Nokea
What is the primary ethical principle guiding nursing practice in maternal and newborn healthcare?
- A. Autonomy
- B. Non-maleficence
- C. Beneficence
- D. Justice
Correct Answer: C
Rationale: The correct answer is C: Beneficence. In maternal and newborn healthcare, beneficence is the primary ethical principle guiding nursing practice. This principle emphasizes the nurse's duty to promote the well-being and best interests of both the mother and the newborn. Nurses must act in a way that benefits their patients and ensures their safety and health. Autonomy (A) focuses on respecting the patient's right to make their own decisions, which is important but not the primary principle in this context. Non-maleficence (B) involves avoiding harm, which is essential but not the primary guiding principle here. Justice (D) pertains to fairness in healthcare access and resource allocation, which is also crucial but not the primary ethical principle for maternal and newborn healthcare.
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A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. For which of the following diagnostic tests should the nurse prepare the client?
- A. Percutaneous umbilical blood sampling.
- B. Amnioinfusion.
- C. Biophysical profile (BPP).
- D. Chorionic villus sampling (CVS).
Correct Answer: C
Rationale: A biophysical profile (BPP) is a non-invasive test that assesses fetal well-being and is often used after a positive contraction stress test to further evaluate the fetus.
A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching?
- A. You should take the medication within 72 hours following unprotected sexual intercourse.
- B. You should avoid taking this medication if you are on an oral contraceptive.
- C. If you don't start your period within 5 days of taking this medication, you will need a pregnancy test.
- D. One dose of this medication will prevent you from becoming pregnant for 14 days after taking it.
Correct Answer: A
Rationale: Levonorgestrel is an emergency contraceptive that should be taken within 72 hours of unprotected intercourse to be most effective in preventing pregnancy.
Which hormone is responsible for stimulating milk production in the breasts?
- A. Progesterone
- B. Estrogen
- C. Prolactin
- D. Oxytocin
Correct Answer: C
Rationale: The correct answer is C: Prolactin. Prolactin is the hormone responsible for stimulating milk production in the breasts. It is produced by the pituitary gland and plays a crucial role in lactation. Progesterone and estrogen are involved in preparing the breasts for milk production but do not directly stimulate it. Oxytocin is responsible for the ejection of milk from the breast but not for its production.
What is the primary responsibility of a nurse or midwife in providing culturally competent care in maternal and newborn healthcare?
- A. Recognizing and respecting cultural diversity
- B. Providing culturally sensitive education
- C. Addressing health disparities
- D. All of the above
Correct Answer: D
Rationale: Culturally competent care involves recognizing cultural diversity, providing culturally sensitive education, and addressing health disparities.
What is the primary goal of patient education in maternal and newborn healthcare?
- A. To improve health outcomes
- B. To increase patient satisfaction
- C. To decrease healthcare costs
- D. All of the above
Correct Answer: A
Rationale: The primary goal of patient education in maternal and newborn healthcare is to improve health outcomes by empowering patients with knowledge to make informed decisions about their care.