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What is the recommended method of administering vitamin K to a newborn who is not at risk for bleeding?
- A. Intramuscular injection
- B. Oral administration
- C. Topical application
- D. Subcutaneous injection
Correct Answer: B
Rationale: Oral administration is the recommended method for administering vitamin K to a newborn who is not at risk for bleeding, as it is less invasive and effective.
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A nurse is caring for a client immediately following the delivery of a stillborn fetus. Which of the following actions should the nurse take?
- A. Limit the amount of time the fetus is in the client’s room.
- B. Provide the client with photos of the fetus.
- C. Instruct the client that an autopsy should be performed within 24 hr.
- D. Inform the client that the law requires them to name the fetus.
Correct Answer: B
Rationale: The correct answer is B: Provide the client with photos of the fetus. This action allows the client to have tangible memories of their stillborn baby, aiding in the grieving process and facilitating closure. It is important for the client to have something to remember their child by, as it validates the existence of the baby and acknowledges the client's loss. It also promotes a sense of connection and remembrance. Providing photos can be a compassionate gesture that supports the client emotionally during this difficult time.
Choice A is incorrect because limiting the time the fetus is in the room may not consider the client's emotional needs. Choice C is incorrect as it may add unnecessary stress to the client. Choice D is incorrect as there is no legal requirement to name a stillborn fetus.
Which of the following is a potential cause of female infertility?
- A. Polycystic ovary syndrome (PCOS)
- B. Endometriosis
- C. Pelvic inflammatory disease (PID)
- D. All of the above
Correct Answer: D
Rationale: PCOS endometriosis and PID are all common causes of female infertility. These conditions can disrupt normal reproductive function making conception difficult.
Which of the following is a legal issue related to maternal and newborn healthcare?
- A. Informed consent
- B. Patient confidentiality
- C. Malpractice
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. In maternal and newborn healthcare, legal issues encompass informed consent (A), as healthcare providers must ensure patients understand risks and benefits before treatment. Patient confidentiality (B) is crucial to protect sensitive health information. Malpractice (C) involves negligence or misconduct by healthcare providers that result in harm. All three options are interconnected and essential legal considerations in maternal and newborn healthcare to ensure quality care and patient rights are upheld.
A nurse is caring for a newborn who was transferred to the nursery 30 min after birth because of mild respiratory distress. Which of the following actions should the nurse take first?
- A. Confirm the newborn's Apgar score.
- B. Verify the newborn's identification.
- C. Administer vitamin K to the newborn.
- D. Determine obstetrical risk factors.
Correct Answer: B
Rationale: Verifying the newborn's identification is the first priority to ensure that the correct newborn is receiving care, especially in a busy nursery setting.
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.