Nokea
Select the 5 findings that require follow-up by the nurse.
- A. Lower extremity assessment
- B. Fetal heart tracing
- C. Weight assessment
- D. Blood pressure
- E. Nausea
- F. Respiratory assessment
- G. DTR
Correct Answer: A,C,D,E,G
Rationale: Administer oxygen
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Which of the following is a legal issue related to maternal and newborn healthcare?
- A. Informed consent
- B. Patient confidentiality
- C. Malpractice
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. In maternal and newborn healthcare, legal issues encompass informed consent (A), as healthcare providers must ensure patients understand risks and benefits before treatment. Patient confidentiality (B) is crucial to protect sensitive health information. Malpractice (C) involves negligence or misconduct by healthcare providers that result in harm. All three options are interconnected and essential legal considerations in maternal and newborn healthcare to ensure quality care and patient rights are upheld.
Which of the following is a potential ethical issue related to neonatal palliative care?
- A. Withholding or withdrawing life-sustaining treatment
- B. Allocation of resources
- C. Use of alternative therapies without informed consent
- D. All of the above
Correct Answer: A
Rationale: A key ethical issue in neonatal palliative care is the decision to withhold or withdraw life-sustaining treatment.
A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take?
- A. Monitor blood glucose level every hr.
- B. Place the infant on his back with legs extended.
- C. Initiate seizure precautions.
- D. Provide a stimulating environment.
Correct Answer: C
Rationale: The correct answer is C: Initiate seizure precautions. The infant with neonatal abstinence syndrome is at risk for seizures due to drug withdrawal. By initiating seizure precautions, the nurse can ensure the safety of the infant by implementing measures such as padding the crib, having emergency medications readily available, and closely monitoring for any signs of seizure activity.
Choice A is incorrect because monitoring blood glucose levels every hour is not typically indicated for neonatal abstinence syndrome. Choice B is incorrect as placing the infant on his back with legs extended does not address the risk of seizures. Choice D is incorrect as providing a stimulating environment can exacerbate the symptoms of withdrawal.
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet. Which of the following questions should the nurse ask to assess the client’s dietary intake?
- A. How much protein do you eat in a day?
- B. Are you taking a Vitamin C supplement?
- C. Have you considered eating shellfish?
- D. When was the last time you ate meat?
Correct Answer: A
Rationale: The correct answer is A: "How much protein do you eat in a day?" This question is important because as a vegan, the client may have a higher risk of protein deficiency due to the lack of animal protein in their diet. By asking about their protein intake, the nurse can assess if the client is meeting their protein needs for a healthy pregnancy.
Choice B, asking about a Vitamin C supplement, is incorrect as Vitamin C deficiency is not typically a concern for vegans and is not specifically related to gestational nutrition. Choice C, suggesting shellfish, is incorrect as it goes against the client's vegan dietary preferences. Choice D, asking about the last time the client ate meat, is also incorrect as it is not relevant to assessing their current dietary intake as a vegan.
The nurse is reviewing the adolescent's medical record. Which of the following conditions is the client most likely developing? Complete the following sentence by using the list of options. The adolescent is most likely developing -------------------------- evidenced by --------------------------
- A. Pelvic inflammatory disease
- B. Ectopic pregnancy
- C. C-reactive protein
- D. Beta hCG level
- E. Urinalysis
Correct Answer:
Rationale: