Nokea
Which of the following is a potential legal issue related to maternal and newborn healthcare?
- A. Medical negligence
- B. Patient confidentiality
- C. Informed consent
- D. All of the above
Correct Answer: D
Rationale: Legal issues in maternal and newborn healthcare include medical negligence, patient confidentiality, and informed consent.
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A nurse is preparing to measure the temperature of an infant. Which of the following actions should the nurse take?
- A. Pull the pinna of the infant's ear forward before inserting the probe.
- B. Place the tip of the thermometer under the center of the infant's axilla
- C. Insert the probe 3.8 cm (1.5 in) into the infant's rectum.
- D. Insert the oral thermometer in front of the infant's tongue.
Correct Answer: B
Rationale: Axillary temperature measurement is safe and non-invasive for infants.
What is the recommended method of feeding for a full-term newborn who is not at risk for hypoglycemia?
- A. Breastfeeding
- B. Formula feeding
- C. Tube feeding
- D. All of the above
Correct Answer: A
Rationale: Breastfeeding is the recommended method of feeding for full-term newborns who are not at risk for hypoglycemia.
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan?
- A. Feed the newborn 1 oz of water every 4 hr.
- B. Apply lotion to the newborn's skin three times per day.
- C. Remove all clothing from the newborn except the diaper.
- D. Discontinue therapy if the newborn develops a rash.
Correct Answer: C
Rationale: The correct answer is C: Remove all clothing from the newborn except the diaper. During phototherapy, the newborn's skin needs to be exposed to the light to effectively treat hyperbilirubinemia. Removing all clothing allows maximum skin exposure. Option A is incorrect as water does not help with phototherapy. Option B is incorrect as lotion can interfere with the effectiveness of the therapy. Option D is incorrect as a rash is a common side effect of phototherapy and discontinuing it would hinder treatment.
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet. Which of the following questions should the nurse ask to assess the client’s dietary intake?
- A. How much protein do you eat in a day?
- B. Are you taking a Vitamin C supplement?
- C. Have you considered eating shellfish?
- D. When was the last time you ate meat?
Correct Answer: A
Rationale: The correct answer is A: "How much protein do you eat in a day?" This question is important because as a vegan, the client may have a higher risk of protein deficiency due to the lack of animal protein in their diet. By asking about their protein intake, the nurse can assess if the client is meeting their protein needs for a healthy pregnancy.
Choice B, asking about a Vitamin C supplement, is incorrect as Vitamin C deficiency is not typically a concern for vegans and is not specifically related to gestational nutrition. Choice C, suggesting shellfish, is incorrect as it goes against the client's vegan dietary preferences. Choice D, asking about the last time the client ate meat, is also incorrect as it is not relevant to assessing their current dietary intake as a vegan.
What is the primary ethical principle guiding nursing practice in maternal and newborn healthcare?
- A. Autonomy
- B. Non-maleficence
- C. Beneficence
- D. Justice
Correct Answer: C
Rationale: The correct answer is C: Beneficence. In maternal and newborn healthcare, beneficence is the primary ethical principle guiding nursing practice. This principle emphasizes the nurse's duty to promote the well-being and best interests of both the mother and the newborn. Nurses must act in a way that benefits their patients and ensures their safety and health. Autonomy (A) focuses on respecting the patient's right to make their own decisions, which is important but not the primary principle in this context. Non-maleficence (B) involves avoiding harm, which is essential but not the primary guiding principle here. Justice (D) pertains to fairness in healthcare access and resource allocation, which is also crucial but not the primary ethical principle for maternal and newborn healthcare.