RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: B

Rationale: Oral drops are the recommended method for administering vitamin D to breastfed newborns.

Correct Answer: A

Rationale: The correct answer is A: Swelling of the face. This finding could indicate preeclampsia, a serious pregnancy complication characterized by high blood pressure and protein in the urine. The nurse should report this to the provider immediately for further evaluation and management to prevent potential complications for both the mother and the baby.

Incorrect choices:
B: Varicose veins in the calves - Common in pregnancy due to increased blood volume and hormonal changes, usually not a cause for immediate concern.
C: Nonpitting 1+ ankle edema - Mild swelling is common in pregnancy, but nonpitting edema is typically not a significant finding unless it worsens.
D: Hyperpigmentation of the cheeks - Common in pregnancy, known as melasma or "mask of pregnancy," not typically a cause for immediate concern.

Correct Answer: A

Rationale: The correct answer is A, intramuscular injection, for administering the first dose of hepatitis B vaccine to a newborn. This method ensures rapid absorption and optimal immune response. Intramuscular injection delivers the vaccine directly into the muscle tissue, allowing for efficient uptake by the immune system. Oral administration (
B) is not recommended for the hepatitis B vaccine as it may not provide adequate absorption.
Topical application (
C) and subcutaneous injection (
D) are also not appropriate for this vaccine due to slower absorption rates. It is crucial to administer vaccines correctly to ensure the best protection against infections.

Correct Answer: C

Rationale: Removing all clothing except the diaper ensures maximum skin exposure to the phototherapy lights, which is essential for effective treatment of hyperbilirubinemia.

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.