RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Questions 349

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RN Maternal Nursing OB Newborn 2023 2024 Exam Questions

Extract:


Question 1 of 5

What is the recommended method of pain relief for a woman who has a cesarean delivery?

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.

Question 2 of 5

Which stage of labor is characterized by the period between the onset of regular contractions and full cervical dilation?

Correct Answer: A

Rationale: The correct answer is A: First stage. This stage of labor begins with the onset of regular contractions and ends with complete cervical dilation at 10 cm. During this stage, the cervix gradually thins and opens to allow the baby to pass through the birth canal. The first stage is further divided into early, active, and transition phases based on the rate of cervical dilation and effacement. The second stage (
B) is characterized by the baby's descent through the birth canal and ends with the baby's delivery. The third stage (
C) involves the delivery of the placenta. The fourth stage (
D) is the immediate postpartum period. These stages come after the first stage of labor.

Question 3 of 5

Which of the following is a potential complication of neonatal sepsis?

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 increased metabolic demand. Respiratory distress syndrome can result from inflammation and fluid accumulation in the lungs. Meningitis is a possible complication of sepsis spreading to the central nervous system.
Therefore, all three choices are potential complications of neonatal sepsis.

Question 4 of 5

A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client’s history should the nurse recognize as a contraindication to oral contraceptives? (Select all that apply.)

Correct Answer: A, B, D

Rationale: The correct answer is A, B, and D. Cholecystitis is a contraindication due to increased risk of gallbladder disease with oral contraceptives. Hypertension is a contraindication as estrogen in oral contraceptives can exacerbate hypertension. Migraine headaches with aura are contraindicated due to increased risk of stroke. Human papillomavirus is not a contraindication unless it is causing severe immunosuppression. Other choices are left blank as they are not relevant contraindications to oral contraceptives.

Question 5 of 5

What is the recommended method of feeding for a full-term newborn who is not at risk for hypoglycemia?

Correct Answer: A

Rationale: Breastfeeding is the recommended method of feeding for full-term newborns who are not at risk for hypoglycemia.

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