Nokea
What is the recommended method of screening for gestational diabetes during pregnancy?
- A. Fasting blood glucose test
- B. Random blood glucose test
- C. Oral glucose tolerance test (OGTT)
- D. HbA1c test
Correct Answer: C
Rationale: The oral glucose tolerance test (OGTT) is the standard method for screening gestational diabetes during pregnancy.
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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 caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take?
- A. Monitor blood glucose level every hr.
- B. Place the infant on his back with legs extended.
- C. Initiate seizure precautions.
- D. Provide a stimulating environment.
Correct Answer: C
Rationale: The correct answer is C: Initiate seizure precautions. The infant with neonatal abstinence syndrome is at risk for seizures due to drug withdrawal. By initiating seizure precautions, the nurse can ensure the safety of the infant by implementing measures such as padding the crib, having emergency medications readily available, and closely monitoring for any signs of seizure activity.
Choice A is incorrect because monitoring blood glucose levels every hour is not typically indicated for neonatal abstinence syndrome. Choice B is incorrect as placing the infant on his back with legs extended does not address the risk of seizures. Choice D is incorrect as providing a stimulating environment can exacerbate the symptoms of withdrawal.
Which hormone is responsible for triggering milk ejection during breastfeeding?
- A. Progesterone
- B. Estrogen
- C. Prolactin
- D. Oxytocin
Correct Answer: D
Rationale: The correct answer is D: Oxytocin. Oxytocin is responsible for triggering milk ejection during breastfeeding by causing the contraction of muscles around the milk-producing cells, facilitating the release of milk. Progesterone and estrogen are involved in preparing the body for pregnancy and maintaining the uterine lining, not milk ejection. Prolactin stimulates milk production but not milk ejection directly. Therefore, the correct choice is oxytocin as it specifically triggers the release of milk during breastfeeding.
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.
Which of the following is a potential complication of maternal hypertension during pregnancy?
- A. Placental abruption
- B. Fetal growth restriction
- C. Preterm labor
- D. All of the above
Correct Answer: D
Rationale: Maternal hypertension can lead to placental abruption, fetal growth restriction, and preterm labor.