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. Insert a peripher-all access device, Perform daily fetal movement counts, Prepare client for surgery
- B. Ectopic pregnancy, Hyperemesis gravidarum, Gestational diabetes mellitus
- C. Urine ketones, Kleihauer-Betke values,Serum human chorionic gonadotropin (hCG) levels
Correct Answer:
Rationale:
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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.
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:
Which of the following is a potential legal issue related to maternal and newborn healthcare?
- A. Informed consent
- B. Medical malpractice
- C. Abandonment
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. In maternal and newborn healthcare, potential legal issues include informed consent, where patients must be fully informed before medical procedures. Medical malpractice can occur if healthcare providers fail to meet the standard of care. Abandonment is a legal issue if healthcare providers neglect patients after agreeing to provide care. Choosing D is correct because all the mentioned issues are relevant to maternal and newborn healthcare legal concerns.
A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider?
- A. A newborn who is 26 hr old and has erythema toxicum on their face.
- B. A newborn who is 32 hr old and has not passed a meconium stool.
- C. A newborn who is 12 hr old and has pink-tinged urine.
- D. A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F).
Correct Answer: B
Rationale: A newborn who has not passed a meconium stool by 32 hours of age may have an obstruction or other gastrointestinal issue that requires further evaluation.
Which of the following is a potential legal issue related to informed consent in maternal and newborn healthcare?
- A. Lack of capacity to consent
- B. Coercion or undue influence
- C. Failure to disclose risks and benefits
- D. All of the above
Correct Answer: D
Rationale: All of the above are potential legal issues related to informed consent. Lack of capacity, coercion, and failure to disclose risks and benefits can all invalidate consent and lead to legal consequences.