Nokea
Which of the following is a potential barrier to effective communication in maternal and newborn healthcare?
- A. Limited health literacy
- B. Cultural differences
- C. Language barriers
- D. All of the above
Correct Answer: D
Rationale: All of the above are potential barriers to effective communication. Limited health literacy, cultural differences, and language barriers can all hinder understanding and collaboration between healthcare providers and patients.
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A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority?
- A. O2 saturation.
- B. Temperature.
- C. Blood pressure.
- D. Urinary output.
Correct Answer: B
Rationale: Temperature is a priority assessment after an amniotomy, as it can indicate the onset of infection, such as chorioamnionitis.
A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy. The newborn is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse include in the plan?
- A. Administer naloxone to the newborn.
- B. Swaddle the newborn with his legs extended.
- C. Maintain eye contact with the newborn during feedings
- D. Minimize noise in the newborn's environment.
Correct Answer: D
Rationale: Minimizing noise in the newborn's environment helps reduce overstimulation, which can exacerbate symptoms of neonatal abstinence syndrome. Naloxone is not used for this condition, and swaddling with legs extended is incorrect as it should be snug to provide comfort.
What is the function of the amniotic fluid during pregnancy?
- A. To protect the fetus from trauma
- B. To regulate fetal temperature
- C. To facilitate fetal movement
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D, "All of the above." Amniotic fluid serves multiple functions during pregnancy. It protects the fetus from trauma by acting as a cushion. It helps regulate fetal temperature by maintaining a stable environment. It also facilitates fetal movement by allowing the fetus to move freely. Therefore, D is the correct choice as it encompasses all the essential functions of amniotic fluid. Choices A, B, and C are incorrect as they only represent individual functions of amniotic fluid, while the correct answer D covers all these functions comprehensively.
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
- A. Oatmeal
- B. Cabbage
- C. Asparagus
- D. Lentils
Correct Answer: D
Rationale: The correct answer is D: Lentils. Lentils have the highest fiber content per cup compared to the other options. Lentils contain around 15.6 grams of fiber per cup, making them an excellent choice to alleviate constipation. Oatmeal, cabbage, and asparagus have lower fiber content per cup compared to lentils. Oatmeal contains around 4 grams of fiber per cup, cabbage has about 2.2 grams, and asparagus has approximately 2.8 grams. Therefore, lentils are the best choice for increasing fiber intake to help with constipation during pregnancy.
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
- A. Administer broad-spectrum antibiotics.
- B. Monitor the rectal temperature every 4 hr.
- C. Cleanse the site with povidone-iodine.
- D. Prepare for surgical closure after 72 hr.
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is crucial in preventing infection, as the leaking cerebrospinal fluid puts the newborn at risk for meningitis. Antibiotics help reduce the risk of infection until surgical closure can be performed. Monitoring rectal temperature (B) is important but not the priority. Cleansing the site with povidone-iodine (C) may further irritate the area. Planning for surgical closure after 72 hr (D) is important, but immediate infection prevention is the priority.