Nokea
What is the recommended method of feeding for a newborn with phenylketonuria (PKU)?
- A. Breastfeeding
- B. Formula feeding
- C. Lowphenylalanine formula feeding
- D. All of the above
Correct Answer: C
Rationale: Lowphenylalanine formula feeding is recommended for newborns with PKU.
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What is the recommended method of feeding for a preterm newborn who is not yet able to coordinate sucking and swallowing?
- A. Breastfeeding
- B. Formula feeding
- C. Tube feeding
- D. All of the above
Correct Answer: C
Rationale: Tube feeding is recommended for preterm newborns who cannot yet coordinate sucking and swallowing.
What is the recommended method of screening for Group B Streptococcus (GBS) during pregnancy?
- A. Urine culture
- B. Rectovaginal culture
- C. Blood test
- D. Nasopharyngeal culture
Correct Answer: B
Rationale: The recommended method for screening GBS during pregnancy is a rectovaginal culture. This method involves swabbing the rectum and vagina to detect GBS colonization. This is crucial because GBS can be transmitted to the newborn during delivery, leading to serious infections. Urine culture (choice A) is not recommended for GBS screening as it does not accurately reflect vaginal colonization. Blood test (choice C) and nasopharyngeal culture (choice D) are also not appropriate for GBS screening during pregnancy. Rectovaginal culture is the gold standard method for identifying GBS colonization in pregnant women.
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.
A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
- A. Premenstrual tension will no longer be present.
- B. My monthly menstrual period will be shorter.
- C. Hormone replacements will be needed following this procedure.
- D. Ovulation will remain the same.
Correct Answer: D
Rationale: The correct answer is D: Ovulation will remain the same. This is correct because tubal ligation does not affect ovulation; it only prevents the released egg from traveling through the fallopian tube to the uterus. The other choices are incorrect because: A: Premenstrual tension can still occur. B: Menstrual period length is not affected by tubal ligation. C: Hormone replacements are not typically needed after tubal ligation unless there are other medical reasons.
A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?
- A. Oligohydramnios.
- B. Hyperemesis gravidarum.
- C. Leukorrhea.
- D. Periodic tingling of the fingers.
Correct Answer: A
Rationale: Oligohydramnios, or low amniotic fluid, is an indication for electronic fetal monitoring as it can be associated with fetal distress and other complications.