Nokea
What is the recommended method of administering the first dose of hepatitis B vaccine to a newborn?
- A. Intramuscular injection
- B. Oral administration
- C. Topical application
- D. Subcutaneous injection
Correct Answer: A
Rationale: The correct answer is A: Intramuscular injection. Administering the hepatitis B vaccine via intramuscular injection ensures proper absorption and immune response. Muscle tissue has a rich blood supply which aids in the rapid dissemination of the vaccine components throughout the body. This method also reduces the risk of injection site reactions. Oral administration (B) is not recommended for the hepatitis B vaccine as it may not provide sufficient immune response. Topical application (C) and subcutaneous injection (D) are not appropriate due to inadequate absorption and immunogenic response.
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What is the primary goal of culturally competent care in maternal and newborn healthcare?
- A. To eliminate cultural differences
- B. To promote health equity
- C. To prioritize the healthcare provider's cultural background
- D. All of the above
Correct Answer: B
Rationale: The correct answer is B: To promote health equity. Culturally competent care in maternal and newborn healthcare aims to ensure that all individuals receive the same level of care regardless of their cultural background. This promotes health equity by reducing disparities in healthcare access and outcomes. Choice A is incorrect because cultural competence embraces and respects cultural differences rather than eliminating them. Choice C is incorrect as the focus should be on the patient's cultural background, not the provider's. Choice D is incorrect as not all options align with the primary goal of culturally competent care.
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
- A. Leadership
- B. Technology and informatics
- C. Ethics
- D. All of the above
Correct Answer: D
Rationale: Professional standards include leadership, technology, and ethics.
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
- A. Maintain the client NPO throughout the procedure.
- B. Place the client in a supine position.
- C. Instruct the client to massage the abdomen to stimulate fetal movement.
- D. Instruct the client to press the provided button each time fetal movement is detected.
Correct Answer: D
Rationale: The correct answer is D: Instruct the client to press the provided button each time fetal movement is detected. In a nonstress test, the client is required to monitor fetal movements and press a button each time they are felt. This helps assess fetal well-being by measuring the heart rate in response to movement. This action is essential for the accurate interpretation of the test results. Maintaining the client NPO (A) is not necessary for this procedure. Placing the client in a supine position (B) can lead to decreased blood flow to the fetus. Instructing the client to massage the abdomen (C) may interfere with the natural fetal movements being monitored. Therefore, the correct action is to have the client press the button when fetal movement is detected to ensure an accurate assessment of fetal well-being.
What is the recommended method of feeding for a newborn with galactosemia?
- A. Breastfeeding
- B. Formula feeding
- C. Soy-based formula feeding
- D. All of the above
Correct Answer: B
Rationale: Formula feeding is recommended for newborns with galactosemia, as they cannot metabolize lactose.
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.