Nokea
Which of the following is a potential ethical issue related to pain management in maternal and newborn healthcare?
- A. Undertreatment of pain
- B. Overtreatment of pain
- C. Use of alternative therapies without informed consent
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Undertreatment of pain can lead to unnecessary suffering, while overtreatment can result in adverse effects for the mother and newborn. Additionally, using alternative therapies without informed consent violates the principle of autonomy. These issues highlight the importance of balancing pain management strategies to ensure optimal care and ethical practice in maternal and newborn healthcare. Choices A, B, and C each represent distinct ethical concerns that may arise in pain management, emphasizing the need for a comprehensive approach to address these complexities.
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A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?
- A. Bleeding gums
- B. Faintness upon rising
- C. Urinary frequency
- D. Swelling of the face
Correct Answer: D
Rationale: Swelling of the face can be a sign of preeclampsia, a serious condition that requires immediate medical attention.
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan?
- A. Feed the newborn 1 oz of water every 4 hr.
- B. Apply lotion to the newborn’s skin three times per day.
- C. Remove all clothing from the newborn except the diaper.
- D. Discontinue therapy if the newborn develops a rash.
Correct Answer: C
Rationale: The correct answer is C: Remove all clothing from the newborn except the diaper. This is essential during phototherapy to maximize the skin's exposure to the light. The light helps breakdown bilirubin in the skin, reducing jaundice. Choice A is incorrect as water will not treat hyperbilirubinemia. Choice B is incorrect as lotions can interfere with the effectiveness of phototherapy. Choice D is incorrect as a rash is a common side effect of phototherapy and should not lead to discontinuation unless severe.
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.
Which of the following is a potential legal issue related to maternal and newborn healthcare?
- A. Medical malpractice
- B. Patient autonomy
- C. Informed refusal
- D. All of the above
Correct Answer: D
Rationale: Legal issues include medical malpractice, patient autonomy, and informed refusal.
Which of the following is a potential complication of gestational diabetes?
- A. Hyperglycemia
- B. Hypoglycemia
- C. Polyhydramnios
- D. Hypertension
Correct Answer: C
Rationale: The correct answer is C: Polyhydramnios. Gestational diabetes can lead to increased fetal growth and higher amniotic fluid levels, causing polyhydramnios. This can lead to complications during delivery.
Incorrect choices:
A: Hyperglycemia is a symptom of gestational diabetes, not a complication.
B: Hypoglycemia is not a common complication of gestational diabetes.
D: Hypertension is not directly linked to gestational diabetes complications.