RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: D

Rationale: The correct answer is D: All of the above. Acupuncture, massage, and water immersion are all recommended methods for pain relief during labor for women who want to avoid medication. Acupuncture can help release endorphins, which are natural pain relievers. Massage can reduce muscle tension and promote relaxation. Water immersion, such as in a birthing pool, can provide buoyancy and comfort, easing the intensity of contractions. Each of these methods offers non-pharmacological pain relief options that can be effective during labor.
Therefore, choosing all of the above options provides a comprehensive approach to managing pain without medication.

Correct Answer: C

Rationale: Neonatal hypernatremia can lead to dehydration due to excessive sodium levels.

Correct Answer: A

Rationale: The ethical issue of autonomy versus beneficence arises when a mother's request for a cesarean delivery conflicts with medical recommendations. Respecting patient autonomy while ensuring beneficence (doing what is best for the patient) can create ethical dilemmas.

Correct Answer: D

Rationale: The correct answer is D: All of the above. After a cesarean delivery, a combination of pain relief methods is recommended to effectively manage postoperative pain. Epidural anesthesia provides continuous pain relief, intravenous opioids offer immediate relief, and patient-controlled analgesia allows the patient to self-administer pain medication as needed. Using all three methods ensures comprehensive pain management.

Choices A, B, and C on their own may not offer sufficient pain relief compared to the combined approach of using all three methods.

Correct Answer: D

Rationale: A fetal heart rate baseline of 170/min is tachycardic and should be reported to the provider as it may indicate fetal distress.