Nokea
What is the recommended method of pain relief during labor for a woman who wants to avoid medication and prefers non-pharmacologic interventions?
- A. Nitrous oxide
- B. Intramuscular opioids
- C. Transcutaneous electrical nerve stimulation (TENS)
- D. All of the above
Correct Answer: C
Rationale: TENS is a non-pharmacologic method of pain relief that allows the woman to avoid medication.
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A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a nonstress test. Which of the following instructions should the nurse include?
- A. The test should take 10 to 15 minutes to complete.
- B. You will lie in a supine position throughout the test.
- C. You should not eat or drink for hours before the test.
- D. You should press the handheld button when you feel your baby move.
Correct Answer: D
Rationale: Pressing the handheld button when the client feels fetal movement helps to correlate fetal movements with changes in the fetal heart rate, which is the purpose of the nonstress test.
A nurse is providing teaching about immunizations to a client who is pregnant. Which of the following statements should the nurse include in the teaching?
- A. The immunization for varicella should be given at least 1 month prior to delivery.
- B. You can receive the rubella immunization during the third trimester of pregnancy.
- C. The hepatitis B immunization should not be obtained until after you finish breastfeeding.
- D. You can receive the immunization for influenza at any time during your pregnancy.
Correct Answer: D
Rationale: The influenza vaccine is safe and recommended during pregnancy to protect both the mother and the baby. Varicella and rubella vaccines are contraindicated during pregnancy.
What is the primary goal of interprofessional collaboration in maternal and newborn healthcare?
- A. To improve communication and coordination of care
- B. To decrease healthcare costs
- C. To increase patient satisfaction
- D. All of the above
Correct Answer: A
Rationale: The primary goal of interprofessional collaboration is to improve communication and coordination of care.
Which of the following is a potential complication of a retained placenta?
- A. Preeclampsia
- B. Postpartum hemorrhage
- C. Gestational diabetes
- D. All of the above
Correct Answer: B
Rationale: The correct answer is B: Postpartum hemorrhage. A retained placenta can lead to postpartum hemorrhage due to incomplete delivery of the placenta, causing excessive bleeding. Preeclampsia and gestational diabetes are not directly related to a retained placenta. Therefore, the correct answer is B.
Which of the following is a potential barrier to effective interprofessional collaboration in maternal and newborn healthcare?
- A. Hierarchical structures and power differentials
- B. Lack of understanding of other professions' roles and responsibilities
- C. Limited resources
- D. All of the above
Correct Answer: D
Rationale: Barriers to interprofessional collaboration include hierarchical structures, lack of understanding of roles, and limited resources.