Nokea
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication?
- A. Increased fetal movement.
- B. Leakage of fluid from the vagina.
- C. Upper abdominal discomfort.
- D. Urinary frequency.
Correct Answer: B
Rationale: Leakage of fluid from the vagina after an amniocentesis may indicate rupture of the amniotic membranes, which is a potential complication that requires immediate medical attention.
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Which of the following is a potential complication of a vaginal delivery?
- A. Shoulder dystocia
- B. Placenta previa
- C. Umbilical cord prolapse
- D. Cephalopelvic disproportion
Correct Answer: A
Rationale: The correct answer is A: Shoulder dystocia. This is a potential complication of vaginal delivery where the baby's shoulder gets stuck behind the mother's pubic bone. It can lead to serious complications for both the mother and the baby, such as brachial plexus injury or fetal hypoxia. Shoulder dystocia requires immediate intervention to prevent harm. Placenta previa (B) and umbilical cord prolapse (C) are complications related to the placenta and umbilical cord, not the delivery process itself. Cephalopelvic disproportion (D) refers to the mismatch between the size of the baby's head and the mother's pelvis, which may lead to difficulties in labor but is not a direct complication of vaginal delivery.
Which of the following is a potential complication of jaundice in a newborn?
- A. Kernicterus
- B. Hypoglycemia
- C. Respiratory distress
- D. Sepsis
Correct Answer: A
Rationale: The correct answer is A: Kernicterus. Kernicterus is a rare but serious complication of severe jaundice in newborns, where bilirubin levels become excessively high and cross the blood-brain barrier, leading to brain damage. Other choices are incorrect because: B) Hypoglycemia is not directly related to jaundice, C) Respiratory distress may occur but is not a direct complication of jaundice, and D) Sepsis is a separate condition from jaundice.
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?
- A. Breast tenderness
- B. Tinnitus
- C. Urinary frequency
- D. Chills
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. Clomiphene citrate is a medication commonly used to treat infertility by inducing ovulation. Breast tenderness is a common adverse effect due to the hormonal changes it causes in the body. This is important for the nurse to include in the teaching as it helps the client anticipate and manage this side effect. Tinnitus (B), urinary frequency (C), and chills (D) are not typically associated with clomiphene citrate use and are less likely to be relevant to discuss with the client in this context.
What is the primary legal responsibility of a nurse or midwife in maternal and newborn healthcare?
- A. Ensuring patient safety
- B. Maintaining patient confidentiality
- C. Providing appropriate care and treatment
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. A nurse or midwife's primary legal responsibility in maternal and newborn healthcare is to ensure patient safety by providing appropriate care and treatment while also maintaining patient confidentiality. Patient safety is paramount in healthcare to prevent harm or injury. Maintaining confidentiality is crucial to protect patient privacy and uphold ethical standards. Providing appropriate care and treatment involves assessing, planning, implementing, and evaluating care to meet the unique needs of each patient. Choosing D encompasses all these critical aspects, ensuring comprehensive legal responsibility is upheld.
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
- A. Quality improvement
- B. Patient-centered care
- C. Safety
- D. All of the above
Correct Answer: D
Rationale: Quality improvement patient-centered care and safety are all fundamental professional standards in nursing practice. These standards ensure high-quality safe and compassionate care for mothers and newborns.