Nokea
Which of the following is a potential barrier to patient safety in maternal and newborn healthcare?
- A. Medication errors
- B. Inadequate staffing
- C. Patient noncompliance
- D. All of the above
Correct Answer: D
Rationale: Barriers to patient safety include medication errors, inadequate staffing, and patient noncompliance.
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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.
Select the 3 findings that require immediate follow-up.
- A. Lateral deviation of the uterus
- B. Deep tendon reflexes 1+
- C. Pain rating of 3 on a scale of 0 to 10 (increased)
- D. Peripheral edema 2+ bilateral lower extremities
- E. Uterine tone soft
- F. Large amount of lochia rubra
- G. Blood pressure 136/86 mm Hg
Correct Answer: A,B,C,G
Rationale: These findings suggest uterine atony and bladder distention, which can lead to postpartum hemorrhage, a life-threatening emergency. Immediate interventions include fundal massage, bladder emptying, and administration of uterotonic medications.
A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in their left calf. Which of the following actions should the nurse take?
- A. Administer aspirin for pain.
- B. Maintain the client on bed rest.
- C. Massage the affected leg every 12 hr.
- D. Apply cold compresses to the affected calf.
Correct Answer: B
Rationale: Maintaining the client on bed rest helps prevent the dislodgement of a thrombus, which could lead to a pulmonary embolism, a life-threatening complication.
Which of the following is a potential complication of gestational diabetes?
- A. Polyhydramnios
- B. Preterm labor
- C. Neonatal hypoglycemia
- D. All of the above
Correct Answer: D
Rationale: Gestational diabetes can lead to polyhydramnios, preterm labor, and neonatal hypoglycemia.
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.