Nokea
Which of the following is a potential complication of maternal obesity during pregnancy?
- A. Gestational diabetes
- B. Preterm labor
- C. Fetal macrosomia
- D. All of the above
Correct Answer: D
Rationale: Maternal obesity can lead to gestational diabetes, preterm labor, and fetal macrosomia.
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What is the recommended amount of weight gain during pregnancy for a woman with a normal BMI?
- A. 10-15 pounds
- B. 20-30 pounds
- C. 30-40 pounds
- D. 40-50 pounds
Correct Answer: B
Rationale: The correct answer is B (20-30 pounds). This range is recommended for pregnant women with a normal BMI to support the health of both the mother and the baby. Gaining too little weight can lead to complications like low birth weight, while gaining too much weight increases the risk of gestational diabetes and high blood pressure. The other choices are incorrect because they either fall below or exceed the recommended weight gain range, which can pose risks to the pregnancy. It is crucial for the mother to maintain a healthy weight gain to ensure a safe and successful pregnancy.
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.
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
- A. Quality improvement
- B. Patient-centered care
- C. Safety
- D. All of the above
Correct Answer: D
Rationale: Quality improvement patient-centered care and safety are all fundamental professional standards in nursing practice. These standards ensure high-quality safe and compassionate care for mothers and newborns.
A nurse is caring for a client who is in active labor and notes the FHR baseline has been 100/min for the past 15 min. The nurse should identify which of the following conditions as a possible cause of fetal bradycardia?
- A. Maternal hypoglycemia
- B. Chorioamnionitis
- C. Fetal anemia
- D. Maternal fever
Correct Answer: C
Rationale: Fetal anemia can lead to bradycardia due to reduced oxygen delivery to the fetal heart.
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
- A. Safety and quality improvement
- B. Patient-centered care
- C. Leadership
- D. All of the above
Correct Answer: D
Rationale: All of the above are professional standards for nursing practice. Safety and quality improvement ensure high standards of care, patient-centered care focuses on individual needs, and leadership promotes effective teamwork and advocacy.