client in an outpatient setting
Exhibit1:
History and Physical
G1P1, spontaneous vaginal delivery with median episiotomy at 39 weeks of gestation.
Newborn 4,508 g (9 lb 15 oz), APGARs: 8 at 1 min, 9 at 5 min
group B streptococcus 8-hemolytic: positive (negative)
Received 2 doses of Intravenous penicillin G while in labor”


Question 2 of 5

complete the following sentence by using the lists of options. The client is at highest risk for developing ---evidenced by the client's ---

Correct Answer: A

Rationale: The client is at highest risk for developing endometritis due to the positive group B streptococcus status and the median episiotomy, which are risk factors for infection.

Extract:


Question 3 of 5

What is the recommended method of administering vitamin K to a newborn who is at risk for bleeding?

Correct Answer: A

Rationale: The correct answer is A: Intramuscular injection. This is recommended as it ensures rapid and reliable absorption of vitamin K, preventing bleeding disorders in newborns. Intramuscular injection allows for efficient delivery into the bloodstream, ensuring the newborn receives the necessary vitamin K for clotting factor synthesis. Oral administration may be less effective due to variable absorption, while topical application and subcutaneous injection may not provide the needed systemic absorption.
Therefore, intramuscular injection is the optimal method for administering vitamin K to newborns at risk for bleeding.

Question 4 of 5

What is the recommended method of screening for hepatitis B during pregnancy?

Correct Answer: A

Rationale: The HBsAg test is the recommended method for screening for hepatitis B during pregnancy.

Question 5 of 5

A nurse is providing discharge instructions about newborn safety to a client who is 2 days postpartum. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: Using a car seat during air travel ensures the newborn's safety during takeoff, landing, and turbulence.

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