Nokea
What is the recommended method of administering vitamin D to a breastfed newborn?
- A. Intramuscular injection
- B. Oral drops
- C. Topical application
- D. Subcutaneous injection
Correct Answer: B
Rationale: Oral drops are the recommended method for administering vitamin D to breastfed newborns.
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complete the following sentence by using the lists of options. The client is at highest risk for developing ---evidenced by the client's ---
- A. Endometritis.
- B. Mastitis.
- C. Postpartum hemorrhage.
- D. Group B streptococcus positive status.
- E. Spontaneous vaginal delivery.
- F. Median episiotomy.
Correct Answer: A
Rationale: The client is at highest risk for developing endometritis due to the positive group B streptococcus status and the median episiotomy, which are risk factors for infection.
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.
Which of the following is a potential complication of postpartum depression?
- A. Poor bonding with the newborn
- B. Insufficient milk production
- C. Increased risk of postpartum hemorrhage
- D. All of the above
Correct Answer: A
Rationale: The correct answer is A: Poor bonding with the newborn. Postpartum depression can hinder the mother's ability to emotionally connect with her baby, leading to poor bonding. This can impact the baby's development and the mother's ability to provide adequate care. Choice B is incorrect as milk production is more related to physical factors rather than mental health. Choice C is incorrect as postpartum hemorrhage is a separate medical issue. Choice D is incorrect as it includes all options, which is not accurate in this case.
Which of the following is a potential ethical issue related to pain management in maternal and newborn healthcare?
- A. Undertreatment of pain
- B. Overtreatment of pain
- C. Use of alternative therapies without informed consent
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Undertreatment of pain can lead to unnecessary suffering, while overtreatment can result in adverse effects for the mother and newborn. Additionally, using alternative therapies without informed consent violates the principle of autonomy. These issues highlight the importance of balancing pain management strategies to ensure optimal care and ethical practice in maternal and newborn healthcare. Choices A, B, and C each represent distinct ethical concerns that may arise in pain management, emphasizing the need for a comprehensive approach to address these complexities.
Which of the following hormones is responsible for stimulating milk production during lactation?
- A. Progesterone
- B. Estrogen
- C. Prolactin
- D. Oxytocin
Correct Answer: C
Rationale: Prolactin is the hormone responsible for stimulating milk production during lactation.