Nokea
What is the function of the umbilical cord during pregnancy?
- A. To transport oxygen and nutrients from the mother to the fetus
- B. To remove waste products from the fetus
- C. To regulate fetal temperature
- D. All of the above
Correct Answer: A
Rationale: The correct answer is A. The umbilical cord functions to transport oxygen and nutrients from the mother to the fetus. This is crucial for the fetus's growth and development. B is incorrect because waste products are removed through the placenta, not the umbilical cord. C is incorrect as the umbilical cord does not regulate fetal temperature. Choice D is incorrect as it includes all options, but only A is accurate.
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A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver. Which of the following actions should the nurse take?
- A. Apply pressure to the client's fundus.
- B. Press firmly on the client’s suprapubic area.
- C. Move the client onto their hands and knees.
- D. Assist the client in pulling their knees toward their abdomen.
Correct Answer: D
Rationale: The correct answer is D: Assist the client in pulling their knees toward their abdomen. In shoulder dystocia, the baby's shoulder is stuck behind the mother's pubic bone. The McRoberts maneuver involves hyperflexing the mother's legs towards her abdomen to enlarge the pelvic outlet, which can help dislodge the shoulder and facilitate delivery. This action can help create more space for the baby to maneuver and be born. Applying pressure to the fundus (A) does not address the mechanical issue of shoulder dystocia. Pressing on the suprapubic area (B) may not provide the necessary space for the baby to be delivered. Moving the client onto their hands and knees (C) may not be as effective as the McRoberts maneuver in this situation.
Which of the following is a potential complication of neonatal hypoglycemia?
- A. Jaundice
- B. Respiratory distress syndrome
- C. Intraventricular hemorrhage
- D. All of the above
Correct Answer: D
Rationale: Neonatal hypoglycemia can lead to jaundice, respiratory distress syndrome, and intraventricular hemorrhage.
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
- A. Promotion of health equity
- B. Provision of patient-centered care
- C. Advocacy for social justice
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D. "All of the above" is the professional standard for nursing practice in maternal and newborn healthcare because it encompasses all three essential aspects: promotion of health equity, provision of patient-centered care, and advocacy for social justice. Nurses must address health disparities, prioritize individualized care for patients, and advocate for fair and equitable healthcare practices. Choosing A, B, or C individually would be limiting, as they are all interconnected and crucial in providing comprehensive care. Therefore, selecting D ensures that nurses adhere to all professional standards essential in maternal and newborn healthcare.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
- A. Place newborn skin to skin on birthing parents chest, Encourage birthing parents to breastfeed, Obtain prescription for arterial blood gases, Plan to initiate phototherapy, Perform neonatal abstinence system scoring
- B. Cold stress, Acute bilirubin encephalopathy, Respiratory distress syndrome, Neonatal abstinence syndrome (NAS)
- C. Stool output, Temperature, Lung sounds, Blood glucose level, Bilirubin level
Correct Answer:
Rationale:
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
- A. Substernal retractions
- B. Acrocyanosis
- C. Overlapping suture lines
- D. Head circumference 33 cm (13 in)
Correct Answer: A
Rationale: The correct answer is A: Substernal retractions. Substernal retractions in a newborn can indicate respiratory distress, which is a critical finding that requires immediate attention from the provider to prevent complications. Acrocyanosis (B) is a common finding in newborns and usually resolves on its own. Overlapping suture lines (C) can be normal in newborns due to the molding process during birth. The head circumference of 33 cm (13 in) (D) is within the normal range for a newborn.