Nokea
Which of the following is a potential legal issue related to maternal and newborn healthcare?
- A. Informed consent
- B. Medical malpractice
- C. Abandonment
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. In maternal and newborn healthcare, potential legal issues include informed consent, where patients must be fully informed before medical procedures. Medical malpractice can occur if healthcare providers fail to meet the standard of care. Abandonment is a legal issue if healthcare providers neglect patients after agreeing to provide care. Choosing D is correct because all the mentioned issues are relevant to maternal and newborn healthcare legal concerns.
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What is the recommended method of screening for Group B Streptococcus (GBS) during pregnancy?
- A. Urine culture
- B. Rectovaginal culture
- C. Blood test
- D. Nasopharyngeal culture
Correct Answer: B
Rationale: The recommended method for screening GBS during pregnancy is a rectovaginal culture. This method involves swabbing the rectum and vagina to detect GBS colonization. This is crucial because GBS can be transmitted to the newborn during delivery, leading to serious infections. Urine culture (choice A) is not recommended for GBS screening as it does not accurately reflect vaginal colonization. Blood test (choice C) and nasopharyngeal culture (choice D) are also not appropriate for GBS screening during pregnancy. Rectovaginal culture is the gold standard method for identifying GBS colonization in pregnant women.
A nurse is caring for a client immediately following the delivery of a stillborn fetus. Which of the following actions should the nurse take?
- A. Limit the amount of time the fetus is in the client’s room.
- B. Provide the client with photos of the fetus.
- C. Instruct the client that an autopsy should be performed within 24 hr.
- D. Inform the client that the law requires them to name the fetus.
Correct Answer: B
Rationale: The correct answer is B: Provide the client with photos of the fetus. This action allows the client to have tangible memories of their stillborn baby, aiding in the grieving process and facilitating closure. It is important for the client to have something to remember their child by, as it validates the existence of the baby and acknowledges the client's loss. It also promotes a sense of connection and remembrance. Providing photos can be a compassionate gesture that supports the client emotionally during this difficult time.
Choice A is incorrect because limiting the time the fetus is in the room may not consider the client's emotional needs. Choice C is incorrect as it may add unnecessary stress to the client. Choice D is incorrect as there is no legal requirement to name a stillborn fetus.
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
- A. Vaginal candidiasis
- B. Abdominal distention
- C. Afterpains
- D. Third-degree perineal laceration
Correct Answer: D
Rationale: The correct answer is D: Third-degree perineal laceration. Using a suppository in a client with a third-degree perineal laceration can exacerbate pain, increase the risk of infection, and hinder the healing process. The suppository insertion may disrupt the delicate tissue, leading to further trauma and complications. It is crucial to allow the perineal area to heal properly without additional irritation. Choices A, B, and C are not contraindications to the use of a suppository for constipation in a postpartum client. Vaginal candidiasis, abdominal distention, and afterpains do not directly impact the safety or effectiveness of suppository use in this scenario.
A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching?
- A. "I will eat foods that taste good instead of balancing my meals."
- B. "I will avoid having a snack before I go to bed each night."
- C. "I will have a cup of hot tea with each meal."
- D. "I will eliminate products that contain dairy from my diet."
Correct Answer: D
Rationale: The correct answer is D: "I will eliminate products that contain dairy from my diet." This is because hyperemesis gravidarum is a condition characterized by severe nausea and vomiting during pregnancy. Dairy products can be harder to digest and may exacerbate nausea. By eliminating dairy, the client can reduce the likelihood of triggering nausea and vomiting.
A: "I will eat foods that taste good instead of balancing my meals." - This statement does not address the dietary changes needed for hyperemesis gravidarum.
B: "I will avoid having a snack before I go to bed each night." - While avoiding snacks before bedtime can be a good practice for some, it does not specifically address the dietary needs of hyperemesis gravidarum.
C: "I will have a cup of hot tea with each meal." - Hot tea may not necessarily help with managing hyperemesis gravidarum symptoms and does not address the need for dietary modifications.
Which hormone is responsible for stimulating milk production in the breasts?
- A. Progesterone
- B. Estrogen
- C. Prolactin
- D. Oxytocin
Correct Answer: C
Rationale: The correct answer is C: Prolactin. Prolactin is the hormone responsible for stimulating milk production in the breasts. It is produced by the pituitary gland and plays a crucial role in lactation. Progesterone and estrogen are involved in preparing the breasts for milk production but do not directly stimulate it. Oxytocin is responsible for the ejection of milk from the breast but not for its production.