Current Issues in Maternal Newborn Nursing

Current Issues in Maternal Newborn Nursing Related

Review Current Issues in Maternal Newborn Nursing related questions and content

Expectant parents ask a prenaNtal RnursIe eGducaBto.rC, “WMhich setting for childbirth limits the U S N T O amount of parent–infant interaction?” Which answer should the nurse provide for these parents in order to assist them in choosing an appropriate birth setting?

  • A. Birth center
  • B. Home birth
  • C. Traditional hospital birth
  • D. Labor, birth, and recovery room
Correct Answer: C

Rationale: The correct answer is C: Traditional hospital birth. In a traditional hospital setting, there may be limited parent-infant interaction due to medical interventions, procedures, and protocols that can restrict immediate bonding opportunities. The presence of medical staff, equipment, and potential complications may create a more clinical environment, impacting the initial bonding experience.

Summary:
A: Birth center - Typically encourages parent-infant interaction and supports a more natural birth experience.
B: Home birth - Allows for maximum parent-infant interaction in a familiar and comfortable environment.
D: Labor, birth, and recovery room - Provides a dedicated space for labor and recovery, but still allows for parent-infant interaction after birth.

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A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and a prescription for phototherapy. Which of the following interventions should the nurse include?

  • A. Check the newborn's temperature every 8 hr.
  • B. Apply moisturizing lotion to the newborn's skin every 4 hr.
  • C. Give the newborn 1 oz of glucose water every 4 hr.
  • D. Reposition the newborn every 2 to 3 hr.
Correct Answer: D

Rationale: Frequent repositioning ensures even exposure to phototherapy light, promoting bilirubin breakdown.

A nurse is teaching a pregnant client who is Rh-negative about Rh (D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?

  • A. If my partner is Rh-negative, I will not receive the shot.
  • B. I will receive the shot after delivery if my baby is Rh-negative.
  • C. I should not receive any immunizations for 3 months after the shot.
  • D. This shot may be given after birth to protect future pregnancies.
Correct Answer: A

Rationale: If the partner is Rh-negative, the fetus cannot be Rh-positive, so Rh (D) immune globulin is unnecessary.

A client is 5 months pregnant. On a routine ultrasound scan, the physician discovers that the fetus has a diaphragmatic herniThe woman becomes distraught and asks the nurse what she should do. Which response would be most suitable?

  • A. Talk to the client, and refer her to a genetic counselor.
  • B. Suggest that the client travel to a fetal treatment center for intrauterine surgery.
  • C. Tell her that everything is going to be fine.
  • D. Sit with the client, and calmly suggest that she consider terminating this pregnancy.
Correct Answer: A

Rationale: Before the client makes any decisions, she should discuss this newly discovered information with a genetic counselor. Genetic counselors can help with the diagnosis and management of families affected by genetic conditions. The discussion of potential surgery should be pursuant to genetic counseling. Telling the woman that everything is going to be fine may give her false hope and is not accurate. All options should be discussed with the genetic counselor. Furthermore, the guiding principle for genetic counseling is nondirection, which respects the right of the individual or family who are being counseled to make autonomous decisions.

What are the most common causes for subinvolution of the uterus?

  • A. Postpartum hemorrhage and infection
  • B. Multiple gestation and postpartum hemorrhage
  • C. Uterine tetany and overproduction of oxytocin
  • D. Retained placental fragments and infection
Correct Answer: D

Rationale: Subinvolution is the failure of the uterus to return to a nonpregnant state. The most common causes are retained placental fragments and infection.

Which actions by the nurse indicate compliance with the Health Insurance Portability and Accountability Act (HIPAA)? (Select all that apply.)

  • A. The nurse posts an update about a patient on Facebook.
  • B. The nurse gives the report to the oncoming nurse in a private area.
  • C. The nurse gives information about the patient’s status over the phone to the patient’s friend.
  • D. The nurse logs off any computer screen showing patient data before leaving the computer unattended.
Correct Answer: B

Rationale: The correct answer is B because giving a report to the oncoming nurse in a private area maintains patient confidentiality, which is a key aspect of HIPAA compliance. This action ensures that patient information is not disclosed to unauthorized individuals.

Explanation of other choices:
A: Posting patient updates on social media violates patient privacy and is a breach of HIPAA.
C: Giving patient information over the phone to a friend is a violation of patient confidentiality under HIPAA.
D: Logging off the computer screen before leaving unattended is a good practice for data security but does not directly relate to HIPAA compliance regarding patient information privacy.

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