Nokea
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.
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What is the recommended method of feeding for a term infant?
- A. Breastfeeding
- B. Formula feeding
- C. Bottle feeding with breast milk
- D. Parenteral nutrition
Correct Answer: A
Rationale: Breastfeeding is the recommended method for a term infant due to its numerous benefits, such as providing essential nutrients, antibodies, and promoting bonding. Breast milk is easily digestible and tailored to the baby's needs, reducing the risk of infections and allergies. It also supports the infant's optimal growth and development. Formula feeding, while a valid alternative, lacks the same level of antibodies and nutrients found in breast milk. Bottle feeding with breast milk is a suitable option if direct breastfeeding is not possible. Parenteral nutrition, on the other hand, is an intravenous method used for infants with specific medical needs and is not the recommended standard method of feeding for healthy term infants.
What is the recommended method of administering vitamin K to a newborn who is at risk for bleeding?
- A. Intramuscular injection
- B. Oral administration
- C. Topical application
- D. Subcutaneous injection
Correct Answer: A
Rationale: The correct answer is A: Intramuscular injection. This method ensures rapid and complete absorption, providing immediate protection against bleeding in newborns. Oral administration may be ineffective due to immature gastrointestinal tract. Topical application may not achieve adequate absorption. Subcutaneous injection may lead to variable absorption rates, delaying the onset of vitamin K's protective effects. Thus, intramuscular injection is the most reliable and recommended method for newborns at risk for bleeding.
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?
- A. Apply a moist, warm compress to the perineum.
- B. Provide the client with a cool sitz bath.
- C. Administer methylergonovine 0.2 mg IM.
- D. Apply povidone-iodine to the client’s perineum after she voids.
Correct Answer: A
Rationale: The correct answer is A: Apply a moist, warm compress to the perineum. This action helps to promote healing and reduce discomfort for the client with a fourth-degree perineal laceration. Warmth can increase blood flow to the area, aiding in the healing process. Moisture can also help with wound healing and provide comfort.
Choice B is incorrect as a cool sitz bath may not be suitable for a fourth-degree laceration as it can cause vasoconstriction and slow down the healing process. Choice C, administering methylergonovine, is not indicated for perineal lacerations. Choice D, applying povidone-iodine after voiding, can be irritating to the wound and delay healing.
In summary, applying a warm, moist compress is the best option to promote healing and comfort for the client with a fourth-degree perineal laceration.
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 caring for a client who is in active labor and notes the FHR baseline has been 100/min for the past 15 min. The nurse should identify which of the following conditions as a possible cause of fetal bradycardia?
- A. Maternal hypoglycemia
- B. Chorioamnionitis
- C. Fetal anemia
- D. Maternal fever
Correct Answer: C
Rationale: Fetal anemia can lead to bradycardia due to reduced oxygen delivery to the fetal heart.