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

Which of the following is a potential barrier to providing patient-centered care in maternal and newborn healthcare?

Correct Answer: D

Rationale: The correct answer is D: All of the above. Lack of communication skills can hinder effective interactions with patients. Lack of knowledge and expertise may lead to suboptimal care. Lack of cultural awareness can result in misunderstandings and inadequate support. Choosing D emphasizes that all three factors can collectively impede the delivery of patient-centered care in maternal and newborn healthcare. The other choices are incorrect because they focus on individual barriers, whereas the correct answer acknowledges the multifaceted nature of challenges in patient-centered care.

Question 2 of 5

A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Calcium gluconate is the antidote for magnesium sulfate toxicity and should be readily available in case the client shows signs of toxicity, such as respiratory depression or loss of deep tendon reflexes.

Extract:

A nurse is caring for a client who is 4 days postpartum following a
cesarean birth
Nurses: Notes
Today
0800:
Client reports not feeling well with headache, body aches, and
chills. Left breast red and tender with swollen, tender lymph
nodes in the left axilla. Incision edges well-approximated
without erythema or drainage. Small amount of lochia rubra
noted.
0830:
Provider notified of findings. Prescriptions received.


Question 3 of 5

For each potential assessment finding, click to specity if the assessment finding Is consistent with mastitis or endometritis. Each finding may support more than 1 disease process.

Assessment FindingsMastitisEndometritis
Foul-smelling lochia
Painful, tender breast
Temperature
Chilis

Correct Answer:

Rationale:

Extract:


Question 4 of 5

What is the most common type of anesthesia used during labor?

Correct Answer: A

Rationale: The correct answer is A: Epidural. Epidural anesthesia is the most common type used during labor as it provides effective pain relief while allowing the mother to remain conscious and actively participate in the birthing process. It is administered through a catheter placed into the epidural space in the lower back, delivering medication to numb the lower half of the body. Spinal anesthesia (
B) is typically used for cesarean deliveries, not labor. General anesthesia (
C) is rarely used in labor due to its effects on the baby. Local anesthesia (
D) is not sufficient for labor pain relief.

Question 5 of 5

A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: At 12 weeks of gestation, the fetal heart rate is best assessed using an ultrasound stethoscope positioned above the symphysis pubis. Leopold maneuvers are not necessary at this early stage.

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