RNC-OB EXAM, OBSTETRIC NURSING EXAM, RNC-OB QUESTIONS AND ANSWERS, NURSING CERTIFICATION, MATERNAL CARE EXAM, RNC-OB TEST PREP, VERIFIED OB ANSWERS
Question : Late in pregnancy, a patient often develops supine
hypotension because of
(a) partial occlusion of the vena cava and aorta.
(b) decreased peripheral collateral circulation.
(c) increased blood flow to the placenta.
Correct answer: A
because of partial occlusion of the vena cava and aorta from
the weight of the uterus. This impedes venous return from the
lower extremities although increased collateral circulation
during pregnancy helps to compensate. Remaining in the
supine position for long periods of time could decrease fetal
oxygenation as well. The lateral recumbent position relieves
the pressure on the vena cava and aorta, allowing the blood
pressure to increase and symptoms to decrease.
Question : The nurse must educate the new mother that a
contraindication to breast feeding is
(a) fetal macrosomia.
(b) type II diabetes.
(c) infection with HIV/AIDS.
Correct answer: C
Some maternal contraindications to breastfeeding include:
-Infection with HIV/AIDS
-Use of antiretroviral medications
-Active TB not treated
-Infection with human T-cell lymphotropic virus
-Illicit drug use
-Use of chemotherapeutic agents
-Radiation therapy (may require only interruption during
treatment)
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