Nokea
Which of the following is a potential barrier to providing culturally competent care in maternal and newborn healthcare?
- A. Lack of awareness of cultural differences
- B. Bias and prejudice
- C. Limited access to resources
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Lack of awareness of cultural differences can lead to misunderstandings and miscommunication in healthcare. Bias and prejudice can hinder the ability to provide equitable care to individuals from diverse backgrounds. Limited access to resources can restrict healthcare providers from offering culturally appropriate services. Therefore, all these factors can act as potential barriers to providing culturally competent care in maternal and newborn healthcare. Choices A, B, and C are incorrect because each of them individually contributes to the overall challenge of achieving cultural competence in healthcare.
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Which of the following is a potential legal issue related to informed consent in maternal and newborn healthcare?
- A. Failure to obtain informed consent
- B. Lack of understanding by the patient or family
- C. Coercion or duress in obtaining consent
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. This is because failure to obtain informed consent violates patient autonomy and can lead to legal consequences. Lack of understanding by the patient or family can result in invalid consent. Coercion or duress in obtaining consent undermines voluntary decision-making. Therefore, all three options represent potential legal issues related to informed consent in maternal and newborn healthcare.
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
- A. You should have your provider refit you for a new diaphragm.'
- B. You should use an oil-based vaginal lubricant when inserting your diaphragm.'
- C. You should keep the diaphragm in place for at least 4 hours after intercourse.'
- D. You should store your diaphragm in sterile water after each use.'
Correct Answer: A
Rationale: The correct answer is A: "You should have your provider refit you for a new diaphragm." After giving birth, a woman's body goes through changes, including weight loss, which can affect the fit and effectiveness of the diaphragm. It is essential for the client to be refitted by a healthcare provider to ensure proper fit and efficacy of the contraception.
Choice B is incorrect because oil-based lubricants can damage the diaphragm material.
Choice C is incorrect because diaphragms should be kept in place for at least 6 hours after intercourse.
Choice D is incorrect because diaphragms should be stored in a cool, dry place, not in sterile water.
The nurse is teaching the client about postpartum depression. The nurse should encourage the client to----------------- and ----------------- to help prevent postpartum depression.
- A. Engage in regular physical activity
- B. Maintain a strong support system
- C. Get adequate rest and sleep
- D. Eat a well-balanced diet
Correct Answer:
Rationale: The nurse should encourage the client to:Engage in regular physical activity – Exercise can help boost mood, reduce stress, and improve overall well-being, which may help prevent postpartum depression. Maintain a strong support system – Connecting with family, friends, or support groups can provide motional support, reduce feelings of isolation, and help manage postpartum stress.
A nurse is caring for a client who is in labor and receiving oxytocin. Which of the following findings indicates that the nurse should increase the rate of infusion?
- A. Contractions every 5 min that last 30 seconds
- B. Montevideo units consistently 300 mm Hg
- C. Urine output of 20 mL/hr
- D. FHR pattern with absent variability
Correct Answer: A
Rationale: Contractions every 5 minutes lasting 30 seconds are inadequate for labor progression, indicating the need to increase oxytocin infusion to strengthen contractions.
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
- A. Ectopic pregnancy
- B. Hyperemesis gravidarum
- C. Incompetent cervix
- D. Postpartum hemorrhage
Correct Answer: D
Rationale: The correct answer is D: Postpartum hemorrhage. The nurse assessed the client to be 80% effaced and 8 cm dilated, indicating she is in active labor. This client is at risk for postpartum hemorrhage, which is excessive bleeding after childbirth due to the uterus not contracting adequately to control bleeding. The risk is higher in clients who have a rapid labor progression like this client. Ectopic pregnancy (A) is not relevant in this scenario as the client is already in labor. Hyperemesis gravidarum (B) is severe nausea and vomiting during pregnancy, not related to the client's current condition. Incompetent cervix (C) is the premature dilation of the cervix, not applicable at this stage of labor.