Nokea
Which of the following is a potential barrier to effective communication with patients and families in maternal and newborn healthcare?
- A. Language barriers
- B. Cultural differences
- C. Limited access to technology
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Language barriers can hinder understanding between healthcare providers and patients/families. Cultural differences can impact communication styles and beliefs. Limited access to technology can restrict communication channels. Choosing D is correct as it encompasses the potential barriers in effective communication. Options A, B, and C are incorrect as they represent individual barriers, whereas D covers all possible barriers in maternal and newborn healthcare communication.
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For each potential assessment finding, click to specity if the assessment finding Is consistent with mastitis or endometritis. Each finding may support more than 1 disease process.
- A. Foul-smelling lochia
- B. Painful, tender breast
- C. Temperature
- D. Chilis
Correct Answer:
Rationale:
A nurse is teaching about home safety with a client who is 2 days postpartum. Which of the following instructions should the nurse include in the teaching?
- A. Bathe your baby immediately after a feeding.
- B. Place a bumper pad in your baby’s crib.
- C. Put a soft mattress in your baby’s crib.
- D. Wash your baby’s face with plain water.
Correct Answer: D
Rationale: The correct answer is D: Wash your baby’s face with plain water. This instruction is important as newborns have sensitive skin that can easily become irritated by harsh chemicals found in soaps. Washing the baby's face with plain water helps to keep their skin clean without causing any harm.
A: Bathing the baby immediately after a feeding can lead to discomfort and potential regurgitation.
B: Placing a bumper pad in the crib can increase the risk of suffocation or Sudden Infant Death Syndrome (SIDS).
C: Putting a soft mattress in the crib increases the risk of suffocation and poses a potential hazard to the baby's safety.
In summary, choosing option D ensures the safety and well-being of the newborn by providing gentle care for their delicate skin without introducing unnecessary risks or hazards.
Which of the following nursing actions should the nurse plan to take? For each potential nursing action, click to specify it the intervention is indicated or contraindicated for the client.
- A. Insert a large bore intravenous catheter.
- B. Assess cervical dilation.
- C. Weigh perineal pads.
- D. Administer methotrexate.
Correct Answer: A, C
Rationale: Inserting a large bore IV catheter is indicated to manage potential hemorrhage. Weighing perineal pads helps quantify blood loss. Assessing cervical dilation is contraindicated as it may exacerbate bleeding. Administering methotrexate is not relevant in this context.
A nurse is assessing a client who is postpartum following a cesarean birth. The client states, 'I feel like I have to urinate but I can’t go.' Which of the following actions should the nurse take?
- A. Assist the client to ambulate to the bathroom
- B. Insert an indwelling urinary catheter
- C. Perform a bladder scan to assess for urinary retention
- D. Administer a diuretic
Correct Answer: A
Rationale: The correct answer is A: Assist the client to ambulate to the bathroom. This action helps in promoting normal voiding patterns post-cesarean birth. Ambulation can aid in relieving pressure on the bladder, stimulating the urge to urinate, and facilitating the flow of urine. It also promotes circulation, which can help in reducing the risk of urinary retention.
Choice B: Inserting an indwelling urinary catheter should not be the initial intervention as it carries a risk of introducing infection and may not be necessary at this point.
Choice C: Performing a bladder scan can be considered if the client is unable to void after ambulation and other interventions have been attempted.
Choice D: Administering a diuretic is not appropriate in this situation as the client is experiencing difficulty in urinating rather than retaining excessive urine.
In summary, assisting the client to ambulate to the bathroom is the most appropriate initial action to address the client's complaint and promote normal voiding.
A nurse is teaching a new parent about breastfeeding her 2-week-old infant. Which of the following statements by the parent indicates an understanding of the teaching?
- A. After 5 to 10 minutes when the breast is emptied, my baby should be removed from the breast.
- B. Manually expressing my milk will decrease my milk supply.
- C. My baby should always start on the same breast when feeding.
- D. The more my baby is at the breast sucking, the more milk I will produce.
Correct Answer: D
Rationale: Frequent breastfeeding stimulates milk production, ensuring an adequate milk supply for the infant.