Nokea
A nurse is caring for a client who is in labor and requires augmentation of labor. Which of the following conditions should the nurse recognize as a contraindication to the use of oxytocin?
- A. Post-term with oligohydramnios.
- B. Chorioamnionitis
- C. Shoulder presentation
- D. Diabetes mellitus
Correct Answer: C
Rationale: Shoulder presentation is a contraindication for oxytocin use because it can lead to complications like umbilical cord prolapse or fetal distress.
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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 primary goal of patient education in maternal and newborn healthcare?
- A. To improve health outcomes
- B. To increase patient satisfaction
- C. To decrease healthcare costs
- D. All of the above
Correct Answer: A
Rationale: The primary goal of patient education in maternal and newborn healthcare is to improve health outcomes by empowering patients with knowledge to make informed decisions about their care.
A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. Which of the following actions should the nurse take?
- A. Restrict hourly fluid intake to 150 mL/hr.
- B. Have calcium gluconate readily available.
- C. Assess deep tendon reflexes every 6 hr.
- D. Monitor intake and output every 4 hr.
Correct Answer: B
Rationale: Calcium gluconate is the antidote for magnesium sulfate toxicity and should be readily available in case the client shows signs of toxicity, such as respiratory depression or loss of deep tendon reflexes.
A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider?
- A. A newborn who is 26 hr old and has erythema toxicum on their face.
- B. A newborn who is 32 hr old and has not passed a meconium stool.
- C. A newborn who is 12 hr old and has pink-tinged urine.
- D. A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F).
Correct Answer: B
Rationale: A newborn who has not passed a meconium stool by 32 hours of age may have an obstruction or other gastrointestinal issue that requires further evaluation.
What is the function of the umbilical cord during fetal development?
- A. To transport oxygen and nutrients from the mother to the fetus
- B. To remove waste products from the fetus
- C. To regulate fetal temperature
- D. All of the above
Correct Answer: D
Rationale: The umbilical cord transports oxygen and nutrients, removes waste, and helps regulate fetal temperature.