RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Oral glucose tolerance test (OGTT) is the recommended method for screening gestational diabetes. OGTT involves measuring blood glucose levels after fasting and again 1-2 hours after consuming a glucose drink. This test is considered the gold standard for diagnosing gestational diabetes as it provides a more comprehensive assessment of glucose tolerance compared to other methods.

A: Random blood glucose test is not recommended for screening as it does not provide a reliable indication of glucose tolerance.
B: Fasting blood glucose test only provides a snapshot of glucose levels at a specific point in time and may miss cases of gestational diabetes.
D: Hemoglobin A1C test measures average blood glucose levels over several months and is not specific for diagnosing gestational diabetes.

In summary, OGTT is preferred for its ability to detect gestational diabetes accurately by assessing glucose tolerance levels before and after consuming a glucose load, making it the most appropriate screening method.

Correct Answer: B

Rationale: The correct answer is B (20-30 pounds). This range is recommended for a woman with a normal BMI (18.5-24.9) to ensure a healthy pregnancy. Gaining below 20 pounds may lead to low birth weight, while exceeding 30 pounds increases the risk of complications like gestational diabetes and hypertension. It is important for the mother to gain enough weight to support the baby's growth without putting her health at risk.

Choices A, C, and D are incorrect as they suggest weight gain outside the recommended range, which could potentially harm both the mother and the baby.

Correct Answer: D

Rationale: The correct answer is D, "Wash your baby’s face with plain water." This instruction is important to prevent irritation or infection on the baby's delicate skin. Washing the baby's face with plain water is gentle and safe.


Rationale:
1. Bathing the baby immediately after a feeding (Option
A) is not recommended as it can lead to discomfort and potential regurgitation.
2. Placing a bumper pad in the baby's crib (Option
B) poses a suffocation risk and is not recommended due to the risk of Sudden Infant Death Syndrome (SIDS).
3. Putting a soft mattress in the baby's crib (Option
C) increases the risk of suffocation and SIDS. Firm mattresses are recommended for safe sleep.

In summary, washing the baby's face with plain water is the correct instruction as it promotes good hygiene without risking harm to the baby. The other options are incorrect as they pose safety risks or are not recommended practices for newborn care

Correct Answer: A

Rationale: A key ethical issue in neonatal palliative care is the decision to withhold or withdraw life-sustaining treatment.

Correct Answer: D

Rationale: Legal issues include medical malpractice, patient autonomy, and informed refusal.