RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: D

Rationale: The correct answer is D: All of the above. Postpartum hemorrhage can occur due to surgical trauma, infection can develop at the incision site, and deep vein thrombosis (DVT) can result from immobility post-surgery. Choosing A, B, or C alone would be incorrect as cesarean delivery carries risks of all these complications. Selecting E, F, or G is incorrect due to lack of relevance to cesarean delivery complications.

Correct Answer: A

Rationale: The correct answer is A: Oxytocin infusion. Oxytocin is the first-line medication for postpartum hemorrhage as it helps to contract the uterus, reducing bleeding. It stimulates uterine contractions, which helps to control bleeding by compressing blood vessels. Methylergonovine (
B) is contraindicated in hypertensive disorders, Misoprostol (
C) is an alternative if oxytocin is not available, and Blood transfusion (
D) is a supportive measure after the bleeding is controlled.

Correct Answer: B

Rationale: The correct answer is B: Within 48 hours of birth. This is recommended because newborns are most susceptible to hepatitis B infection during delivery. Administering the vaccine within 48 hours provides early protection.
Choice A (At birth) is not specific enough and may delay vaccination.

Choices C and D are too late and leave the newborn vulnerable for a longer period.

Correct Answer: C

Rationale: The correct answer is C: Bottle feeding with breast milk. Preterm infants may have difficulty latching onto the breast due to their immature sucking reflex. Bottle feeding with breast milk allows for easier feeding and enables monitoring of intake. Breast milk provides essential nutrients and antibodies crucial for preterm infant development. Formula feeding (
B) may lack these benefits. Breastfeeding (
A) may be challenging for preterm infants initially. Parenteral nutrition (
D) is typically used when a baby cannot tolerate oral feedings.

Correct Answer: A

Rationale: The correct answer is A: Kernicterus. Kernicterus is a rare but serious complication of severe jaundice in newborns, where bilirubin levels become excessively high and cross the blood-brain barrier, leading to brain damage. Other choices are incorrect because:
B) Hypoglycemia is not directly related to jaundice,
C) Respiratory distress may occur but is not a direct complication of jaundice, and
D) Sepsis is a separate condition from jaundice.