Nokea
A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a nonstress test. Which of the following instructions should the nurse include?
- A. The test should take 10 to 15 minutes to complete.
- B. You will lie in a supine position throughout the test.
- C. You should not eat or drink for hours before the test.
- D. You should press the handheld button when you feel your baby move.
Correct Answer: D
Rationale: Pressing the handheld button when the client feels fetal movement helps to correlate fetal movements with changes in the fetal heart rate, which is the purpose of the nonstress test.
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What is the recommended method of administering vitamin K to a newborn who is at risk for bleeding?
- A. Intramuscular injection
- B. Oral administration
- C. Topical application
- D. Subcutaneous injection
Correct Answer: A
Rationale: The correct answer is A: Intramuscular injection. This method ensures rapid and complete absorption, providing immediate protection against bleeding in newborns. Oral administration may be ineffective due to immature gastrointestinal tract. Topical application may not achieve adequate absorption. Subcutaneous injection may lead to variable absorption rates, delaying the onset of vitamin K's protective effects. Thus, intramuscular injection is the most reliable and recommended method for newborns at risk for bleeding.
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
- A. Fortified soy milk
- B. Raw carrots
- C. Fresh citrus fruits
- D. Brown rice
Correct Answer: A
Rationale: The correct answer is A: Fortified soy milk. Vegans often have difficulty obtaining enough vitamin B12, which is primarily found in animal products. Fortified soy milk is a good source of vitamin B12 for vegans. Raw carrots (B), fresh citrus fruits (C), and brown rice (D) do not contain significant amounts of vitamin B12. Raw carrots and fresh citrus fruits are good sources of vitamin C, while brown rice is a source of carbohydrates and fiber.
A nurse is preparing to administer an IM injection to a newborn. Which of the following sites should the nurse select?
- A. Vastus lateralis
- B. Dorsogluteal
- C. Deltoid
- D. Rectus femoris
Correct Answer: A
Rationale: The correct answer is A: Vastus lateralis. For newborns, the vastus lateralis muscle is the preferred site for intramuscular injections due to its larger muscle mass and reduced risk of injury to nerves and blood vessels. It is located on the thigh, making it easily accessible and safe for administration. The deltoid muscle (choice C) is not recommended for newborns due to insufficient muscle mass. The dorsogluteal site (choice B) is not recommended for infants due to the proximity to the sciatic nerve. The rectus femoris (choice D) is not typically used for IM injections in newborns.
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
- A. Collaboration with patients and families
- B. Continuity of care
- C. Cultural competence
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Collaboration with patients and families enhances patient-centered care, continuity of care ensures seamless transitions in healthcare delivery, and cultural competence promotes understanding and respect for diverse beliefs and practices. These three standards are crucial in maternal and newborn healthcare to ensure holistic, safe, and effective care. Choosing any single option would overlook the importance of the other standards, leading to potential gaps in care delivery. Therefore, selecting all of the above ensures comprehensive adherence to professional standards in nursing practice for maternal and newborn healthcare.
What is the primary goal of culturally competent care in maternal and newborn healthcare?
- A. To eliminate cultural differences
- B. To promote health equity
- C. To prioritize the healthcare provider's cultural background
- D. All of the above
Correct Answer: B
Rationale: The correct answer is B: To promote health equity. Culturally competent care in maternal and newborn healthcare aims to ensure that all individuals receive the same level of care regardless of their cultural background. This promotes health equity by reducing disparities in healthcare access and outcomes. Choice A is incorrect because cultural competence embraces and respects cultural differences rather than eliminating them. Choice C is incorrect as the focus should be on the patient's cultural background, not the provider's. Choice D is incorrect as not all options align with the primary goal of culturally competent care.