RN Maternal Nursing OB Newborn 2023 2024 Exam -Nurselytic

Correct Answer: D

Rationale: The correct answer is D: All of the above. In maternal and newborn healthcare, ethical issues can arise in various aspects such as informed consent, patient confidentiality, and end-of-life decision-making. Informed consent ensures that patients fully understand the risks and benefits of medical interventions. Patient confidentiality is essential for maintaining trust and privacy. End-of-life decision-making involves delicate ethical considerations regarding the best interests of both the mother and the newborn. These issues are crucial in ensuring ethical practices and upholding the rights of patients in maternal and newborn healthcare.

Choices A, B, and C are incorrect because each of them represents a distinct but valid ethical concern within this context.

Correct Answer: B

Rationale:
Correct Answer: B - Assess the newborn's latch while breastfeeding.


Rationale: Sore nipples in breastfeeding can be caused by improper latch. By assessing the newborn's latch, the nurse can identify and correct any issues, such as shallow latch or incorrect positioning, which can alleviate the discomfort for the mother. This action promotes effective breastfeeding and prevents further nipple soreness.

Incorrect

Choices:
A: Instructing the client to wait 4 hr between daytime feedings is not appropriate as it can lead to engorgement and decrease milk supply.
C: Having the client limit breastfeeding to 5 min per breast can hinder milk production and may not address the underlying latch issue causing sore nipples.
D: Offering supplemental formula is not necessary and can interfere with establishing breastfeeding and milk supply.

Correct Answer: C

Rationale: Tube feeding is often recommended for premature infants who may not have the ability to suck and swallow effectively. It ensures they receive adequate nutrition.

Correct Answer: B

Rationale: Temperature is a priority assessment after an amniotomy, as it can indicate the onset of infection, such as chorioamnionitis.

Correct Answer: D

Rationale: The correct answer is D: All of the above. Acupuncture, massage, and water immersion are all recommended methods for pain relief during labor for women who want to avoid medication. Acupuncture can help release endorphins, which are natural pain relievers. Massage can reduce muscle tension and promote relaxation. Water immersion, such as in a birthing pool, can provide buoyancy and comfort, easing the intensity of contractions. Each of these methods offers non-pharmacological pain relief options that can be effective during labor.
Therefore, choosing all of the above options provides a comprehensive approach to managing pain without medication.