Nokea
Which of the following is a potential barrier to effective communication in maternal and newborn healthcare?
- A. Limited health literacy
- B. Cultural differences
- C. Language barriers
- D. All of the above
Correct Answer: D
Rationale: All of the above are potential barriers to effective communication. Limited health literacy, cultural differences, and language barriers can all hinder understanding and collaboration between healthcare providers and patients.
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Which of the following is a potential complication of a vaginal birth after cesarean (VBAC)?
- A. Uterine rupture
- B. Postpartum hemorrhage
- C. Maternal infection
- D. All of the above
Correct Answer: A
Rationale: Uterine rupture is a potential complication of VBAC.
A nurse is assessing a newborn who has neonatal abstinence syndrome. Which of the following findings should the nurse expect?
- A. Diminished deep tendon reflexes
- B. Excessive crying
- C. Decreased muscle tone
- D. Absent Moro reflex
Correct Answer: B
Rationale: The correct answer is B: Excessive crying. Neonatal abstinence syndrome (NAS) occurs in newborns exposed to addictive substances in utero. The newborn may exhibit symptoms such as excessive crying due to neurologic irritability. Diminished deep tendon reflexes (A) are not typically associated with NAS. Decreased muscle tone (C) is not a common finding in NAS; infants may actually have increased muscle tone. An absent Moro reflex (D) is not a typical finding in NAS, as hyperreflexia is more common.
Which stage of labor is characterized by the period between full cervical dilation and delivery of the fetus?
- A. First stage
- B. Second stage
- C. Third stage
- D. Fourth stage
Correct Answer: B
Rationale: The second stage of labor begins with full cervical dilation and ends with the delivery of the fetus.
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
- A. Maintain the client NPO throughout the procedure.
- B. Place the client in a supine position.
- C. Instruct the client to massage the abdomen to stimulate fetal movement.
- D. Instruct the client to press the provided button each time fetal movement is detected.
Correct Answer: D
Rationale: The correct answer is D: Instruct the client to press the provided button each time fetal movement is detected. During a nonstress test, the client is monitored for fetal heart rate accelerations in response to fetal movement. Instructing the client to press the button each time fetal movement is detected helps correlate fetal heart rate changes with fetal activity. This is crucial in assessing the well-being of the fetus.
A, B, and C are incorrect choices because maintaining the client NPO, placing the client in a supine position, and instructing the client to massage the abdomen are not relevant or necessary for a nonstress test. Option D is the best choice as it directly assists in monitoring fetal well-being during the test.
Which of the following is a potential complication of hypothermia in a newborn?
- A. Hypoglycemia
- B. Respiratory distress syndrome
- C. Hypertension
- D. All of the above
Correct Answer: B
Rationale: The correct answer is B: Respiratory distress syndrome. Hypothermia in a newborn can lead to respiratory distress syndrome due to decreased surfactant production. This impairs lung function and oxygen exchange, causing breathing difficulties. Hypoglycemia (choice A) can also occur due to decreased metabolic rate, not directly related to hypothermia. Hypertension (choice C) is not typically associated with hypothermia in newborns. Choice D is incorrect as hypothermia does not directly cause all these complications.