Maternal Newborn Nursing

Maternal Newborn Nursing Related

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Which factor is a major barrier to health care for adolescent mothers?

  • A. Health care workers have a positive attitude.
  • B. The hospital or clinic is within walking distance of the girl's home.
  • C. Seeing a different nurse aNnd/Ror hIealtGh caBre. pCrovMider at every visit. U S N T O
  • D. The institution is open days, evenings, and Saturday by special arrangement.
Correct Answer: C

Rationale: The major barrier to health care for adolescent mothers is seeing a different nurse and/or health care provider at every visit. Continuity of care is crucial for adolescent mothers as they need consistent support and guidance throughout their pregnancy and postpartum period. When they see different healthcare providers at each visit, it can lead to fragmented care, lack of trust in the healthcare system, and hinder the establishment of a therapeutic relationship. This barrier can impact the quality of care received and ultimately affect the health outcomes for both the adolescent mother and her baby.

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Which sexually transmitted infection is characterized by a foul-smelling, yellow-green discharge accompanied by vaginal pain and dyspareunia?

  • A. Syphilis.
  • B. Herpes simplex.
  • C. Trichomoniasis.
  • D. Condylomata acuminata.
Correct Answer: C

Rationale: Trichomoniasis causes a foul-smelling, yellow-green discharge and discomfort during intercourse.

The nurse is monitoring a client receiving magnesium sulfate for preeclampsia. What finding indicates the need to discontinue the infusion?

  • A. Urine output of 50 mL/hour.
  • B. Respiratory rate of 10 breaths per minute.
  • C. Blood pressure of 140/90 mmHg.
  • D. Deep tendon reflexes +3.
Correct Answer: B

Rationale: A respiratory rate below 12 breaths per minute is a sign of magnesium sulfate toxicity, requiring immediate discontinuation.

What is the priority action for a newborn with a positive Coombs test?

  • A. Begin phototherapy immediately
  • B. Monitor for jaundice progression
  • C. Administer immunoglobulin therapy
  • D. Initiate exchange transfusion procedures
Correct Answer: B

Rationale: Monitoring jaundice progression is crucial for managing hemolytic disease.

A nurse is monitoring a client with severe preeclampsia who is

  • A. Which sign of toxicity of magnesium should
  • C. Pulse ox 90%
  • D. Absence of DTR
Correct Answer: D

Rationale: The absence of deep tendon reflexes (DTR) is a concerning sign of toxicity of magnesium sulfate in a client with preeclampsia. Magnesium sulfate is commonly used for seizure prophylaxis in preeclampsia, but toxicity can occur, leading to neuromuscular deficits. Absence of DTR indicates muscle relaxation or paralysis, which is a serious sign of magnesium toxicity and requires immediate intervention to prevent further complications. Monitoring and recognizing this symptom promptly is crucial to prevent severe outcomes such as respiratory depression or cardiac arrest. Other signs of magnesium toxicity include decreased level of consciousness, decreased respiratory rate, and cardiac arrhythmias.

Individuals 35 years or older at conception have an increased risk of what complication?

  • A. low birth weight
  • B. hypoglycemia
  • C. neural tube defects
  • D. chromosomal abnormalities
Correct Answer: D

Rationale:

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