Nokea
What is the recommended method of feeding for a preterm infant?
- A. Breastfeeding
- B. Formula feeding
- C. Bottle feeding with breast milk
- D. Parenteral nutrition
Correct Answer: C
Rationale: The correct answer is C: Bottle feeding with breast milk. Preterm infants may have difficulty latching onto the breast due to their immature sucking reflex. Bottle feeding with breast milk allows for easier feeding and enables monitoring of intake. Breast milk provides essential nutrients and antibodies crucial for preterm infant development. Formula feeding (B) may lack these benefits. Breastfeeding (A) may be challenging for preterm infants initially. Parenteral nutrition (D) is typically used when a baby cannot tolerate oral feedings.
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A nurse is caring for a client who is 12 hr postpartum and has a third-degree perineal laceration. The client reports not having a bowel movement for 4 days. Which of the following medications should the nurse administer?
- A. Bisacodyl 10 mg rectal suppository
- B. Magnesium hydroxide 30 mL PO
- C. Famotidine 20 mg PO
- D. Loperamide 4 mg PO
Correct Answer: A
Rationale: A rectal suppository like bisacodyl is appropriate for relieving constipation in a postpartum client with a perineal laceration, as it avoids straining. Loperamide is an antidiarrheal and not indicated here.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
- A. Place newborn skin to skin on birthing parents chest, Encourage birthing parents to breastfeed, Obtain prescription for arterial blood gases, Plan to initiate phototherapy, Perform neonatal abstinence system scoring
- B. Cold stress, Acute bilirubin encephalopathy, Respiratory distress syndrome, Neonatal abstinence syndrome (NAS)
- C. Stool output, Temperature, Lung sounds, Blood glucose level, Bilirubin level
Correct Answer:
Rationale:
Which of the following is a potential legal issue related to maternal and newborn healthcare?
- A. Medical negligence
- B. Patient confidentiality
- C. Informed consent
- D. All of the above
Correct Answer: D
Rationale: Legal issues in maternal and newborn healthcare include medical negligence, patient confidentiality, and informed consent.
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect?
- A. Decreased platelet count.
- B. Increased erythrocyte sedimentation rate (ESR).
- C. Decreased megakaryocytes.
- D. Increased WBC.
Correct Answer: A
Rationale: Idiopathic thrombocytopenia purpura (ITP) is characterized by a decreased platelet count, which can lead to an increased risk of bleeding.
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.