RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

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.

Correct Answer: C

Rationale: The correct answer is C: Beneficence. In maternal and newborn healthcare, beneficence is the primary ethical principle guiding nursing practice. This principle emphasizes the nurse's duty to promote the well-being and best interests of both the mother and the newborn. Nurses must act in a way that benefits their patients and ensures their safety and health. Autonomy (
A) focuses on respecting the patient's right to make their own decisions, which is important but not the primary principle in this context. Non-maleficence (
B) involves avoiding harm, which is essential but not the primary guiding principle here. Justice (
D) pertains to fairness in healthcare access and resource allocation, which is also crucial but not the primary ethical principle for maternal and newborn healthcare.

Correct Answer: D

Rationale: The correct answer is D: All of the above. Lack of awareness of cultural differences can lead to misunderstandings and miscommunication in healthcare. Bias and prejudice can hinder the ability to provide equitable care to individuals from diverse backgrounds. Limited access to resources can restrict healthcare providers from offering culturally appropriate services.
Therefore, all these factors can act as potential barriers to providing culturally competent care in maternal and newborn healthcare.

Choices A, B, and C are incorrect because each of them individually contributes to the overall challenge of achieving cultural competence in healthcare.

Correct Answer: D

Rationale: The correct answer is D: All of the above. In maternal and newborn healthcare, legal issues encompass informed consent (
A), as healthcare providers must ensure patients understand risks and benefits before treatment. Patient confidentiality (
B) is crucial to protect sensitive health information. Malpractice (
C) involves negligence or misconduct by healthcare providers that result in harm. All three options are interconnected and essential legal considerations in maternal and newborn healthcare to ensure quality care and patient rights are upheld.

Correct Answer: B

Rationale: The correct answer is B: Second stage. This stage of labor is characterized by the birth of the baby. It begins with complete dilation of the cervix and ends with the delivery of the baby. During this stage, contractions are strong and frequent, helping to push the baby out. The first stage (choice
A) involves the onset of labor and the opening of the cervix. The third stage (choice
C) involves the delivery of the placenta. The fourth stage (choice
D) is the immediate postpartum period.

Choices E, F, and G are not relevant to the stages of labor.