A nurse is teaching a pregnant client who is Rh-negative about Rh (D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: A

Rationale: In this scenario, option A is the correct answer. The statement, "If my partner is Rh-negative, I will not receive the shot," demonstrates an understanding of the teaching about Rh (D) immune globulin. This is because Rh-negative individuals only require Rh (D) immune globulin if the father of the baby is Rh-positive to prevent sensitization in case the baby is Rh-positive. Option B is incorrect because Rh (D) immune globulin is usually administered during pregnancy, not just after delivery. Option C is incorrect as there is no need to avoid immunizations after receiving Rh (D) immune globulin. Option D is also incorrect because the shot is typically given during pregnancy to prevent sensitization in the current pregnancy, not just for future pregnancies. For educational context, it is important for pregnant women to understand the implications of Rh incompatibility and the role of Rh (D) immune globulin in preventing hemolytic disease of the newborn. Educating pregnant clients on this topic is crucial to ensure the health and well-being of both the current and future pregnancies.

Correct Answer: C

Rationale: In the context of caring for a pregnant client with hyperemesis gravidarum at 14 weeks of gestation, the correct medication choice is Vitamin B6 (option C). Hyperemesis gravidarum is characterized by severe nausea and vomiting in pregnancy, and Vitamin B6 (pyridoxine) is a common and safe treatment recommended to alleviate these symptoms. Vitamin B6 has been shown to be effective in reducing nausea and vomiting in pregnant women without posing harm to the fetus. It is a well-established and evidence-based therapy for managing hyperemesis gravidarum. Option A, Digoxin, is a cardiac medication used to treat heart conditions and would not be appropriate for treating hyperemesis gravidarum during pregnancy. Option B, Calcium gluconate, is a mineral supplement used to treat calcium deficiencies and would not address the symptoms of hyperemesis gravidarum. Option D, Propranolol, is a beta-blocker used for various conditions like high blood pressure and anxiety, but it is contraindicated in pregnancy due to potential adverse effects on fetal development. In an educational context, understanding the appropriate management of hyperemesis gravidarum in pregnancy is crucial for maternal newborn nurses. Knowing the safe and effective medications to use, such as Vitamin B6, helps nurses provide optimal care for pregnant clients experiencing severe nausea and vomiting. It also highlights the importance of considering the unique needs and safety of both the mother and the developing fetus when selecting medications during pregnancy.

Correct Answer: D

Rationale: The correct answer is D) "I will place 2 teaspoons of spermicide on the inside of the diaphragm before inserting it." This statement indicates an understanding of the correct usage of a diaphragm for contraception. Spermicide is necessary to immobilize sperm and increase the effectiveness of the diaphragm. Option A is incorrect because the diaphragm should be left in place for at least 6 hours after intercourse, not 4 hours. Option B is incorrect because the diaphragm should be removed by hooking the rim with the index finger and thumb, not by catching the rim below the dome with the forefinger. Option C is incorrect because mineral oil can degrade latex diaphragms, so it should not be used. In an educational context, it is crucial for nurses to provide accurate information on contraceptive methods to ensure their clients use them correctly and effectively. Understanding the proper use of a diaphragm is essential to prevent unintended pregnancies and promote reproductive health. Nurses play a key role in educating clients on contraceptive options and empowering them to make informed decisions about their sexual health.

Correct Answer: D

Rationale: In this scenario, the correct intervention is to reposition the newborn every 2 to 3 hours (Option D). Repositioning the newborn helps to ensure optimal exposure to the phototherapy lights, which is crucial for the treatment of hyperbilirubinemia. Option A, checking the newborn's temperature every 8 hours, is not the priority intervention in this case. While monitoring temperature is important, it is secondary to ensuring effective phototherapy. Option B, applying moisturizing lotion to the newborn's skin every 4 hours, is not indicated for the treatment of hyperbilirubinemia. This intervention does not address the underlying cause or contribute to the effectiveness of phototherapy. Option C, giving the newborn glucose water every 4 hours, is not an appropriate intervention for hyperbilirubinemia. Providing glucose water is unrelated to the treatment of this condition and does not address the need for phototherapy. In an educational context, it is important for nurses to understand the rationale behind interventions for newborns with hyperbilirubinemia. By repositioning the newborn regularly, nurses can optimize the effectiveness of phototherapy and ensure the best possible outcome for the newborn. This knowledge is essential for providing safe and effective care to neonates with this condition.

Correct Answer: C

Rationale: In the realm of maternal newborn nursing, the primary role of practicing nurses in the research process is to identify researchable problems (Option C). This choice is correct because nurses working closely with mothers and newborns are in a unique position to observe challenges, gaps in care, or areas needing improvement in their daily practice. By identifying these researchable problems, nurses can contribute valuable insights that can lead to meaningful research studies aimed at enhancing the quality of care provided to mothers and newborns. The other options are incorrect in this context. Designing research studies (Option A) is typically the role of experienced researchers or research teams with specialized training in research methodology. Collecting data for other researchers (Option B) is an important task but not the primary role of practicing nurses in the research process. Seeking funding to support research studies (Option D) is usually the responsibility of principal investigators or research coordinators who oversee the entire research process. In an educational context, understanding the role of nurses in the research process is crucial for students and practicing nurses alike. By recognizing their role in identifying researchable problems, nurses can actively contribute to evidence-based practice, drive improvements in maternal newborn care, and ultimately enhance outcomes for mothers and newborns. This knowledge empowers nurses to be proactive in addressing healthcare challenges through research and innovation.