Nokea
Which of the following is a potential complication of neonatal hypothermia?
- A. Hypoglycemia
- B. Hyperglycemia
- C. Respiratory distress syndrome
- D. All of the above
Correct Answer: A
Rationale: Neonatal hypothermia can lead to hypoglycemia due to the increased energy demands of maintaining body temperature.
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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.
A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to increase my insulin doses during the first trimester.
- B. I should engage in moderate exercise for 30 minutes if my blood glucose is 250 or greater.
- C. I will continue taking my insulin if I experience nausea and vomiting.
- D. I will ensure that my bedtime snack is high in refined sugar.
Correct Answer: C
Rationale: Continuing to take insulin as prescribed, even when experiencing nausea and vomiting, is essential for maintaining blood glucose control during pregnancy.
Which of the following is a potential ethical issue related to the use of assisted reproductive technologies in maternal and newborn healthcare?
- A. Use of donor gametes
- B. Multiple gestation pregnancies
- C. Preimplantation genetic diagnosis (PGD)
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Using donor gametes raises ethical concerns about genetic connections and family dynamics. Multiple gestation pregnancies increase maternal and fetal health risks. Preimplantation genetic diagnosis may lead to embryo selection based on desired traits, raising ethical questions about eugenics. Thus, all choices contribute to ethical issues in assisted reproductive technologies.
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
- A. Hypertonia
- B. Increased feeding
- C. Hyperthermia
- D. Respiratory distress
Correct Answer: D
Rationale: Respiratory distress in a late preterm newborn can be a sign of hypoglycemia, as low blood sugar levels can impair respiratory function.
What is the primary goal of culturally competent care in maternal and newborn healthcare?
- A. To eliminate cultural differences
- B. To promote health equity
- C. To prioritize the healthcare provider's cultural background
- D. All of the above
Correct Answer: B
Rationale: The correct answer is B: To promote health equity. Culturally competent care in maternal and newborn healthcare aims to ensure that all individuals receive the same level of care regardless of their cultural background. This promotes health equity by reducing disparities in healthcare access and outcomes. Choice A is incorrect because cultural competence embraces and respects cultural differences rather than eliminating them. Choice C is incorrect as the focus should be on the patient's cultural background, not the provider's. Choice D is incorrect as not all options align with the primary goal of culturally competent care.