RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: B

Rationale: The recommended method for screening for Group B Streptococcus (GBS) during pregnancy is rectovaginal culture. This method involves obtaining swabs from the rectum and vagina to detect the presence of GBS bacteria. This is important because GBS colonization in pregnant women can lead to neonatal infections. Urine culture is not the recommended method for GBS screening during pregnancy, as GBS is typically found in the gastrointestinal and genital tracts, not the urinary tract. Blood tests are not specific for detecting GBS colonization. Nasopharyngeal culture is used to detect respiratory infections, not GBS colonization in pregnant women.

Correct Answer: D

Rationale: The correct answer is D: Allow the baby to feed at least every 3 hr. This instruction is important to ensure the newborn is receiving adequate nutrition and to establish a proper breastfeeding routine. Feeding on demand helps maintain the baby's hydration and growth. Option A is incorrect as newborns should feed until they are satisfied, not on a strict time limit. Option B is incorrect as water is not recommended for newborns as it can interfere with breast milk intake. Option C is incorrect as newborns should have more than 4 wet diapers a day.

Correct Answer: D

Rationale: The correct answer is D: All of the above. This is because all the options listed - undertreatment of pain, overtreatment of pain, and use of alternative therapies without informed consent - are potential ethical issues in pain management in maternal and newborn healthcare. Undertreatment can lead to unnecessary suffering, while overtreatment can result in harm or adverse effects. The use of alternative therapies without informed consent violates the principle of autonomy and informed decision-making.
Therefore, considering all these factors, option D encompasses all the possible ethical issues related to pain management in this context.

Correct Answer: D

Rationale: Maternal hypertension can lead to placental abruption, fetal growth restriction, and preterm labor.

Correct Answer: C

Rationale: The correct answer is C: Birth trauma. In a breech delivery, where the baby is positioned feet or buttocks first, there is an increased risk of birth trauma due to potential difficulties in delivering the baby's head, leading to possible injuries such as fractures or nerve damage. Fetal distress and maternal hemorrhage can also occur but are not exclusive complications of breech delivery.
Choice D, "All of the above," is incorrect as not all potential complications of a breech delivery are listed.