Nokea
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
- A. Quality improvement
- B. Patient-centered care
- C. Safety
- D. All of the above
Correct Answer: D
Rationale: Quality improvement patient-centered care and safety are all fundamental professional standards in nursing practice. These standards ensure high-quality safe and compassionate care for mothers and newborns.
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The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
- A. Hematuria
- B. Proteinuria 2+
- C. Leukorrhea
- D. Positive clonus
- E. BUN 40 mg/dL
- F. Platelet count 110,000/mm3
Correct Answer:
Rationale:
What is the function of the amniotic fluid during fetal development?
- A. To cushion and protect the fetus from trauma
- B. To provide a medium for fetal movement and growth
- C. To regulate fetal temperature
- D. All of the above
Correct Answer: D
Rationale: Amniotic fluid serves multiple functions including cushioning the fetus allowing movement and regulating temperature. These roles are essential for healthy fetal development.
Which of the following hormones is responsible for the growth and development of the mammary glands during pregnancy?
- A. Progesterone
- B. Estrogen
- C. Prolactin
- D. Oxytocin
Correct Answer: C
Rationale: Prolactin is the hormone responsible for stimulating the growth and development of the mammary glands during pregnancy, preparing them for milk production.
Which of the following is a potential complication of gestational diabetes?
- A. Polyhydramnios
- B. Preterm labor
- C. Neonatal hypoglycemia
- D. All of the above
Correct Answer: D
Rationale: Gestational diabetes can lead to polyhydramnios, preterm labor, and neonatal hypoglycemia.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
- A. Place newborn skin to skin on birthing parents chest, Encourage birthing parents to breastfeed, Obtain prescription for arterial blood gases, Plan to initiate phototherapy, Perform neonatal abstinence system scoring
- B. Cold stress, Acute bilirubin encephalopathy, Respiratory distress syndrome, Neonatal abstinence syndrome (NAS)
- C. Stool output, Temperature, Lung sounds, Blood glucose level, Bilirubin level
Correct Answer:
Rationale: Action to Take: A, B; Potential Condition: B; Parameter to Monitor: C, E.
Rationale:
The correct actions to take are to place newborn skin to skin on birthing parent's chest and encourage breastfeeding, as these promote bonding and breastfeeding, crucial for newborn well-being. The potential condition the client is most likely experiencing is Cold stress, indicated by the need for phototherapy. The parameters to monitor are Temperature (to track for hypothermia due to cold stress) and Bilirubin level (to assess for jaundice, common in newborns with cold stress).