Nokea
Which of the following is a potential cause of female infertility?
- A. Endometriosis
- B. Polycystic ovary syndrome (PCOS)
- C. Pelvic inflammatory disease (PID)
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Endometriosis can cause scarring and blockage of the fallopian tubes, hindering conception. PCOS can lead to irregular ovulation or lack of ovulation, affecting fertility. PID can cause damage to the reproductive organs, impacting fertility. Therefore, all three conditions listed can potentially contribute to female infertility. Choices A, B, and C are all incorrect because each condition individually can cause female infertility, making option D the correct choice.
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What is the recommended method of administering vitamin K to a newborn?
- A. Intramuscular injection
- B. Oral administration
- C. Topical application
- D. Subcutaneous injection
Correct Answer: A
Rationale: The correct method is A: Intramuscular injection. This route ensures rapid and reliable absorption of vitamin K, crucial for preventing bleeding disorders in newborns. Oral administration may be less effective due to variable absorption. Topical application is not recommended as it may not provide sufficient absorption. Subcutaneous injection can lead to variable absorption rates and is not as reliable as the intramuscular route for vitamin K administration.
What is the recommended method of feeding for a newborn with galactosemia?
- A. Breastfeeding
- B. Formula feeding
- C. Soy-based formula feeding
- D. All of the above
Correct Answer: B
Rationale: Formula feeding is recommended for newborns with galactosemia, as they cannot metabolize lactose.
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.
Which of the following is a potential barrier to effective communication in maternal and newborn healthcare?
- A. Limited health literacy
- B. Cultural differences
- C. Language barriers
- D. All of the above
Correct Answer: D
Rationale: All of the above are potential barriers to effective communication. Limited health literacy, cultural differences, and language barriers can all hinder understanding and collaboration between healthcare providers and patients.
A nurse is transporting a newborn back to the parent's room following a procedure. Which of the following actions should the nurse take prior to leaving the newborn with their parent?
- A. Ensure that the parent's identification band number matches the newborn's identification band number.
- B. Ask the parent to verify their name and date of birth.
- C. Check the newborn's security tag number to ensure it matches the newborn's medical record.
- D. Match the newborn's date and time of birth to the information in the parent's medical record.
Correct Answer: A
Rationale: Ensuring that the parent's identification band number matches the newborn's identification band number is a critical safety measure to prevent errors in newborn identification.