RN Maternal Nursing OB Newborn 2023 2024 Exam

RN Maternal Nursing OB Newborn 2023 2024 Exam Related

Review RN Maternal Nursing OB Newborn 2023 2024 Exam related questions and content

A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates their uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?

  • A. Reassess the client in 2 hr.
  • B. Administer simethicone.
  • C. Assist the client to empty their bladder.
  • D. Instruct the client to lie on their right side.
Correct Answer: C

Rationale: Correct Answer: C - Assist the client to empty their bladder.

Rationale: The client's uterus palpated to the right above the umbilicus indicates a full bladder displacing the uterus. A distended bladder can prevent the uterus from contracting effectively, leading to increased risk of postpartum hemorrhage. Emptying the bladder helps the uterus contract properly, reducing the risk of complications. This intervention directly addresses the underlying issue.

Incorrect Choices:
A: Reassessing in 2 hours does not address the immediate concern of a full bladder causing uterine displacement.
B: Simethicone is used for gas relief and is not relevant in this situation.
D: Instructing the client to lie on their right side does not address the bladder distention issue.
E, F, G: Irrelevant as they do not address the specific problem of a full bladder causing uterine displacement.

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Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?

  • A. Education and lifelong learning
  • B. Research and scholarship
  • C. Collaboration
  • D. All of the above
Correct Answer: D

Rationale: Professional standards include education, research, and collaboration.

What is the recommended method of administering the first dose of hepatitis B vaccine to a newborn?

  • A. Intramuscular injection
  • B. Oral administration
  • C. Topical application
  • D. Subcutaneous injection
Correct Answer: A

Rationale: The correct answer is A: Intramuscular injection. Administering the hepatitis B vaccine via intramuscular injection ensures proper absorption and immune response. Muscle tissue has a rich blood supply which aids in the rapid dissemination of the vaccine components throughout the body. This method also reduces the risk of injection site reactions. Oral administration (B) is not recommended for the hepatitis B vaccine as it may not provide sufficient immune response. Topical application (C) and subcutaneous injection (D) are not appropriate due to inadequate absorption and immunogenic response.

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?

  • A. Shortness of breath when climbing stairs
  • B. Swelling of feet and ankles at the end of the day
  • C. Headache that is unrelieved by analgesia
  • D. Braxton Hicks contractions
Correct Answer: C

Rationale: The correct answer is C: Headache that is unrelieved by analgesia. This is a concerning symptom that could indicate a serious condition like preeclampsia, which can be life-threatening for both the mother and the baby. Headaches that are severe and persistent, especially when accompanied by other symptoms like visual disturbances and high blood pressure, should be reported promptly.

Shortness of breath when climbing stairs (A) is common in late pregnancy due to the growing uterus pressing on the diaphragm. Swelling of feet and ankles (B) is also common in pregnancy and usually not a cause for concern unless it is sudden, severe, or accompanied by other symptoms. Braxton Hicks contractions (D) are normal practice contractions that do not indicate labor unless they become regular and intense.

A nurse is caring for a client who is 12 hr postpartum and has a third-degree perineal laceration. The client reports not having a bowel movement for 4 days. Which of the following medications should the nurse administer?

  • A. Bisacodyl 10 mg rectal suppository
  • B. Magnesium hydroxide 30 mL PO
  • C. Famotidine 20 mg PO
  • D. Loperamide 4 mg PO
Correct Answer: A

Rationale: A rectal suppository like bisacodyl is appropriate for relieving constipation in a postpartum client with a perineal laceration, as it avoids straining. Loperamide is an antidiarrheal and not indicated here.

Which stage of labor is characterized by the period between the onset of regular uterine contractions and full cervical dilation?

  • A. First stage
  • B. Second stage
  • C. Third stage
  • D. Fourth stage
Correct Answer: A

Rationale: The first stage of labor begins with the onset of regular contractions and ends with full cervical dilation.

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