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 complication of neonatal hypothermia?

Correct Answer: A

Rationale: Neonatal hypothermia can lead to hypoglycemia due to the increased energy demands of maintaining body temperature.

Question 2 of 5

A nurse is caring for a newborn who is 12 hr old and is experiencing jitteriness. Which of the following laboratory findings should the nurse identify as the priority?

Correct Answer: A

Rationale: The correct answer is A: Blood glucose. In a newborn experiencing jitteriness, the priority is to assess blood glucose levels to rule out hypoglycemia, which can lead to serious complications like seizures. Monitoring blood glucose is crucial for immediate intervention.
Total bilirubin (
B) is important for assessing jaundice, hemoglobin (
C) for anemia, and blood calcium (
D) for hypocalcemia, but these are not the priority in this situation. Blood glucose level is the main concern due to its potential immediate impact on the newborn's neurological function.

Question 3 of 5

What is the recommended age for the first hepatitis B vaccine for a newborn?

Correct Answer: B

Rationale: The correct answer is B: Within 48 hours of birth. The rationale behind this is that the first dose of hepatitis B vaccine is recommended to be administered within 24-48 hours after birth to provide early protection. This timing is crucial as newborns are at risk of contracting hepatitis B from their mothers during childbirth. Administering the vaccine soon after birth helps prevent transmission and ensures the baby's immune system starts developing protection against the virus.

Choices A, C, and D are incorrect because delaying the vaccine beyond the first 48 hours increases the risk of infection.

Question 4 of 5

Which of the following is a potential complication of neonatal hypocalcemia?

Correct Answer: B

Rationale: Seizures are a potential complication of neonatal hypocalcemia due to the critical role of calcium in nerve and muscle function.

Question 5 of 5

A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: A fetal heart rate (FHR) of 152/min is within the normal range of 110 to 160 beats per minute for a fetus at 18 weeks of gestation.

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