Nokea
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
- A. Education and lifelong learning
- B. Research and scholarship
- C. Collaboration
- D. All of the above
Correct Answer: D
Rationale: Professional standards include education, research, and collaboration.
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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. This is essential during phototherapy to maximize the skin's exposure to the light. The light helps breakdown bilirubin in the skin, reducing jaundice. Choice A is incorrect as water will not treat hyperbilirubinemia. Choice B is incorrect as lotions can interfere with the effectiveness of phototherapy. Choice D is incorrect as a rash is a common side effect of phototherapy and should not lead to discontinuation unless severe.
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.
Which of the following is a potential complication of a forceps-assisted delivery?
- A. Shoulder dystocia
- B. Hemorrhage
- C. Birth trauma
- D. All of the above
Correct Answer: C
Rationale: The correct answer is C: Birth trauma. Forceps-assisted delivery can result in birth trauma due to the application of forceps on the baby's head, leading to injuries such as facial bruising or lacerations. Shoulder dystocia (choice A) is a complication during natural delivery, not specific to forceps. Hemorrhage (choice B) can occur post-delivery and is not directly related to forceps. Choice D is incorrect as not all complications listed are directly associated with forceps-assisted delivery.
A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy. The newborn is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse include in the plan?
- A. Administer naloxone to the newborn.
- B. Swaddle the newborn with his legs extended.
- C. Maintain eye contact with the newborn during feedings
- D. Minimize noise in the newborn's environment.
Correct Answer: D
Rationale: Minimizing noise in the newborn's environment helps reduce overstimulation, which can exacerbate symptoms of neonatal abstinence syndrome. Naloxone is not used for this condition, and swaddling with legs extended is incorrect as it should be snug to provide comfort.
Which of the following is a potential cause of male infertility?
- A. Varicocele
- B. Testicular cancer
- C. Erectile dysfunction
- D. All of the above
Correct Answer: D
Rationale: Male infertility can be caused by varicocele, testicular cancer, or erectile dysfunction.