Maternal Newborn Nursing

Maternal Newborn Nursing Related

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The parents of a male newborn ask the nurse whether they should have their son circumcised. The nurse ‘s most appropriate response would be:

  • A. "It would be a good idea because circumcision is known to prevent penile cancer."
  • B. "That's something you both will have to decide after you discuss it thoroughly with your doctor."
  • C. "The Academy of Pediatrics recommends that circumcision not be done routinely because of the risks associated with the procedure."
  • D. "I'm sure you have discussed this with your doctor, but let's review the benefits and risks of circumcision'.
Correct Answer: B

Rationale: The most appropriate response for the nurse in this situation is to encourage open discussion between the parents and the doctor regarding the decision to circumcise their son. This allows the parents to make an informed decision based on their beliefs, values, and medical advice provided by the healthcare provider. It is important for parents to have all the necessary information and support to make the best decision for their child's well-being. The decision to circumcise is a personal one and should be made after careful consideration and consultation with a healthcare professional.

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A newborn has a respiratory rate of 80 breaths/min, nasal flaring with sternal retractions, a heart rate of 120 beats/min, temperature of 36C and a persisting oxygen saturation of <87%. The nurse interprets these findings as:

  • A. Cardiac distress
  • B. Respiratory Alkalosis
  • C. Bronchial pneumonia
  • D. Respiratory Distress
Correct Answer: D

Rationale: These signs indicate respiratory distress.

The nurse is caring for a woman with a broken arm. Her partner brings in flowers and balloons and is overly affectionate. What phase of the cycle of violence would the nurse suspect?

  • A. tension-building
  • B. acute battering incident
  • C. honeymoon phase
  • D. loving phase
Correct Answer: C

Rationale: The honeymoon phase in the cycle of violence is characterized by remorse and attempts by the abuser to regain control through affection or gifts. This phase manipulates the victim into believing the abuse will not recur.

Which statement made by a nursing student would best indicate that her education on family-centered care was fully understood?

  • A. Childbirth affects the entire family, and relationships will change.
  • B. Families are usually not capable of making health care decisions for themselves, especially in stressful situations.
  • C. Mothers are the only family member affected by childbirth.
  • D. Since childbirth is a medical procedure, it may affect everyone.
Correct Answer: A

Rationale: Childbirth affects the entire family, and relationships will change. Childbirth is viewed as a normal life event, not a medical procedure. Families are very capable of making health care decisions about their own care with proper information and support.

The nurse is teaching a prenatal class about fetal circulation. What structure allows blood to bypass the fetal lungs?

  • A. Ductus arteriosus.
  • B. Ductus venosus.
  • C. Foramen ovale.
  • D. Umbilical vein.
Correct Answer: A

Rationale: The ductus arteriosus shunts blood from the pulmonary artery to the aorta, bypassing the fetal lungs.

What information should be included in teaching a breastfeeding woman about Seasonale (ethinyl estradiol and levonorgestrel)?

  • A. The woman will menstruate every 8 to 9 weeks.
  • B. The pills are taken for 3 out of every 4 weeks.
  • C. Breakthrough bleeding is a common side effect.
  • D. Breastfeeding is compatible with the medication.
Correct Answer: C

Rationale: Breakthrough bleeding is a known side effect of hormonal contraceptives.

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