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Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
- A. Collaboration with patients and families
- B. Continuity of care
- C. Cultural competence
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Collaboration with patients and families enhances patient-centered care, continuity of care ensures seamless transitions in healthcare delivery, and cultural competence promotes understanding and respect for diverse beliefs and practices. These three standards are crucial in maternal and newborn healthcare to ensure holistic, safe, and effective care. Choosing any single option would overlook the importance of the other standards, leading to potential gaps in care delivery. Therefore, selecting all of the above ensures comprehensive adherence to professional standards in nursing practice for maternal and newborn healthcare.
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What is the primary goal of patient education in maternal and newborn healthcare?
- A. To improve health outcomes
- B. To increase patient satisfaction
- C. To decrease healthcare costs
- D. All of the above
Correct Answer: A
Rationale: The primary goal of patient education in maternal and newborn healthcare is to improve health outcomes by empowering patients with knowledge to make informed decisions about their care.
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.
Which of the following is a potential complication of neonatal hyperbilirubinemia?
- A. Dehydration
- B. Kernicterus
- C. Hypoglycemia
- D. All of the above
Correct Answer: B
Rationale: Neonatal hyperbilirubinemia can lead to kernicterus, a severe form of brain damage caused by high bilirubin levels.
Which of the following is a potential legal issue related to maternal and newborn healthcare?
- A. Informed consent
- B. Patient confidentiality
- C. Child custody and visitation
- D. All of the above
Correct Answer: D
Rationale: Informed consent patient confidentiality and child custody/visitation are all legal issues that can arise in maternal and newborn healthcare. These issues require careful handling to ensure compliance with legal and ethical standards.
What is the recommended method of administering the second dose of hepatitis B vaccine to a newborn?
- A. Intramuscular injection
- B. Oral administration
- C. Topical application
- D. Subcutaneous injection
Correct Answer: A
Rationale: Intramuscular injection is the recommended method for administering the second dose of the hepatitis B vaccine to a newborn, as it ensures proper absorption and effectiveness.