Nokea
Which of the following is a potential barrier to patient-centered care in maternal and newborn healthcare?
- A. Lack of cultural competence
- B. Provider bias
- C. Limited resources
- D. All of the above
Correct Answer: D
Rationale: Barriers to patient-centered care include lack of cultural competence, provider bias, and limited resources.
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What is the recommended age for the first hepatitis B vaccine for a newborn?
- A. At birth
- B. Within 48 hours of birth
- C. Within 1 week of birth
- D. Within 1 month of birth
Correct Answer: B
Rationale: The correct answer is B: Within 48 hours of birth. This is recommended because newborns are most susceptible to hepatitis B infection during delivery. Administering the vaccine within 48 hours provides early protection. Choice A (At birth) is not specific enough and may delay vaccination. Choices C and D are too late and leave the newborn vulnerable for a longer period.
What is the function of the placenta during pregnancy?
- A. To transport oxygen and nutrients from the mother to the fetus
- B. To remove waste products from the fetus
- C. To regulate fetal temperature
- D. All of the above
Correct Answer: D
Rationale: The placenta serves multiple functions, including transporting oxygen and nutrients, removing waste products, and helping regulate fetal temperature.
What is the recommended method of feeding for a newborn with phenylketonuria (PKU)?
- A. Breastfeeding
- B. Formula feeding
- C. Lowphenylalanine formula feeding
- D. All of the above
Correct Answer: C
Rationale: Lowphenylalanine formula feeding is recommended for newborns with PKU.
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 collecting data from a client who is at 30 weeks of gestation. Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
- A. Epigastric discomfort
- B. Flank pain
- C. Temperature 37.7°C (99.8°F)
- D. Abdominal cramping
Correct Answer: B
Rationale: The correct answer is B: Flank pain. Pyelonephritis is an infection of the kidneys, which commonly presents with symptoms like flank pain. This pain is typically described as a dull ache in the lower back or sides. Other options are incorrect because: A) Epigastric discomfort is more indicative of gastrointestinal issues; C) A temperature of 37.7°C (99.8°F) is within normal range and not specific to pyelonephritis; D) Abdominal cramping is more likely related to gastrointestinal or uterine issues in pregnancy.