RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: C

Rationale: The correct answer is C:
Topical application. Administering erythromycin ointment to a newborn involves applying it directly to the eyes to prevent neonatal conjunctivitis. This method ensures direct contact with the affected area, allowing for maximum effectiveness while minimizing systemic absorption and potential side effects. Intramuscular or subcutaneous injections are not appropriate for ointment administration, as they are meant for liquid medications. Oral administration would not target the eyes specifically. It is crucial to follow recommended guidelines to ensure the newborn's safety and effective treatment.

Correct Answer: D

Rationale: The correct answer is D: All of the above. Neonatal sepsis can lead to various complications. Hypoglycemia may occur due to the body's response to infection. Respiratory distress syndrome can develop as a result of sepsis-induced lung damage. Meningitis is a serious complication of sepsis, affecting the brain and spinal cord. Choosing D is correct because sepsis can affect multiple systems, resulting in these varied complications.

Choices A, B, and C are incorrect because they represent individual complications of sepsis, whereas D encompasses all the potential complications that can arise from neonatal sepsis.

Correct Answer: A

Rationale: The correct answer is A: Intramuscular injection. Administering hepatitis B vaccine via intramuscular injection ensures proper absorption and immune response. Injecting into the muscle allows for efficient delivery to the bloodstream. Oral administration (
B) is not effective as the vaccine may be degraded in the digestive system.
Topical application (
C) and subcutaneous injection (
D) are not recommended for hepatitis B vaccine due to inadequate absorption and immune response.

Correct Answer: D

Rationale: The correct answer is D: All of the above. Hypoglycemia in a newborn can lead to hypothermia due to decreased energy production, hyperbilirubinemia as the liver struggles to process bilirubin, and respiratory distress syndrome as a result of decreased glucose for energy production in the lungs. Hypothermia can occur due to inadequate glucose supply for thermogenesis. Hyperbilirubinemia may occur as the liver is overwhelmed by the breakdown of red blood cells due to hypoglycemia. Respiratory distress syndrome can develop due to reduced glucose availability affecting lung maturation.
Therefore, all of the choices are potential complications of hypoglycemia in a newborn.

Correct Answer: B

Rationale: The correct answer is B:
To promote health equity. Culturally competent care in maternal and newborn healthcare aims to ensure that all individuals receive the same level of care regardless of their cultural background. This promotes health equity by reducing disparities in healthcare access and outcomes.
Choice A is incorrect because cultural competence embraces and respects cultural differences rather than eliminating them.
Choice C is incorrect as the focus should be on the patient's cultural background, not the provider's.
Choice D is incorrect as not all options align with the primary goal of culturally competent care.