Maternal and Newborn Nursing

Maternal and Newborn Nursing Related

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A nurse is reviewing the prenatal laboratory results. to feed.

  • A. Have the mother lean over the infant while feeding action? to facilitate gravity, thereby creating enhanced
  • B. Platelet count of 300,000 per μL of blood milk flow.
  • C. Red blood cell count of 4 million/microliter
  • D. Breastfeeding should not be attempted at this time
Correct Answer: B

Rationale: Platelets are essential for blood clotting and preventing excessive bleeding. A platelet count of 300,000 per μL of blood is within the normal range for adults, indicating that the nurse can proceed with breastfeeding without concerns related to the platelet count. High platelet levels can be associated with conditions like thrombocytosis, which may increase the risk of blood clotting, but in this case, the platelet count is within the normal range. Therefore, the nurse can focus on other factors when determining the readiness for breastfeeding, such as the baby's ability to latch effectively and the mother's comfort and milk supply.

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The nurse is caring for a 2-week-old girl with a metabolic disorder. Which activity would deviate from the characteristics of family-centered care?

  • A. Softening unpleasant information or prognoses
  • B. Evaluating and changing the nursing plan of care
  • C. Collaborating with the child and family as equals
  • D. Showing respect for the family's beliefs and wishes
Correct Answer: A

Rationale: Family-centered care requires that the nurse provide open and honest information to the child and family. It is inappropriate to soften unpleasant information or prognoses.

What nursing intervention is appropriate for a woman diagnosed with syphilis?

  • A. Council the woman about how to live with a chronic infection.
  • B. Question the woman regarding symptoms of other sexually transmitted infections.
  • C. Assist the primary health care practitioner with cryotherapy procedures.
  • D. Educate the woman regarding the safe disposal of menstrual pads.
Correct Answer: B

Rationale: Syphilis often coexists with other STIs, so questioning is important.

A new mother asks the nurse why newborns receive an injection of vit. K after delivery. What will be the best response from the nurse?

  • A. Newborns are given vit K to help with the digestion to help them absorb fat soluble vitamins
  • B. Newborns are given vit K and erythromycin ointment to help prevent ophthalmia neonatorum
  • C. Newborns lack the intestinal flora needed to produce vit K, so it is given to prevent bleeding episodes
  • D. This vitamin substitutes for vitamin C and newborns will strengthen their immune system
Correct Answer: C

Rationale: Vitamin K is essential for clotting and prevents hemorrhagic disease.

When integrating the principles of family-centered care into the birthing process, the nurse would base care upon which belief?

  • A. Birth is viewed as a medical event.
  • B. Families are unable to make informed choices due to stress.
  • C. Birth results in changes in relationships.
  • D. Families require little information to make appropriate decisions for care.
Correct Answer: C

Rationale: Family-centered care is based on the following principles: Birth affects the entire family, and relationships will change; birth is viewed as a normal, healthy event in the life of the family; and families are capable of making decisions about their own care if given adequate information and professional support.

On which days of her cycle should a woman using the calendar method abstain from intercourse?

  • A. Days 9 to 25.
  • B. Days 10 to 15.
  • C. Days 11 to 20.
  • D. Days 12 to 17.
Correct Answer: A

Rationale: The fertile window typically occurs around days 9 to 25 of a menstrual cycle.

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