Nokea
Which of the following is a potential complication of maternal hyperthyroidism during pregnancy?
- A. Preterm labor
- B. Fetal growth restriction
- C. Preterm premature rupture of membranes (PPROM)
- D. All of the above
Correct Answer: D
Rationale: Maternal hyperthyroidism can lead to preterm labor, fetal growth restriction, and PPROM.
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Which of the following hormones is responsible for the growth and development of the mammary glands during pregnancy?
- A. Progesterone
- B. Estrogen
- C. Prolactin
- D. Oxytocin
Correct Answer: C
Rationale: Prolactin is the hormone responsible for stimulating the growth and development of the mammary glands during pregnancy, preparing them for milk production.
What is the primary legal responsibility of a nurse or midwife in maternal and newborn healthcare?
- A. Ensuring patient safety
- B. Maintaining patient confidentiality
- C. Providing appropriate care and treatment
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. A nurse or midwife's primary legal responsibility in maternal and newborn healthcare is to ensure patient safety by providing appropriate care and treatment while also maintaining patient confidentiality. Patient safety is paramount in healthcare to prevent harm or injury. Maintaining confidentiality is crucial to protect patient privacy and uphold ethical standards. Providing appropriate care and treatment involves assessing, planning, implementing, and evaluating care to meet the unique needs of each patient. Choosing D encompasses all these critical aspects, ensuring comprehensive legal responsibility is upheld.
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?
- A. Place the client in a supine position for 30 min following the first dose of anesthetic solution.
- B. Administer 1,000 mL of dextrose 5% in water prior to the first dose of anesthetic solution.
- C. Monitor the client's blood pressure every 5 min following the first dose of anesthetic solution.
- D. Ensure the client has been NPO 4 hr prior to the placement of the epidural and the first dose of anesthetic solution.
Correct Answer: C
Rationale: Monitoring the client's blood pressure every 5 minutes after the first dose of anesthetic solution is essential to detect and manage hypotension, a common side effect of epidural anesthesia.
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?
- A. Apply a moist, warm compress to the perineum.
- B. Provide the client with a cool sitz bath.
- C. Administer methylergonovine 0.2 mg IM.
- D. Apply povidone-iodine to the client’s perineum after she voids.
Correct Answer: A
Rationale: The correct answer is A: Apply a moist, warm compress to the perineum. This action helps to promote healing and reduce discomfort for the client with a fourth-degree perineal laceration. Warmth can increase blood flow to the area, aiding in the healing process. Moisture can also help with wound healing and provide comfort.
Choice B is incorrect as a cool sitz bath may not be suitable for a fourth-degree laceration as it can cause vasoconstriction and slow down the healing process. Choice C, administering methylergonovine, is not indicated for perineal lacerations. Choice D, applying povidone-iodine after voiding, can be irritating to the wound and delay healing.
In summary, applying a warm, moist compress is the best option to promote healing and comfort for the client with a fourth-degree perineal laceration.
A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?
- A. Oligohydramnios.
- B. Hyperemesis gravidarum.
- C. Leukorrhea.
- D. Periodic tingling of the fingers.
Correct Answer: A
Rationale: Oligohydramnios, or low amniotic fluid, is an indication for electronic fetal monitoring as it can be associated with fetal distress and other complications.