Nokea
A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
- A. Premenstrual tension will no longer be present.
- B. My monthly menstrual period will be shorter.
- C. Hormone replacements will be needed following this procedure.
- D. Ovulation will remain the same.
Correct Answer: D
Rationale: The correct answer is D: Ovulation will remain the same. This is correct because tubal ligation does not affect ovulation; it only prevents the released egg from traveling through the fallopian tube to the uterus. The other choices are incorrect because: A: Premenstrual tension can still occur. B: Menstrual period length is not affected by tubal ligation. C: Hormone replacements are not typically needed after tubal ligation unless there are other medical reasons.
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A nurse is caring for a newborn immediately following birth. For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
- A. To allow manifestations of infection to be identified
- B. The newborn weighs less than 2.5 kg (5.5 lb)
- C. The newborn was delivered via cesarean birth
- D. To facilitate bonding between the newborn and parent
Correct Answer: D
Rationale: The correct answer is D: To facilitate bonding between the newborn and parent. Delaying the instillation of antibiotic ointment allows for immediate skin-to-skin contact and bonding between the newborn and parent, promoting attachment and emotional connection. This is a crucial aspect of postnatal care and has long-term benefits for the newborn's emotional and psychological development. Choices A, B, and C are incorrect because delaying antibiotic ointment instillation for reasons such as identifying infection, low birth weight, or mode of delivery could potentially result in harm to the newborn by not providing immediate protection against eye infections, which can be serious and lead to vision impairment.
Which of the following is a potential legal issue related to maternal and newborn healthcare?
- A. Informed consent
- B. Patient confidentiality
- C. Child custody and visitation
- D. All of the above
Correct Answer: D
Rationale: Informed consent patient confidentiality and child custody/visitation are all legal issues that can arise in maternal and newborn healthcare. These issues require careful handling to ensure compliance with legal and ethical standards.
Which of the following is a potential complication of a cesarean delivery?
- A. Hemorrhage
- B. Infection
- C. Uterine rupture
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. A cesarean delivery can lead to hemorrhage due to the incision and removal of the placenta. Infection can occur at the incision site or in the uterus post-surgery. Uterine rupture is a rare but serious complication where the uterus tears open. Choosing D is correct as all these complications can potentially arise after a cesarean delivery. Options A, B, and C are incorrect as they do not encompass all possible complications of a cesarean delivery.
Which stage of labor is characterized by the birth of the baby?
- A. First stage
- B. Second stage
- C. Third stage
- D. Fourth stage
Correct Answer: B
Rationale: The correct answer is B: Second stage. This stage of labor is characterized by the birth of the baby. It begins with complete dilation of the cervix and ends with the delivery of the baby. During this stage, contractions are strong and frequent, helping to push the baby out. The first stage (choice A) involves the onset of labor and the opening of the cervix. The third stage (choice C) involves the delivery of the placenta. The fourth stage (choice D) is the immediate postpartum period. Choices E, F, and G are not relevant to the stages of labor.
Which of the following is a potential ethical issue related to neonatal intensive care?
- A. Allocation of resources
- B. Withholding or withdrawing life-sustaining treatment
- C. Use of alternative therapies without informed consent
- D. All of the above
Correct Answer: D
Rationale: All of the above are potential ethical issues in neonatal intensive care. Allocation of resources raises questions about fairness, withholding or withdrawing treatment involves difficult decisions about quality of life, and using alternative therapies without consent violates patient autonomy.