Nokea
Which of the following is a potential complication of maternal hypothyroidism during pregnancy?
- A. Preterm labor
- B. Fetal growth restriction
- C. Preeclampsia
- D. All of the above
Correct Answer: D
Rationale: Maternal hypothyroidism can lead to preterm labor, fetal growth restriction, and preeclampsia, among other complications.
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Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
- A. Promotion of health equity
- B. Provision of patient-centered care
- C. Advocacy for social justice
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D. "All of the above" is the professional standard for nursing practice in maternal and newborn healthcare because it encompasses all three essential aspects: promotion of health equity, provision of patient-centered care, and advocacy for social justice. Nurses must address health disparities, prioritize individualized care for patients, and advocate for fair and equitable healthcare practices. Choosing A, B, or C individually would be limiting, as they are all interconnected and crucial in providing comprehensive care. Therefore, selecting D ensures that nurses adhere to all professional standards essential in maternal and newborn healthcare.
A nurse is making an initial postpartum home visit. Which of the following client statements should the nurse identity as a manifestation of Increased risk for child abuse?
- A. I want to meet other parents to see if they are going through the same things.
- B. I try to respond to the baby quickly so she doesn't cry very long.
- C. I think the baby should be sleeping through the night by now.
- D. I have several friends who come by to help out with the baby.
Correct Answer: C
Rationale: Expecting a newborn to sleep through the night is unrealistic and may indicate frustration or lack of understanding, which are risk factors for child abuse. Other statements reflect normal parental concerns or support systems.
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates their uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?
- A. Reassess the client in 2 hr.
- B. Administer simethicone.
- C. Assist the client to empty their bladder.
- D. Instruct the client to lie on their right side.
Correct Answer: C
Rationale: The correct answer is C: Assist the client to empty their bladder. This is the correct intervention because a uterus palpable to the right above the umbilicus indicates a full bladder causing displacement of the uterus. Emptying the bladder will allow the uterus to return to the midline. Choice A is incorrect as the immediate issue is a full bladder, not requiring a wait of 2 hours. Choice B (administer simethicone) is incorrect as this medication is for gas relief and not relevant in this scenario. Choice D (instruct the client to lie on their right side) is incorrect as it does not address the underlying problem of a full bladder.
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.
Which of the following is a potential legal issue related to maternal and newborn healthcare?
- A. Informed consent
- B. Patient confidentiality
- C. Medical malpractice
- D. All of the above
Correct Answer: D
Rationale: Legal issues include informed consent, patient confidentiality, and medical malpractice.