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 role of the fallopian tubes in fertilization?

Correct Answer: C

Rationale: The correct answer is C: Transport of ova to the uterus. The fallopian tubes serve as the site of fertilization where the sperm meets the egg. They provide a pathway for the egg to travel from the ovary to the uterus for implantation. Production of ova (
A) occurs in the ovaries, not the fallopian tubes. Production of sperm (
B) happens in the testes, not the female reproductive system. Transport of sperm to the uterus (
D) occurs through the vas deferens, not the fallopian tubes.

Question 2 of 5

Which of the following is a potential barrier to effective communication with patients and families in maternal and newborn healthcare?

Correct Answer: D

Rationale: The correct answer is D: All of the above. Language barriers, cultural differences, and limited access to technology can all act as potential barriers to effective communication in maternal and newborn healthcare. Language barriers can hinder understanding and conveying important information. Cultural differences can lead to misunderstandings and misinterpretations. Limited access to technology may restrict the ability to communicate effectively or access necessary resources.
Therefore, all three factors contribute to communication challenges in healthcare settings.

Choices A, B, and C are incorrect because they each represent individual barriers, whereas the correct answer encompasses all three as significant obstacles to effective communication in maternal and newborn healthcare.

Question 3 of 5

A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin. Which of the following actions should the nurse take to best evaluate the client’s medication adherence?

Correct Answer: D

Rationale: The correct answer is D: Check the client’s serum medication level. This is the best action to evaluate medication adherence for a client taking digoxin during pregnancy. Digoxin has a narrow therapeutic range, and monitoring serum levels is crucial to ensure the medication is being taken as prescribed. By checking the client's serum medication level, the nurse can accurately assess if the client is adhering to the prescribed regimen. Asking the client if they are taking the medication as prescribed (choice
A) relies on self-reporting, which may not always be accurate. Assessing kidney function (choice
B) is important for monitoring digoxin but does not directly evaluate medication adherence. Determining the client’s apical pulse rate (choice
C) is important but does not provide a direct measure of medication adherence.

Question 4 of 5

A nurse is planning care for a toddler who has epiglottitis. which of the following interventions should the nurse include.

Correct Answer: C

Rationale: Epiglottitis is a medical emergency, and droplet precautions are necessary to prevent the spread of infection. Suctioning the oropharynx can worsen airway obstruction and is not recommended.

Question 5 of 5

A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?

Correct Answer: C

Rationale: The correct answer is C: Uterine tenderness. Endometritis is an infection of the uterine lining commonly occurring postpartum. Uterine tenderness is a classic sign, indicating inflammation and infection in the uterus. This can be assessed by palpating the uterus gently.
A: Temperature 37.4°C (99.3°F) - Slightly elevated temperature is common in postpartum period, but a higher fever is more indicative of infection.
B: WBC count 9,000/mm3 - Normal WBC count does not rule out infection, as localized infections like endometritis may not cause a significant rise in WBC count.
D: Scant lochia - Scant lochia may be seen in normal postpartum period, but in endometritis, lochia may be increased and foul-smelling due to infection.

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