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 gestational hypertension?

Correct Answer: D

Rationale: Gestational hypertension can lead to preterm labor, fetal growth restriction, and placental abruption.

Question 2 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 3 of 5

A nurse is caring for a client who is in labor and requires augmentation of labor. Which of the following conditions should the nurse recognize as a contraindication to the use of oxytocin?

Correct Answer: C

Rationale: Shoulder presentation is a contraindication for oxytocin use because it can lead to complications like umbilical cord prolapse or fetal distress.

Extract:

A nurse is reviewing the provider's prescription in the adolescent's
medical chart.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus


Question 4 of 5

The nurse is reviewing the provider's prescriptions in the adolescent's medical chart.Complete the following sentence by using the list of options. The nurse should first implement ---------------------- and ---------------------------------

Correct Answer: A,B

Rationale: Providing education on medications is correct. The nurse should first educate the adolescent regarding medications because clients have the right to know the purpose and potential adverse reactions of all prescribed medications before receiving them. An understanding of the prescribed medications will increase the likelihood that the adolescent will adhere to the prescribed therapy. Scheduling follow-up appointments and administering doxycycline is incorrect. The nurse should schedule the adolescent for a follow-up appointment; however, there is another action that the nurse should take first. The nurse should not administer
doxycycline because it is a prescription for the adolescent to begin once discharged, and the prescription will be provided to the adolescent upon discharge; therefore, there is another action that the nurse should take.Administering ceftriaxone is correct. Ceftriaxone is designated as a NOW prescription, which means it should be given within 90 min of the provider writing the prescription. The nurse should administer ceftriaxone after educating the adolescent about the purpose and potential adverse reactions of the medication. Administering metronidazole and educating on condom use is incorrect. The nurse should not administer metronidazole because it is a prescription for the adolescent to begin once discharged, and the prescription will be provided to the adolescent upon discharge; therefore, there is another action that the nurse should take. The nurse should educate the adolescent regarding condom use; however, there is another action that the nurse should take first.

Extract:


Question 5 of 5

A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: The correct answer is D: Close the newborn's eyes before applying eyepatches. This action is essential to protect the newborn's eyes from the phototherapy light, which can be harmful. Closing the eyes with eyepatches helps prevent potential damage to the retina. Providing glucose water (
A) is not relevant to phototherapy for jaundice. Turning the newborn (
B) every 4 hours is important for preventing pressure ulcers but is not directly related to phototherapy. Applying hydrating lotion (
C) is unnecessary and may interfere with the effectiveness of the phototherapy.

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