Nokea
A nurse is caring for a client who is in labor and notes that the umbilical cord is prolapsed. Which of the following actions should the nurse take?
- A. Evaluate uterine tone.
- B. Loosely wrap the cord with petroleum gauze.
- C. Apply fundal pressure.
- D. Place the client in Trendelenburg position
Correct Answer: D
Rationale: Placing the client in the Trendelenburg position helps reduce pressure on the prolapsed cord, preventing fetal distress. Other actions like applying fundal pressure or wrapping the cord are not appropriate.
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What is the recommended method of screening for Group B Streptococcus (GBS) during pregnancy?
- A. Urine culture
- B. Rectovaginal culture
- C. Blood test
- D. Nasopharyngeal culture
Correct Answer: B
Rationale: The recommended method for screening GBS during pregnancy is a rectovaginal culture. This method involves swabbing the rectum and vagina to detect GBS colonization. This is crucial because GBS can be transmitted to the newborn during delivery, leading to serious infections. Urine culture (choice A) is not recommended for GBS screening as it does not accurately reflect vaginal colonization. Blood test (choice C) and nasopharyngeal culture (choice D) are also not appropriate for GBS screening during pregnancy. Rectovaginal culture is the gold standard method for identifying GBS colonization in pregnant women.
A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching?
- A. "I will eat foods that taste good instead of balancing my meals."
- B. "I will avoid having a snack before I go to bed each night."
- C. "I will have a cup of hot tea with each meal."
- D. "I will eliminate products that contain dairy from my diet."
Correct Answer: D
Rationale: The correct answer is D: "I will eliminate products that contain dairy from my diet." This is because hyperemesis gravidarum is a condition characterized by severe nausea and vomiting during pregnancy. Dairy products can be harder to digest and may exacerbate nausea. By eliminating dairy, the client can reduce the likelihood of triggering nausea and vomiting.
A: "I will eat foods that taste good instead of balancing my meals." - This statement does not address the dietary changes needed for hyperemesis gravidarum.
B: "I will avoid having a snack before I go to bed each night." - While avoiding snacks before bedtime can be a good practice for some, it does not specifically address the dietary needs of hyperemesis gravidarum.
C: "I will have a cup of hot tea with each meal." - Hot tea may not necessarily help with managing hyperemesis gravidarum symptoms and does not address the need for dietary modifications.
What is the recommended method of screening for syphilis during pregnancy?
- A. Venereal disease research laboratory (VDRL) test
- B. Rapid plasma reagin (RPR) test
- C. Fluorescent treponemal antibody absorption (FTA-ABS) test
- D. All of the above
Correct Answer: D
Rationale: Screening for syphilis during pregnancy can involve the VDRL, RPR, or FTA-ABS tests.
A nurse is teaching a new parent about breastfeeding her 2-week-old infant. Which of the following statements by the parent indicates an understanding of the teaching?
- A. After 5 to 10 minutes when the breast is emptied, my baby should be removed from the breast.
- B. Manually expressing my milk will decrease my milk supply.
- C. My baby should always start on the same breast when feeding.
- D. The more my baby is at the breast sucking, the more milk I will produce.
Correct Answer: D
Rationale: Frequent breastfeeding stimulates milk production. Manually expressing milk does not decrease supply, and the baby should alternate breasts during feedings.
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
- A. Promotion of health equity
- B. Provision of patient-centered care
- C. Advocacy for social justice
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D. "All of the above" is the professional standard for nursing practice in maternal and newborn healthcare because it encompasses all three essential aspects: promotion of health equity, provision of patient-centered care, and advocacy for social justice. Nurses must address health disparities, prioritize individualized care for patients, and advocate for fair and equitable healthcare practices. Choosing A, B, or C individually would be limiting, as they are all interconnected and crucial in providing comprehensive care. Therefore, selecting D ensures that nurses adhere to all professional standards essential in maternal and newborn healthcare.