A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy. Which of the following actions should the nurse take?
- A. Provide the newborn with 15 mL glucose water after each feeding.
- B. Turn the newborn every 4 hr.
- C. Apply hydrating lotion to the newborn’s skin prior to treatment.
- D. Close the newborn's eyes before applying eyepatches.
Correct Answer: D
Rationale: The correct answer is D: Close the newborn's eyes before applying eyepatches. To protect the newborn's eyes from potential damage due to phototherapy light, it is essential to close the eyes before placing eyepatches. This prevents exposure to the bright light, reducing the risk of eye irritation or injury. Providing glucose water (A), turning the newborn every 4 hours (B), and applying hydrating lotion (C) are not directly related to the phototherapy treatment for jaundice. Closing the eyes before applying eyepatches is crucial for the safety and comfort of the newborn during the phototherapy session.
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Which stage of labor is characterized by the period between the onset of regular uterine contractions and full cervical dilation?
- A. First stage
- B. Second stage
- C. Third stage
- D. Fourth stage
Correct Answer: A
Rationale: The first stage of labor begins with the onset of regular contractions and ends with full cervical dilation.
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 a placenta previa. Which of the following findings should the nurse expect?
- A. Spotting
- B. Nausea
- C. Polyhydramnios
- D. Uterine tenderness
Correct Answer: A
Rationale: Spotting is a common symptom of placenta previa due to the abnormal positioning of the placenta over the cervix.
Which of the following is a potential complication of a preterm infant?
- A. Hypoglycemia
- B. Respiratory distress syndrome
- C. Hyperbilirubinemia
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Preterm infants are at increased risk for various complications due to their immature organ systems. Hypoglycemia can occur due to limited glycogen stores. Respiratory distress syndrome results from insufficient surfactant production in underdeveloped lungs. Hyperbilirubinemia is common as the liver may not efficiently process bilirubin. Choosing D is correct as all these complications can affect preterm infants. Options A, B, and C are incorrect as they individually address only one potential complication, whereas D encompasses all possibilities.
What is the function of the amniotic fluid during pregnancy?
- A. To protect the fetus from infection
- B. To cushion the fetus from physical trauma
- C. To regulate fetal temperature
- D. All of the above
Correct Answer: D
Rationale: Amniotic fluid protects the fetus from infection, cushions it from trauma, and helps regulate temperature.