Nokea
A nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse Include in the teaching?
- A. A nurse will draw blood from your baby's inner elbow.
- B. This test will be repeated when your baby is 2 months old.
- C. This test should be performed after your baby is 24 hours old
- D. Your baby will be given 2 ounces of water to drink prior to the test
Correct Answer: C
Rationale: Newborn genetic screening should be performed after the baby is 24 hours old to ensure accurate results. Blood is typically drawn from the heel, not the inner elbow, and no water is given prior to the test.
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Which stage of labor is characterized by the period between full cervical dilation and delivery of the fetus?
- A. First stage
- B. Second stage
- C. Third stage
- D. Fourth stage
Correct Answer: B
Rationale: The second stage of labor begins with full cervical dilation and ends with the delivery of the fetus.
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
- A. Mothers will receive prophylactic treatment with acyclovir prior to delivery.
- B. Transmission can occur via the saliva and urine of the newborn.
- C. Lesions are visible on the mother’s genitalia.
- D. This infection requires that airborne precautions be initiated for the newborn.
Correct Answer: B
Rationale: The correct answer is B because cytomegalovirus can be transmitted through bodily fluids like saliva and urine. This is important for the nurses to understand as they care for newborns who may be infected. The other choices are incorrect because: A) Acyclovir is used for herpes simplex virus, not cytomegalovirus, C) Lesions are not typically visible with cytomegalovirus, D) Airborne precautions are not required for cytomegalovirus, and the other choices are not provided.
What is the primary goal of interprofessional collaboration in maternal and newborn healthcare?
- A. To improve communication and coordination of care
- B. To decrease healthcare costs
- C. To increase patient satisfaction
- D. All of the above
Correct Answer: A
Rationale: The primary goal of interprofessional collaboration is to improve communication and coordination of care.
Which of the following is a potential legal issue related to maternal and newborn healthcare?
- A. Medical negligence
- B. Patient confidentiality
- C. Informed consent
- D. All of the above
Correct Answer: D
Rationale: Legal issues in maternal and newborn healthcare include medical negligence, patient confidentiality, and informed consent.
For each assessment finding, click to specify if the finding is consistent with hypoglycemia, hyperbilirubinemia, or sepsis.
- A. Ecchymotic caput Succedaneum.
- B. Decreased temperature.
- C. Lethargy.
- D. Poor feeding.
- E. Respiratory distress.
- F. Yellow sclera and oral mucosa.
Correct Answer: B, C, D, E, F
Rationale: Decreased temperature, lethargy, poor feeding, and respiratory distress are consistent with sepsis. Yellow sclera and oral mucosa are consistent with hyperbilirubinemia.