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 a placental abruption?

Correct Answer: B

Rationale: The correct answer is B: Fetal distress. Placental abruption can lead to separation of the placenta from the uterine wall, compromising fetal oxygenation and nutrient supply, resulting in fetal distress. Option A (Preterm labor) is incorrect because placental abruption is not directly associated with initiating labor. Option C (Polyhydramnios) is incorrect as it refers to excess amniotic fluid, not a complication of placental abruption. Option D (All of the above) is incorrect because only fetal distress is a direct consequence of placental abruption.

Question 2 of 5

A nurse is teaching a client who is at 35 weeks of gestation about manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include?

Correct Answer: C

Rationale: The correct answer is C: Headache that is unrelieved by analgesia. This is a crucial symptom to report as it could indicate preeclampsia, a serious pregnancy complication characterized by high blood pressure and organ damage. Headaches in preeclampsia are often severe and persistent. Shortness of breath (
A) can be common in late pregnancy due to the growing uterus but is not necessarily a sign of a complication. Swelling of feet and ankles (
B) is also common in pregnancy and mostly due to fluid retention. Braxton Hicks contractions (
D) are normal, irregular contractions that do not signify labor.

Question 3 of 5

A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The nurse should monitor the client for which of the following complications?

Correct Answer: D

Rationale: Contractions can indicate preterm labor, a potential complication following amniocentesis. Vomiting, hypertension, and epigastric pain are less directly related to the procedure.

Question 4 of 5

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

Correct Answer: D

Rationale: The correct answer is D: All of the above. Neonatal sepsis can lead to various complications. Hypoglycemia may occur due to increased metabolic demand. Respiratory distress syndrome can result from inflammation and fluid accumulation in the lungs. Meningitis is a possible complication of sepsis spreading to the central nervous system.
Therefore, all three choices are potential complications of neonatal sepsis.

Question 5 of 5

A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: C

Rationale: Continuing to take insulin as prescribed, even when experiencing nausea and vomiting, is essential for maintaining blood glucose control during pregnancy.

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