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What is the primary legal responsibility of a nurse or midwife in maternal and newborn healthcare?
- A. Ensuring patient safety
- B. Maintaining patient confidentiality
- C. Providing appropriate care and treatment
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. A nurse or midwife's primary legal responsibility in maternal and newborn healthcare is to ensure patient safety by providing appropriate care and treatment while also maintaining patient confidentiality. Patient safety is paramount in healthcare to prevent harm or injury. Maintaining confidentiality is crucial to protect patient privacy and uphold ethical standards. Providing appropriate care and treatment involves assessing, planning, implementing, and evaluating care to meet the unique needs of each patient. Choosing D encompasses all these critical aspects, ensuring comprehensive legal responsibility is upheld.
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A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?
- A. Place the client in a supine position for 30 min following the first dose of anesthetic solution.
- B. Administer 1,000 mL of dextrose 5% in water prior to the first dose of anesthetic solution.
- C. Monitor the client's blood pressure every 5 min following the first dose of anesthetic solution.
- D. Ensure the client has been NPO 4 hr prior to the placement of the epidural and the first dose of anesthetic solution.
Correct Answer: C
Rationale: Monitoring the client's blood pressure every 5 minutes after the first dose of anesthetic solution is essential to detect and manage hypotension, a common side effect of epidural anesthesia.
A nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse Include in the teaching?
- A. This test will be repeated when your baby is 2 months old.
- B. A nurse will draw blood from your baby's inner elbow.
- C. This test should be performed after your baby is 24 hours old.
- D. Your baby will be given 2 ounces of water to drink prior to the test.
Correct Answer: C
Rationale: Newborn genetic screening is typically performed after 24 hours of birth to ensure accurate results and allow time for metabolic processes to stabilize.
A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider?
- A. A newborn who is 26 hr old and has erythema toxicum on their face.
- B. A newborn who is 32 hr old and has not passed a meconium stool.
- C. A newborn who is 12 hr old and has pink-tinged urine.
- D. A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F).
Correct Answer: B
Rationale: A newborn who has not passed a meconium stool by 32 hours of age may have an obstruction or other gastrointestinal issue that requires further evaluation.
What is the primary hormone responsible for maintaining the endometrium during pregnancy?
- A. Progesterone
- B. Estrogen
- C. Follicle-stimulating hormone (FSH)
- D. Luteinizing hormone (LH)
Correct Answer: A
Rationale: The correct answer is A: Progesterone. Progesterone is the primary hormone responsible for maintaining the endometrium during pregnancy. It helps to thicken the endometrial lining, ensuring a suitable environment for implantation and supporting the developing embryo. Progesterone also inhibits uterine contractions, preventing premature labor. Estrogen, FSH, and LH do not play a primary role in maintaining the endometrium during pregnancy. Estrogen is involved in the initial thickening of the endometrium, while FSH and LH are primarily responsible for ovulation and follicle development.
A nurse is transporting a newborn back to the parent's room following a procedure. Which of the following actions should the nurse take prior to leaving the newborn with their parent?
- A. Ensure that the parent's identification band number matches the newborn's identification band number.
- B. Ask the parent to verify their name and date of birth.
- C. Check the newborn's security tag number to ensure it matches the newborn's medical record.
- D. Match the newborn's date and time of birth to the information in the parent's medical record.
Correct Answer: A
Rationale: Ensuring that the parent's identification band number matches the newborn's identification band number is a critical safety measure to prevent errors in newborn identification.