Nokea
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.
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Which of the following is a potential complication of gestational diabetes?
- A. Hyperglycemia
- B. Hypoglycemia
- C. Polyhydramnios
- D. Hypertension
Correct Answer: C
Rationale: The correct answer is C: Polyhydramnios. Gestational diabetes can lead to increased fetal growth and higher amniotic fluid levels, causing polyhydramnios. This can lead to complications during delivery.
Incorrect choices:
A: Hyperglycemia is a symptom of gestational diabetes, not a complication.
B: Hypoglycemia is not a common complication of gestational diabetes.
D: Hypertension is not directly linked to gestational diabetes complications.
A nurse who is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure?
- A. Check the client's temperature.
- B. Observe for uterine contractions.
- C. Administer Rh(0) Immune globulin.
- D. Monitor the FHR.
Correct Answer: C
Rationale: Administering Rh(0) Immune globulin is a priority for Rh-negative clients after amniocentesis to prevent Rh sensitization, which can occur if fetal blood enters the maternal circulation.
What is the primary responsibility of a nurse or midwife in providing culturally competent care in maternal and newborn healthcare?
- A. Recognizing and respecting cultural diversity
- B. Providing culturally sensitive education
- C. Addressing health disparities
- D. All of the above
Correct Answer: D
Rationale: Culturally competent care involves recognizing cultural diversity, providing culturally sensitive education, and addressing health disparities.
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 barrier to providing patient-centered care in maternal and newborn healthcare?
- A. Lack of communication skills
- B. Lack of knowledge and expertise
- C. Lack of cultural awareness
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Lack of communication skills, knowledge, and cultural awareness can all act as barriers to providing patient-centered care in maternal and newborn healthcare. Communication skills are essential for understanding and addressing patient needs. Knowledge and expertise are crucial for making informed decisions and providing appropriate care. Cultural awareness is important for respecting and accommodating diverse beliefs and practices. Therefore, all three factors are interrelated and collectively contribute to enhancing or hindering patient-centered care.