Nokea
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
- A. Place newborn skin to skin on birthing parents chest, Encourage birthing parents to breastfeed, Obtain prescription for arterial blood gases, Plan to initiate phototherapy, Perform neonatal abstinence system scoring
- B. Cold stress, Acute bilirubin encephalopathy, Respiratory distress syndrome, Neonatal abstinence syndrome (NAS)
- C. Stool output, Temperature, Lung sounds, Blood glucose level, Bilirubin level
Correct Answer:
Rationale:
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Which of the following is a potential complication of neonatal hyperbilirubinemia?
- A. Dehydration
- B. Kernicterus
- C. Hypoglycemia
- D. All of the above
Correct Answer: B
Rationale: Neonatal hyperbilirubinemia can lead to kernicterus, a severe form of brain damage caused by high bilirubin levels.
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?
- A. Place the client in a supine position for 30 min following the first dose of anesthetic solution.
- B. Administer 1,000 mL of dextrose 5% in water prior to the first dose of anesthetic solution.
- C. Monitor the client's blood pressure every 5 min following the first dose of anesthetic solution.
- D. Ensure the client has been NPO 4 hr prior to the placement of the epidural and the first dose of anesthetic solution.
Correct Answer: C
Rationale: Monitoring the client's blood pressure every 5 minutes after the first dose of anesthetic solution is essential to detect and manage hypotension, a common side effect of epidural anesthesia.
Which of the following is a potential benefit of evidence-based practice in maternal and newborn healthcare?
- A. Improved patient outcomes
- B. Increased patient satisfaction
- C. Decreased healthcare costs
- D. All of the above
Correct Answer: D
Rationale: Evidence-based practice can improve outcomes, satisfaction, and reduce costs.
What is the recommended method of screening for gestational diabetes during pregnancy?
- A. Fasting blood glucose test
- B. Random blood glucose test
- C. Oral glucose tolerance test (OGTT)
- D. HbA1c test
Correct Answer: C
Rationale: The oral glucose tolerance test (OGTT) is the standard method for screening gestational diabetes during pregnancy.
Which of the following is a potential indication for a forceps-assisted delivery?
- A. Fetal distress
- B. Maternal hemorrhage
- C. Prolonged second stage of labor
- D. All of the above
Correct Answer: C
Rationale: A prolonged second stage of labor is a common indication for a forceps-assisted delivery.