Nokea
A nurse is performing an initial assessment of a newborn. Which of the following actions should the nurse take to prevent any heat loss through conduction?
- A. Cover the scale with a warmed blanket before weighing the baby
- B. Evaluate respirations by observing the newborn's uncovered chest for 1 min.
- C. Place the newborn's crib away from of an air vent to perform the assessment.
- D. Perform the assessment immediately after birth before removing amniotic fluid.
Correct Answer: A
Rationale: Covering the scale with a warmed blanket prevents heat loss through conduction, which occurs when the newborn comes into contact with a cold surface.
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What is the most common type of anesthesia used during labor?
- A. Epidural
- B. Spinal
- C. General
- D. Local
Correct Answer: A
Rationale: The correct answer is A: Epidural. Epidural anesthesia is the most common type used during labor because it provides pain relief while allowing the mother to remain awake and actively participate in the delivery. It works by blocking nerve signals in the lower spine, numbing the lower half of the body. This allows the mother to have a more comfortable labor experience without losing consciousness. Spinal anesthesia (B) is similar but is typically used for cesarean sections. General anesthesia (C) is rarely used during labor due to the potential risks to the baby. Local anesthesia (D) is not commonly used for labor as it only numbs a small area and is not sufficient for the pain relief needed during childbirth.
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
- A. Ectopic pregnancy
- B. Hyperemesis gravidarum
- C. Incompetent cervix
- D. Postpartum hemorrhage
Correct Answer: D
Rationale: The correct answer is D: Postpartum hemorrhage. The nurse assessed the client to be 80% effaced and 8 cm dilated, indicating she is in active labor. This client is at risk for postpartum hemorrhage, which is excessive bleeding after childbirth due to the uterus not contracting adequately to control bleeding. The risk is higher in clients who have a rapid labor progression like this client. Ectopic pregnancy (A) is not relevant in this scenario as the client is already in labor. Hyperemesis gravidarum (B) is severe nausea and vomiting during pregnancy, not related to the client's current condition. Incompetent cervix (C) is the premature dilation of the cervix, not applicable at this stage of labor.
Which of the following is a potential complication of maternal obesity during pregnancy?
- A. Gestational diabetes
- B. Preterm labor
- C. Placental abruption
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D, "All of the above." Maternal obesity during pregnancy can lead to gestational diabetes due to insulin resistance, preterm labor due to increased risk of premature birth, and placental abruption due to higher rates of hypertension and vascular complications. Choosing A, B, or C individually would be incorrect as they are all potential complications associated with maternal obesity.
The nurse is reviewing the adolescent's medical record. Which of the following conditions is the client most likely developing? Complete the following sentence by using the list of options. The adolescent is most likely developing -------------------------- evidenced by --------------------------
- A. Pelvic inflammatory disease
- B. Ectopic pregnancy
- C. C-reactive protein
- D. Beta hCG level
- E. Urinalysis
Correct Answer:
Rationale:
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
- A. Collaboration with interdisciplinary team members
- B. Advocacy for patients and families
- C. Incorporation of evidence-based practice
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D, all of the above. Collaboration with interdisciplinary team members is crucial in providing holistic care in maternal and newborn healthcare. Advocacy for patients and families ensures their rights and preferences are respected. Incorporation of evidence-based practice ensures that nursing care is based on the best available research and clinical expertise. Therefore, selecting all of the above options is essential to uphold professional standards in nursing practice in maternal and newborn healthcare.