Nokea
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.
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A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus ß-hemolytic (GBS). The client is multigravida and multipara with no history of GBS. She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?
- A. You didn't report any symptoms of GBS during your pregnancy.'
- B. Your previous deliveries were all negative for GBS.'
- C. There was no indication of GBS in your earlier prenatal testing.'
- D. We need to know if you are positive for GBS at the time of delivery.'
Correct Answer: D
Rationale: The correct answer is D: "We need to know if you are positive for GBS at the time of delivery." This response is appropriate because GBS status can change throughout pregnancy, and testing closer to delivery provides the most accurate information to guide treatment and prevent transmission to the newborn.
Choice A is incorrect as GBS is often asymptomatic and can be present without any noticeable symptoms. Choice B is incorrect because GBS status can change between pregnancies. Choice C is incorrect as GBS testing at 37 weeks is standard practice regardless of earlier prenatal testing results.
Which of the following is a potential complication of a nuchal cord?
- A. Fetal distress
- B. Maternal hemorrhage
- C. Amniotic fluid embolism
- D. All of the above
Correct Answer: A
Rationale: The correct answer is A: Fetal distress. A nuchal cord occurs when the umbilical cord is wrapped around the baby's neck. This can potentially lead to decreased blood flow and oxygen supply to the baby, resulting in fetal distress. Maternal hemorrhage and amniotic fluid embolism are not direct complications of a nuchal cord. Therefore, the correct answer is A as it directly relates to the potential consequence of a nuchal cord.
A nurse is caring for a newborn immediately following birth. For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
- A. To allow manifestations of infection to be identified
- B. The newborn weighs less than 2.5 kg (5.5 lb)
- C. The newborn was delivered via cesarean birth
- D. To facilitate bonding between the newborn and parent
Correct Answer: D
Rationale: The correct answer is D: To facilitate bonding between the newborn and parent. Delaying the instillation of antibiotic ointment allows for immediate skin-to-skin contact and bonding between the newborn and parent, promoting attachment and emotional connection. This is a crucial aspect of postnatal care and has long-term benefits for the newborn's emotional and psychological development. Choices A, B, and C are incorrect because delaying antibiotic ointment instillation for reasons such as identifying infection, low birth weight, or mode of delivery could potentially result in harm to the newborn by not providing immediate protection against eye infections, which can be serious and lead to vision impairment.
Which of the following is a potential complication of neonatal respiratory distress syndrome?
- A. Hypoglycemia
- B. Pneumonia
- C. Patent ductus arteriosus
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Neonatal respiratory distress syndrome can lead to complications such as hypoglycemia due to increased metabolic demands, pneumonia due to weakened immune system, and patent ductus arteriosus due to increased pulmonary blood flow. Hypoglycemia, pneumonia, and patent ductus arteriosus are all potential complications associated with neonatal respiratory distress syndrome. The other choices are incorrect as they do not encompass the range of potential complications associated with this condition.
Which of the following hormones is responsible for the growth and development of the mammary glands during pregnancy?
- A. Progesterone
- B. Estrogen
- C. Prolactin
- D. Oxytocin
Correct Answer: C
Rationale: Prolactin is the hormone responsible for stimulating the growth and development of the mammary glands during pregnancy, preparing them for milk production.