A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?
- A. Bleeding gums
- B. Faintness upon rising
- C. Urinary frequency
- D. Sweiling of the face
Correct Answer: D
Rationale: Swelling of the face can indicate preeclampsia, a serious condition during pregnancy that requires immediate medical attention. Other options like bleeding gums, faintness upon rising, and urinary frequency are common during pregnancy and not typically concerning unless severe.
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A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first?
- A. Determine respiratory function.
- B. Increase the IV fluid rate.
- C. Access emergency medications from the cart.
- D. Collect a maternal blood sample for coagulopathy studies.
Correct Answer: A
Rationale: Determining respiratory function is the first priority in an unresponsive client to ensure that the airway is patent and the client is breathing.
Which of the following is a potential barrier to effective communication with patients and families in maternal and newborn healthcare?
- A. Language barriers
- B. Cultural differences
- C. Limited access to technology
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Language barriers can hinder understanding between healthcare providers and patients/families. Cultural differences can impact communication styles and beliefs. Limited access to technology can restrict communication channels. Choosing D is correct as it encompasses the potential barriers in effective communication. Options A, B, and C are incorrect as they represent individual barriers, whereas D covers all possible barriers in maternal and newborn healthcare communication.
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
- A. Hypertonia
- B. Increased feeding
- C. Hyperthermia
- D. Respiratory distress
Correct Answer: D
Rationale: Respiratory distress in a late preterm newborn can be a sign of hypoglycemia, as low blood sugar levels can impair respiratory function.
What is the recommended method of feeding for a term infant?
- A. Breastfeeding
- B. Formula feeding
- C. Bottle feeding with breast milk
- D. Parenteral nutrition
Correct Answer: A
Rationale: Breastfeeding is the recommended method for a term infant due to its numerous benefits, such as providing essential nutrients, antibodies, and promoting bonding. Breast milk is easily digestible and tailored to the baby's needs, reducing the risk of infections and allergies. It also supports the infant's optimal growth and development. Formula feeding, while a valid alternative, lacks the same level of antibodies and nutrients found in breast milk. Bottle feeding with breast milk is a suitable option if direct breastfeeding is not possible. Parenteral nutrition, on the other hand, is an intravenous method used for infants with specific medical needs and is not the recommended standard method of feeding for healthy term infants.
What is the recommended method of feeding for a newborn with galactosemia?
- A. Breastfeeding
- B. Formula feeding
- C. Soy-based formula feeding
- D. All of the above
Correct Answer: B
Rationale: Formula feeding is recommended for newborns with galactosemia, as they cannot metabolize lactose.