RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: D

Rationale: The correct answer is D: All of the above. Multiple gestation pregnancies carry a higher risk of preterm labor due to the uterus being stretched more, increasing the likelihood of early contractions. Gestational diabetes is more common in multiple pregnancies due to increased insulin resistance. Placenta previa can occur in multiple gestations due to the larger uterine size and abnormal placental implantation.
Therefore, all the options listed (A, B, and
C) are potential complications of a multiple gestation pregnancy.

Correct Answer: B

Rationale: The second stage of labor begins with full cervical dilation and ends with the delivery of the fetus.

Correct Answer: C

Rationale: The correct answer is C: Maintain a healthy weight. This is because maintaining a healthy weight can positively impact fertility by promoting hormonal balance and regular ovulation. Excess weight can disrupt menstrual cycles and ovulation, leading to fertility issues. By suggesting maintaining a healthy weight, the nurse is addressing a crucial aspect of fertility optimization.


Choice A (Use a lubricant during intercourse) is incorrect because while lubricants can aid in sexual comfort, they do not directly impact fertility.


Choice B (Drink herbal tea two times daily) is incorrect as there is no scientific evidence to support the efficacy of herbal teas in improving fertility.


Choice D (Take daily hot baths) is incorrect as excessive heat from hot baths can actually negatively affect sperm production and motility, reducing fertility chances.

Overall, maintaining a healthy weight is the most evidence-based and beneficial nonpharmacological treatment option for enhancing fertility.

Correct Answer: A

Rationale: Covering the scale with a warmed blanket prevents heat loss through conduction, which occurs when the newborn comes into contact with a cold surface.

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 obligation to act in the best interest of the mother and baby, promoting their well-being and health. Nurses are ethically bound to prioritize the welfare of their patients and provide care that maximizes benefits and minimizes harm. Autonomy (choice), non-maleficence (do no harm), and justice (fairness) are also important ethical principles in healthcare but beneficence takes precedence in maternal and newborn care due to the vulnerability of the patients and the need for optimal outcomes. Autonomy focuses on respecting the patient's rights to make decisions, non-maleficence emphasizes avoiding harm, and justice pertains to fairness in resource allocation. However, in the context of maternal and newborn healthcare, beneficence is the cornerstone principle to ensure the best possible care and outcomes for both mother and baby.