Current Issues in Maternal Newborn Nursing

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The United States ranks poorly in terms of worldwide infant mortality rates. Which factor has the greatest impact on decreasing the mortality rate of infants?

  • A. Providing more women’sN sheRlterIs G B.C M U S N T O
  • B. Ensuring early and adequate prenatal care
  • C. Resolving all language and cultural differences
  • D. Enrolling pregnant women in the Medicaid program by their eighth month of pregnancy
Correct Answer: B

Rationale: The correct answer is B: Ensuring early and adequate prenatal care. Prenatal care plays a crucial role in monitoring the health of the mother and the developing fetus, detecting and managing any potential health issues early on, and providing essential education on nutrition and healthy practices. This ultimately leads to healthier pregnancies, reduced risks of complications, and improved outcomes for both the mother and the infant. Providing more women's shelters (A) may help address social issues but does not directly impact infant mortality rates. Resolving language and cultural differences (C) is important for effective healthcare delivery but is not the primary factor in reducing infant mortality. Enrolling pregnant women in Medicaid (D) is beneficial for access to healthcare but does not address the importance of early and adequate prenatal care in reducing infant mortality rates.

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Intervention for the sexual abuse survivor is often not attempted by maternity and women's health nurses because of the concern about increasing the distress of the woman and the lack of expertise in counseling. What initial intervention is appropriate and most important in facilitating the woman's care?

  • A. Initiating a referral to an expert counselor
  • B. Setting limits on what the client discloses
  • C. Listening and encouraging therapeutic communication skills
  • D. Acknowledging the nurse's discomfort to the client as an expression of empathy
Correct Answer: C

Rationale: The survivor needs support on many levels. Therapeutic communication skills and listening are initial interventions. Referring to a counselor is appropriate but not the most important initial intervention.

Maternity nurses can enhance communication among health care providers by using the SBAR technique. The acronym SBAR stands for what?

  • A. Situation, background, assessment, recommendation
  • B. Situation, baseline, assessment, recommendation
  • C. Subjective, background, analysis, recommendation
  • D. Subjective, background, analysis, review
Correct Answer: A

Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation, which is a communication technique for providing important information.

Which type of genetic tests in clinical practice are most often offered to clients with a family history of disease?

  • A. Single-gene disorders
  • B. Carrier screening
  • C. Predictive value testing
  • D. Predispositional testing
Correct Answer: A

Rationale: Most tests now offered are tests for single-gene disorders in clients with clinical symptoms or clients who have a family history of a genetic disease. Carrier screening is used to identify individuals who have a gene mutation for a genetic condition but do not display symptoms. Predictive value testing is used only to clarify the genetic status of asymptomatic family members. Predispositional testing differs from the other types of genetic screening in that a positive result does not indicate a 100% chance of developing the condition.

A nurse is caring for a client who is at 14 weeks of gestation and has hyperemesis gravidarum. Which of the following medications should the nurse plan to administer?

  • A. Digoxin
  • B. Calcium gluconate
  • C. Vitamin B6
  • D. Propranolol
Correct Answer: C

Rationale: Vitamin B6 (pyridoxine) is used to treat nausea and vomiting in pregnancy, including hyperemesis gravidarum.

Which body part both protects the pelvic structures and accommodates the growing fetus during pregnancy?

  • A. Perineum
  • B. Bony pelvis
  • C. Vaginal vestibule
  • D. Fourchette
Correct Answer: B

Rationale: The bony pelvis provides protection and support for the growing fetus during pregnancy.

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