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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Which of the following is a potential complication of a vacuum-assisted delivery?
- A. Fetal distress
- B. Maternal hemorrhage
- C. Neonatal cephalohematoma
- D. All of the above
Correct Answer: D
Rationale: Vacuum-assisted delivery can lead to fetal distress, maternal hemorrhage, and neonatal cephalohematoma.
What is the recommended amount of weight gain during pregnancy for a woman with a normal BMI?
- A. 10-15 pounds
- B. 20-30 pounds
- C. 30-40 pounds
- D. 40-50 pounds
Correct Answer: B
Rationale: The correct answer is B (20-30 pounds). This range is recommended for pregnant women with a normal BMI to support the health of both the mother and the baby. Gaining too little weight can lead to complications like low birth weight, while gaining too much weight increases the risk of gestational diabetes and high blood pressure. The other choices are incorrect because they either fall below or exceed the recommended weight gain range, which can pose risks to the pregnancy. It is crucial for the mother to maintain a healthy weight gain to ensure a safe and successful pregnancy.
What is the recommended method of pain relief during labor for a woman with a low-risk pregnancy?
- A. Epidural anesthesia
- B. Spinal anesthesia
- C. Nitrous oxide inhalation
- D. All of the above
Correct Answer: C
Rationale: The correct answer is C: Nitrous oxide inhalation. This is recommended for low-risk pregnancies because it provides pain relief without affecting the baby's heart rate or the progress of labor. It is self-administered by the woman, allowing for control over the dosage. Epidural and spinal anesthesia carry potential risks and may interfere with the natural process of labor. Choosing "All of the above" (D) is incorrect as epidural and spinal anesthesia are not recommended for low-risk pregnancies due to their potential side effects.
Which of the following is a potential ethical issue related to neonatal organ donation?
- A. Informed consent
- B. Allocation of resources
- C. End-of-life decision making
- D. All of the above
Correct Answer: A
Rationale: Informed consent is a key ethical issue in neonatal organ donation.
A nurse is caring for a newborn immediately following birth. For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
- A. To allow manifestations of infection to be identified
- B. The newborn weighs less than 2.5 kg (5.5 lb)
- C. The newborn was delivered via cesarean birth
- D. To facilitate bonding between the newborn and parent
Correct Answer: D
Rationale: The correct answer is D: To facilitate bonding between the newborn and parent. Delaying the instillation of antibiotic ointment allows for immediate skin-to-skin contact and bonding between the newborn and parent, promoting attachment and emotional connection. This is a crucial aspect of postnatal care and has long-term benefits for the newborn's emotional and psychological development. Choices A, B, and C are incorrect because delaying antibiotic ointment instillation for reasons such as identifying infection, low birth weight, or mode of delivery could potentially result in harm to the newborn by not providing immediate protection against eye infections, which can be serious and lead to vision impairment.