Nokea
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
- A. Leadership
- B. Technology and informatics
- C. Ethics
- D. All of the above
Correct Answer: D
Rationale: Professional standards include leadership, technology, and ethics.
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A nurse is assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding. Which of the following actions should the nurse take first?
- A. Massage the client's fundus.
- B. Administer oxytocin to the client.
- C. Empty the client’s bladder.
- D. Provide oxygen to the client via nonrebreather face mask.
Correct Answer: A
Rationale: The correct action is to massage the client's fundus first. This helps to stimulate uterine contractions and control excessive bleeding, preventing postpartum hemorrhage. Massaging the fundus promotes the expulsion of clots and helps the uterus contract, decreasing the risk of further bleeding. Administering oxytocin (choice B) can be done after fundal massage to enhance uterine contractions. Emptying the client's bladder (choice C) can also aid in reducing uterine atony but is not the priority in this situation. Providing oxygen (choice D) is not directly related to controlling postpartum bleeding.
What is the recommended method of pain relief for a woman who has a cesarean delivery?
- A. Epidural anesthesia
- B. Intravenous opioids
- C. Patient-controlled analgesia
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. After a cesarean delivery, a combination of pain relief methods is often recommended to manage postoperative pain effectively. Epidural anesthesia provides continuous pain relief, intravenous opioids offer immediate relief, and patient-controlled analgesia allows the woman to self-administer pain medication as needed. This multimodal approach ensures adequate pain control while minimizing side effects. Choosing only one method may not address all aspects of pain management. Therefore, utilizing all three options in combination is the most comprehensive and effective approach in managing pain after a cesarean delivery.
Which of the following is a potential complication of a nuchal cord?
- A. Fetal distress
- B. Maternal hemorrhage
- C. Amniotic fluid embolism
- D. All of the above
Correct Answer: A
Rationale: The correct answer is A: Fetal distress. A nuchal cord occurs when the umbilical cord is wrapped around the baby's neck. This can potentially lead to decreased blood flow and oxygen supply to the baby, resulting in fetal distress. Maternal hemorrhage and amniotic fluid embolism are not direct complications of a nuchal cord. Therefore, the correct answer is A as it directly relates to the potential consequence of a nuchal cord.
A nurse is planning care for a toddler who has epiglottitis. which of the following interventions should the nurse include.
- A. Offer a high-calorie, high-protein diet.
- B. Administer pancreatic enzymes with meals.
- C. Initiate droplet precautions.
- D. Carefully suction the child's oropharynx to remove secretions
Correct Answer: C
Rationale: Epiglottitis is a medical emergency, and droplet precautions are necessary to prevent the spread of infection. Suctioning the oropharynx can worsen airway obstruction and is not recommended.
Which of the following is a potential complication of maternal hyperemesis gravidarum?
- A. Preterm labor
- B. Fetal growth restriction
- C. Maternal dehydration
- D. All of the above
Correct Answer: D
Rationale: Hyperemesis gravidarum can lead to preterm labor, fetal growth restriction, and maternal dehydration.