RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: D

Rationale: The correct answer is D: All of the above. Perineal lacerations after delivery can cause significant pain. Using a combination of pain relief methods is recommended for effective management. NSAIDs and acetaminophen can help reduce inflammation and provide pain relief. Sitz baths can also help soothe the area and promote healing. By combining these methods, the woman can experience better pain control and faster recovery. Choosing only one method may not provide adequate relief for the severity of the pain experienced after perineal laceration.

Correct Answer: D

Rationale: The correct answer is D: All of the above. Lack of communication skills can hinder effective interactions with patients. Lack of knowledge and expertise may lead to suboptimal care. Lack of cultural awareness can result in misunderstandings and inadequate support. Choosing D emphasizes that all three factors can collectively impede the delivery of patient-centered care in maternal and newborn healthcare. The other choices are incorrect because they focus on individual barriers, whereas the correct answer acknowledges the multifaceted nature of challenges in patient-centered care.

Correct Answer: B

Rationale: The second stage of labor begins with full cervical dilation and ends with the delivery of the fetus.

Correct Answer: A

Rationale: The correct answer is A: Progesterone. Progesterone is the primary hormone responsible for maintaining the endometrium during pregnancy. It helps thicken the endometrial lining to support implantation and nourishment of the embryo. Progesterone also inhibits contractions of the uterus to prevent premature labor. Estrogen, while important in preparing the endometrium for implantation, is not the primary hormone responsible for its maintenance during pregnancy. FSH and LH are involved in the menstrual cycle and ovulation but are not directly responsible for maintaining the endometrium during pregnancy.

Correct Answer: D

Rationale: The correct answer is D: All of the above. This is because failure to obtain informed consent, lack of patient or family understanding, and coercion or duress are all potential legal issues related to informed consent in maternal and newborn healthcare. Failure to obtain informed consent violates the patient's autonomy and right to make decisions about their care. Lack of understanding by the patient or family can lead to uninformed decisions and potential harm. Coercion or duress undermines the voluntary nature of consent, which is essential for ethical and legal validity.
Therefore, all these factors can result in legal implications and must be carefully addressed to ensure ethical and legal compliance in healthcare practice.