Nokea
Which of the following is a potential legal issue related to informed consent in maternal and newborn healthcare?
- A. Lack of capacity to consent
- B. Coercion or undue influence
- C. Failure to disclose risks and benefits
- D. All of the above
Correct Answer: D
Rationale: All of the above are potential legal issues related to informed consent. Lack of capacity, coercion, and failure to disclose risks and benefits can all invalidate consent and lead to legal consequences.
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A nurse is assessing a newborn who has neonatal abstinence syndrome. Which of the following findings should the nurse expect?
- A. Diminished deep tendon reflexes
- B. Excessive crying
- C. Decreased muscle tone
- D. Absent Moro reflex
Correct Answer: B
Rationale: The correct answer is B: Excessive crying. Neonatal abstinence syndrome (NAS) occurs in newborns exposed to addictive substances in utero. The newborn may exhibit symptoms such as excessive crying due to neurologic irritability. Diminished deep tendon reflexes (A) are not typically associated with NAS. Decreased muscle tone (C) is not a common finding in NAS; infants may actually have increased muscle tone. An absent Moro reflex (D) is not a typical finding in NAS, as hyperreflexia is more common.
Which of the following is a potential barrier to effective interprofessional collaboration in maternal and newborn healthcare?
- A. Hierarchical structures and power differentials
- B. Lack of understanding of other professions' roles and responsibilities
- C. Limited resources
- D. All of the above
Correct Answer: D
Rationale: Barriers to interprofessional collaboration include hierarchical structures, lack of understanding of roles, and limited resources.
A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?
- A. Depression.
- B. Polyuria.
- C. Hypotension.
- D. Urticaria.
Correct Answer: A
Rationale: Depression is a known adverse effect of combined oral contraceptives due to the hormonal changes they induce.
A nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's newborn. Which of the following statements should the nurse make?
- A. "The nurse will carry your baby in their arms to the nursery for scheduled procedures."
- B. "We will document the relationship of visitors in your medical record."
- C. "It's okay for your baby to sleep in the bed with you while in the hospital."
- D. "Staff members who take care of your baby will be wearing a photo identification badge."
Correct Answer: D
Rationale: Correct Answer: D
Rationale:
1. Staff wearing photo ID badges ensures proper identification for security.
2. Visual verification protects against unauthorized individuals caring for the baby.
3. ID badges indicate staff members have been vetted and authorized to care for newborns.
4. Promotes safety by ensuring only qualified individuals handle the baby.
Summary:
A: Carrying the baby to the nursery poses security risks and disrupts mother-infant bonding.
B: Documenting visitor relationships is important but does not directly address newborn security.
C: Co-sleeping with the baby in the hospital increases the risk of accidental suffocation.
D: Correct choice, as it directly addresses security and safety measures for the newborn.
E:
F:
G:
Which of the following is a potential complication of a multiple gestation pregnancy?
- A. Preterm labor
- B. Gestational diabetes
- C. Placenta previa
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Multiple gestation pregnancies are at higher risk for complications like preterm labor, as the uterus may become over-distended leading to early contractions. Gestational diabetes is also common due to the increased demands on the mother's body. Additionally, placenta previa can occur due to the abnormal implantation of the placenta in a multiple gestation pregnancy. Therefore, all of these complications are potential risks in a multiple gestation pregnancy. Other choices are incorrect as they do not encompass the range of complications associated with multiple gestation pregnancies.