Which of the following is a potential complication of a forceps-assisted delivery?
- A. Shoulder dystocia
- B. Hemorrhage
- C. Birth trauma
- D. All of the above
Correct Answer: C
Rationale: The correct answer is C: Birth trauma. Forceps-assisted delivery can result in birth trauma due to the application of forceps on the baby's head, leading to injuries such as facial bruising or lacerations. Shoulder dystocia (choice A) is a complication during natural delivery, not specific to forceps. Hemorrhage (choice B) can occur post-delivery and is not directly related to forceps. Choice D is incorrect as not all complications listed are directly associated with forceps-assisted delivery.
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What is the recommended method of pain relief for a woman who has a vaginal tear or episiotomy after delivery?
- A. Nonsteroidal anti-inflammatory drugs (NSAIDs)
- B. Acetaminophen
- C. Ice packs
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Nonsteroidal anti-inflammatory drugs (NSAIDs) help reduce inflammation and pain. Acetaminophen is a pain reliever that can be used in conjunction with NSAIDs for added relief. Ice packs can help reduce swelling and numb the area. Using all three methods together can provide a comprehensive approach to pain relief, targeting different aspects of discomfort such as inflammation, pain, and swelling. This combination can effectively manage pain and promote healing in cases of vaginal tear or episiotomy. Other choices are incorrect because using only one method may not address all aspects of pain and discomfort associated with the condition.
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation. Identify the sequence of actions the nurse should take.
- A. Instruct the client to empty their bladder.
- B. Position the client supine with knees flexed and place a small, rolled towel under one of their hips.
- C. Palpate the fetal part positioned in the fundus.
- D. Palpate the fetal parts along both sides of the uterus.
Correct Answer: A, B, C, D
Rationale: The correct order is A, B, C, D. First, instructing the client to empty their bladder ensures better visualization and palpation of the uterus. Second, positioning the client supine with knees flexed and a small towel under the hip optimizes comfort and facilitates proper examination. Third, palpating the fetal part in the fundus helps determine the fetal presentation. Finally, palpating the fetal parts along both sides of the uterus assists in identifying the position and engagement of the fetus. Choices E, F, and G are not relevant to the Leopold maneuvers sequence and do not contribute to the accurate assessment of fetal position and presentation.
Which of the following is a potential complication of neonatal hypoglycemia?
- A. Jaundice
- B. Respiratory distress syndrome
- C. Intraventricular hemorrhage
- D. All of the above
Correct Answer: D
Rationale: Neonatal hypoglycemia can lead to jaundice, respiratory distress syndrome, and intraventricular hemorrhage.
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
- A. Interprofessional collaboration
- B. Evidence-based practice
- C. Quality improvement
- D. All of the above
Correct Answer: D
Rationale: Professional standards include interprofessional collaboration, evidence-based practice, and quality improvement.
A nurse is caring for a newborn who was transferred to the nursery 30 min after birth because of mild respiratory distress. Which of the following actions should the nurse take first?
- A. Confirm the newborn's Apgar score.
- B. Verify the newborn's identification.
- C. Administer vitamin K to the newborn.
- D. Determine obstetrical risk factors.
Correct Answer: B
Rationale: Verifying the newborn's identification is the first priority to ensure that the correct newborn is receiving care, especially in a busy nursery setting.