RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: D

Rationale: Screening for syphilis during pregnancy can involve the VDRL, RPR, or FTA-ABS tests.

Correct Answer: B, C, D, E, F

Rationale: Decreased temperature, lethargy, poor feeding, and respiratory distress are consistent with sepsis. Yellow sclera and oral mucosa are consistent with hyperbilirubinemia.

Correct Answer: A,B

Rationale: Providing education on medications is correct. The nurse should first educate the adolescent regarding medications because clients have the right to know the purpose and potential adverse reactions of all prescribed medications before receiving them. An understanding of the prescribed medications will increase the likelihood that the adolescent will adhere to the prescribed therapy. Scheduling follow-up appointments and administering doxycycline is incorrect. The nurse should schedule the adolescent for a follow-up appointment; however, there is another action that the nurse should take first. The nurse should not administer
doxycycline because it is a prescription for the adolescent to begin once discharged, and the prescription will be provided to the adolescent upon discharge; therefore, there is another action that the nurse should take.Administering ceftriaxone is correct. Ceftriaxone is designated as a NOW prescription, which means it should be given within 90 min of the provider writing the prescription. The nurse should administer ceftriaxone after educating the adolescent about the purpose and potential adverse reactions of the medication. Administering metronidazole and educating on condom use is incorrect. The nurse should not administer metronidazole because it is a prescription for the adolescent to begin once discharged, and the prescription will be provided to the adolescent upon discharge; therefore, there is another action that the nurse should take. The nurse should educate the adolescent regarding condom use; however, there is another action that the nurse should take first.

Correct Answer: A,B,D,E,F

Rationale: The correct findings to report to the provider are A, B, D, E, and F. Abdominal assessment is crucial as it can indicate underlying health issues. Vaginal discharge and dyspareunia could suggest infections or reproductive health concerns. Monitoring temperature is essential to detect potential infections. Heart rate can be important, but in this case, it may not be as urgent unless it is significantly abnormal. Condom usage is relevant for assessing the adolescent's sexual health practices. Reporting these findings ensures comprehensive care and early intervention if needed.

Correct Answer: C

Rationale: Continuing to take insulin as prescribed, even when experiencing nausea and vomiting, is essential for maintaining blood glucose control during pregnancy.