Nokea
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
- A. Administer broad-spectrum antibiotics.
- B. Monitor the rectal temperature every 4 hr.
- C. Cleanse the site with povidone-iodine.
- D. Prepare for surgical closure after 72 hr.
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is crucial in preventing infection, as the leaking cerebrospinal fluid puts the newborn at risk for meningitis. Antibiotics help reduce the risk of infection until surgical closure can be performed. Monitoring rectal temperature (B) is important but not the priority. Cleansing the site with povidone-iodine (C) may further irritate the area. Planning for surgical closure after 72 hr (D) is important, but immediate infection prevention is the priority.
You may also like to solve these questions
What is the recommended method of feeding for a preterm newborn who is not yet able to coordinate sucking and swallowing?
- A. Breastfeeding
- B. Formula feeding
- C. Tube feeding
- D. All of the above
Correct Answer: C
Rationale: Tube feeding is recommended for preterm newborns who cannot yet coordinate sucking and swallowing.
What is the primary responsibility of a nurse or midwife in advocating for patient and family-centered care in maternal and newborn healthcare?
- A. Promoting shared decision-making
- B. Ensuring patient privacy and confidentiality
- C. Providing evidence-based care
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Nurses and midwives advocate for patient and family-centered care by promoting shared decision-making, ensuring patient privacy and confidentiality, and providing evidence-based care. Shared decision-making involves actively involving patients and families in healthcare decisions. Patient privacy and confidentiality are essential for building trust and respecting autonomy. Providing evidence-based care ensures the best outcomes for patients and families. Therefore, all these responsibilities are crucial in advocating for patient and family-centered care. Choices A, B, and C individually are important aspects, but the comprehensive approach encompassed by choice D is necessary to fully advocate for patient and family-centered care.
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
- A. Temperature 37.4°C (99.3°F)
- B. WBC count 9,000/mm3
- C. Uterine tenderness
- D. Scant lochia
Correct Answer: C
Rationale: The correct answer is C: Uterine tenderness. Endometritis is an infection of the uterine lining, causing inflammation and tenderness. This finding is expected in a client with endometritis. A: A slightly elevated temperature may be present, but it is not specific to endometritis. B: A normal WBC count does not rule out endometritis. D: Scant lochia is not a characteristic finding in endometritis. Other answer choices are not provided, but uterine tenderness is the most relevant symptom in this scenario.
What is the primary responsibility of a nurse or midwife in providing culturally competent care in maternal and newborn healthcare?
- A. Recognizing and respecting cultural diversity
- B. Providing culturally sensitive education
- C. Addressing health disparities
- D. All of the above
Correct Answer: D
Rationale: Culturally competent care involves recognizing cultural diversity, providing culturally sensitive education, and addressing health disparities.
What is the recommended method of pain relief during labor for a woman who wants to avoid medication?
- A. Acupuncture
- B. Massage
- C. Water immersion
- D. All of the above
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.