Which of the following is a potential legal issue related to maternal and newborn healthcare?
- A. Informed consent
- B. Medical malpractice
- C. Abandonment
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. In maternal and newborn healthcare, potential legal issues include informed consent, where patients must be fully informed before medical procedures. Medical malpractice can occur if healthcare providers fail to meet the standard of care. Abandonment is a legal issue if healthcare providers neglect patients after agreeing to provide care. Choosing D is correct because all the mentioned issues are relevant to maternal and newborn healthcare legal concerns.
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What is the recommended method of pain relief during labor for a woman who wants to avoid medication and prefers non-pharmacologic interventions?
- A. Nitrous oxide
- B. Intramuscular opioids
- C. Transcutaneous electrical nerve stimulation (TENS)
- D. All of the above
Correct Answer: C
Rationale: TENS is a non-pharmacologic method of pain relief that allows the woman to avoid medication.
What is the most common type of anesthesia used during labor?
- A. Epidural
- B. Spinal
- C. General
- D. Local
Correct Answer: A
Rationale: The correct answer is A: Epidural. Epidural anesthesia is the most common type used during labor because it provides pain relief while allowing the mother to remain awake and actively participate in the delivery. It works by blocking nerve signals in the lower spine, numbing the lower half of the body. This allows the mother to have a more comfortable labor experience without losing consciousness. Spinal anesthesia (B) is similar but is typically used for cesarean sections. General anesthesia (C) is rarely used during labor due to the potential risks to the baby. Local anesthesia (D) is not commonly used for labor as it only numbs a small area and is not sufficient for the pain relief needed during childbirth.
A nurse is caring for a client who has a placenta previa. Which of the following findings should the nurse expect?
- A. Spotting
- B. Nausea
- C. Polyhydramnios
- D. Uterine tenderness
Correct Answer: A
Rationale: Spotting is a common symptom of placenta previa due to the abnormal placement of the placenta near or over the cervix. Nausea, polyhydramnios, and uterine tenderness are not typically associated with this condition.
Which stage of labor is characterized by cervical dilation from 4-10 cm?
- A. First stage
- B. Second stage
- C. Third stage
- D. Fourth stage
Correct Answer: A
Rationale: The correct answer is A: First stage. This stage of labor is characterized by cervical dilation from 4-10 cm. During this stage, the cervix prepares for childbirth by thinning and opening up to allow the baby to pass through the birth canal. The first stage is further divided into early labor (0-4 cm dilation) and active labor (4-10 cm dilation). It is crucial for monitoring progress and determining when to move to the next stage of labor. The other choices are incorrect because the second stage is characterized by pushing and delivery of the baby, the third stage is delivery of the placenta, and the fourth stage is the postpartum period immediately after delivery.
Which of the following hormones stimulates ovulation?
- A. Progesterone
- B. Estrogen
- C. Luteinizing hormone (LH)
- D. Follicle-stimulating hormone (FSH)
Correct Answer: C
Rationale: Luteinizing hormone (LH) is responsible for triggering ovulation by stimulating the release of an egg from the ovary. This is a key part of the menstrual cycle.