Nokea
Which of the following is a potential barrier to evidence-based practice in maternal and newborn healthcare?
- A. Lack of access to up-to-date research
- B. Resistance to change
- C. Limited resources
- D. All of the above
Correct Answer: D
Rationale: All the options listed (lack of access to research resistance to change and limited resources) are common barriers to implementing evidence-based practice in healthcare settings. These factors can hinder the adoption of new practices and the improvement of care quality.
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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 providing dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will eat foods that taste good instead of balancing my meals.
- B. I will avoid having a snack before I go to bed each night.
- C. I will have a cup of hot tea with each meal.
- D. I will eliminate products that contain dairy from my diet.
Correct Answer: D
Rationale: Eliminating dairy products may help reduce nausea and vomiting in clients with hyperemesis gravidarum, as dairy can sometimes exacerbate these symptoms.
Which of the following is a potential barrier to implementing evidence-based practice in maternal and newborn healthcare?
- A. Resistance to change
- B. Limited access to technology
- C. Lack of funding
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Resistance to change can hinder implementation as healthcare professionals may be reluctant to adopt new practices. Limited access to technology can impede the use of evidence-based tools and resources. Additionally, lack of funding can prevent healthcare facilities from investing in necessary training and resources for evidence-based practice. Therefore, all these factors collectively serve as potential barriers to implementing evidence-based practice in maternal and newborn healthcare.
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication?
- A. Hyperglycemia
- B. Bilateral crackles
- C. Hypotension
- D. Polyuria
Correct Answer: C
Rationale: Correct Answer: C - Hypotension
Rationale: Opioid analgesics can cause hypotension as a side effect by vasodilation and reduced cardiac output. The epidural route can further exacerbate this effect due to the potential spread of the medication to sympathetic nerves, resulting in vasodilation and decreased blood pressure. Monitoring for hypotension is crucial to prevent complications such as decreased tissue perfusion and potential cardiovascular collapse.
Incorrect Choices:
A: Hyperglycemia - Opioids do not typically cause hyperglycemia.
B: Bilateral crackles - Crackles are not a common adverse effect of opioids.
D: Polyuria - Opioids do not usually cause polyuria.
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.