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 cause of recurrent pregnancy loss?

Correct Answer: D

Rationale: Recurrent pregnancy loss can be caused by chromosomal abnormalities, immunologic factors, or environmental factors.

Question 2 of 5

A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?

Correct Answer: B

Rationale:
Correct Answer: B - Assess the newborn's latch while breastfeeding.


Rationale: Sore nipples in breastfeeding can be caused by improper latch. By assessing the newborn's latch, the nurse can identify and correct any issues, such as shallow latch or incorrect positioning, which can alleviate the discomfort for the mother. This action promotes effective breastfeeding and prevents further nipple soreness.

Incorrect

Choices:
A: Instructing the client to wait 4 hr between daytime feedings is not appropriate as it can lead to engorgement and decrease milk supply.
C: Having the client limit breastfeeding to 5 min per breast can hinder milk production and may not address the underlying latch issue causing sore nipples.
D: Offering supplemental formula is not necessary and can interfere with establishing breastfeeding and milk supply.

Question 3 of 5

A nurse is caring for a 1-month-old infant who has manifestations of severe dehydration and a prescription for parenteral fluid therapy. The guardian asks, 'What are the indications that my baby needs an IV?' Which of the following responses should the nurse make?

Correct Answer: A

Rationale: The absence of tears is a sign of severe dehydration, indicating the need for IV fluid therapy to restore hydration.

Question 4 of 5

What is the recommended method of pain relief during labor for a woman who wants to avoid medication?

Correct Answer: D

Rationale: The correct answer is D: All of the above. Acupuncture, massage, and water immersion are all recommended methods for pain relief during labor for women who want to avoid medication. Acupuncture can help release endorphins, which are natural pain relievers. Massage can reduce muscle tension and promote relaxation. Water immersion, such as in a birthing pool, can provide buoyancy and comfort, easing the intensity of contractions. Each of these methods offers non-pharmacological pain relief options that can be effective during labor.
Therefore, choosing all of the above options provides a comprehensive approach to managing pain without medication.

Question 5 of 5

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

Correct Answer: D

Rationale: All of the above are potential barriers to effective communication. Limited health literacy, cultural differences, and language barriers can all hinder understanding and collaboration between healthcare providers and patients.

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