RNC-OB Domain 4: Recovery, Postpartum, and Newborn Care Welcome to your RNC-OB Domain 4: Recovery, Postpartum, and Newborn Care 1. RNC-OB: Recovery, Postpartum, and Newborn Care A newborn is diagnosed with transient tachypnea. Which of the following is the most appropriate initial nursing intervention? Administer 100% oxygen via hood. Start intravenous fluids at a maintenance rate. Place the newborn on the mother's chest for skin-to-skin contact. Monitor respiratory rate and oxygen saturation every 15 minutes. None 2. RNC-OB: Recovery, Postpartum, and Newborn Care In the context of postpartum hemorrhage, which medication is considered first-line treatment to contract the uterus? Misoprostol Methylergonovine Oxytocin Carboprost tromethamine None 3. RNC-OB: Recovery, Postpartum, and Newborn Care A postpartum woman exhibits signs of preeclampsia. Which symptom is most critical and requires immediate intervention? Systolic blood pressure of 150 mm Hg Proteinuria Persistent headache unrelieved by medication Swelling of the hands and face None 4. RNC-OB: Recovery, Postpartum, and Newborn Care In evaluating a newborn's adaptation to extrauterine life, which of the following findings would be a cause for concern? Acrocyanosis within the first 24 hours after birth Heart rate of 160 bpm during sleep Respiratory rate of 50 breaths per minute Periodic breathing with short pauses less than 5 seconds None 5. RNC-OB: Recovery, Postpartum, and Newborn Care A nurse is caring for a postpartum client who had a vaginal delivery with a second-degree laceration. What is the priority nursing assessment to monitor for signs of infection in the perineal area? Assess the episiotomy site for edema and ecchymosis. Monitor the color, amount, and odor of lochia. Check the perineal area for pain and warmth. Evaluate the client's temperature every 4 hours. None 6. RNC-OB: Recovery, Postpartum, and Newborn Care Which intervention is most appropriate for a newborn diagnosed with hypoglycemia? Immediate feeding with dextrose gel orally Administration of intravenous glucose Skin-to-skin contact and breastfeeding initiation Frequent monitoring of blood glucose levels without intervention None 7. RNC-OB: Recovery, Postpartum, and Newborn Care When assessing a postpartum client, the nurse notes that the uterus is boggy and deviated to the right side. The initial nursing action should be to: Administer prescribed analgesics. Encourage the client to empty her bladder. Perform fundal massage. Check the client's blood pressure. None 8. RNC-OB: Recovery, Postpartum, and Newborn Care A newborn's initial Apgar score is 6. What is the priority nursing intervention? Start chest compressions. Administer oxygen via nasal cannula. Perform tactile stimulation. Prepare for intubation. None 9. RNC-OB: Recovery, Postpartum, and Newborn Care In the case of a postpartum client with a temperature of 38.5"C (101.3"F) on the second postpartum day, what is the most likely diagnosis? Endometritis Urinary tract infection Mastitis Atelectasis None 10. RNC-OB: Recovery, Postpartum, and Newborn Care A newborn exhibits signs of jaundice at 24 hours of life. What is the most appropriate initial nursing action? Prepare the newborn for an exchange transfusion. Initiate phototherapy. Obtain a bilirubin level. Increase the frequency of feeding. None 11. RNC-OB: Recovery, Postpartum, and Newborn Care When monitoring a postpartum client who received magnesium sulfate for preeclampsia, which finding would necessitate immediate intervention? Urinary output of 25 mL/hour Respiratory rate of 14 breaths per minute Deep tendon reflexes rated 2+ Systolic blood pressure of 140 mm Hg None 12. RNC-OB: Recovery, Postpartum, and Newborn Care A newborn is exhibiting signs of neonatal abstinence syndrome (NAS). Which of the following is the most appropriate initial nursing action? Administer naloxone immediately. Initiate swaddling and nonnutritive sucking. Start the newborn on oral morphine. Place the newborn in a brightly lit room. None 13. RNC-OB: Recovery, Postpartum, and Newborn Care For a newborn diagnosed with polycythemia, what is the most appropriate initial nursing intervention? Initiate partial exchange transfusion. Monitor for signs of hypoglycemia. Start phototherapy. Increase fluid intake. None 14. RNC-OB: Recovery, Postpartum, and Newborn Care A postpartum client is experiencing postpartum blues. Which of the following symptoms would indicate a progression to postpartum depression and require further evaluation? Mood swings occurring within the first two weeks postpartum Feelings of sadness that improve with rest Crying spells accompanied by sleep disturbances and loss of appetite Brief periods of anxiety that resolve with support None 15. RNC-OB: Recovery, Postpartum, and Newborn Care In the context of neonatal care, what is the most significant risk associated with a maternal infection of group B Streptococcus (GBS) untreated during labor? Neonatal hypoglycemia Developmental delays Neonatal sepsis Transient tachypnea of the newborn None 16. RNC-OB: Recovery, Postpartum, and Newborn Care Which intervention is critical for a newborn with a confirmed diagnosis of galactosemia? Start a lactose-free formula immediately. Initiate breastfeeding as the primary nutrition source. Monitor for signs of jaundice. Administer intravenous glucose. None 17. RNC-OB: Recovery, Postpartum, and Newborn Care When caring for a postpartum client with cardiomyopathy, which symptom should prompt immediate action by the nurse? Fatigue Crackles heard at lung bases An increase in diastolic blood pressure by 10 mm Hg Swelling in the ankles None 18. RNC-OB: Recovery, Postpartum, and Newborn Care For a newborn exhibiting signs of meconium aspiration syndrome, what is the priority nursing action? Start oral feedings to stimulate bowel movement. Prepare for gavage feeding. Perform endotracheal suctioning if meconium-stained amniotic fluid was present during delivery. Administer surfactant therapy immediately. None 19. RNC-OB: Recovery, Postpartum, and Newborn Care When assessing a postpartum client for venous thromboembolism (VTE), which of the following is a critical sign? Bilateral calf pain Unilateral calf redness, warmth, and swelling Symmetrical ankle edema Pain in both thighs None 20. RNC-OB: Recovery, Postpartum, and Newborn Care In evaluating a newborn's adaptation to extrauterine life, which of the following findings would be a cause for concern? Acrocyanosis within the first 24 hours after birth Heart rate of 160 bpm during sleep Respiratory rate of 50 breaths per minute Periodic breathing with short pauses less than 5 seconds None 1 out of 20 Time is Up! Time's up
