How should a nurse respond to a mother asking about newborn hearing screening?

Correct Answer: B

Rationale: In the context of newborn hearing screening, the correct response for a nurse when a mother asks about it is option B) Reassure the mother that this is a routine test. This response is appropriate because newborn hearing screening is a standard procedure recommended for all infants shortly after birth. By reassuring the mother that this is routine, the nurse can alleviate any concerns or anxieties the mother may have regarding the test. Option A) Explain that hearing screening is optional is incorrect because newborn hearing screening is considered a crucial part of early identification of hearing loss and is recommended for all infants. Option C) Inform the mother that hearing screening is mandatory is not entirely accurate as parents usually have the right to decide whether to proceed with the screening, although it is highly recommended. Option D) Provide resources for further testing if needed is not the most suitable response initially as the focus should be on reassuring the mother about the routine nature of the screening test before discussing further steps if any issues are identified. In an educational context, it is essential for nurses to understand the significance of newborn hearing screening and be able to effectively communicate with parents about the procedure to ensure timely identification and intervention in case of hearing loss, emphasizing the importance of early detection in promoting optimal developmental outcomes for the newborn.

Correct Answer: A

Rationale: In caring for an immediate postpartum client, you should monitor closely for HELLP syndrome, which stands for Hemolysis, Elevated Liver enzymes, and Low Platelet count. HELLP syndrome is a serious complication of pregnancy characterized by high blood pressure, protein in the urine, and problems with the liver and blood-clotting system. It can lead to severe bleeding issues, organ failure, and other life-threatening complications if not promptly recognized and managed. Therefore, close monitoring for signs of HELLP syndrome is crucial in the postpartum period to ensure timely intervention and prevent adverse outcomes.

Correct Answer: B

Rationale: In incomplete abruptio placenta, the separation begins at the periphery of the placenta. This results in partial detachment of the placenta from the uterine wall, rather than almost total separation as seen in complete abruptio placenta. This type of abruptio placenta may present with vaginal bleeding depending on the extent of separation and may lead to various degrees of maternal and fetal compromise.

Correct Answer: A

Rationale: In this scenario, it is important to explain to the client what happened during labor and delivery. It is essential to communicate that the fetus was in a brow presentation initially, which can sometimes lead to complications during labor. However, the fetus converted to occiput presentation and was successfully delivered vaginally with the help of vacuum extraction. Providing this information to the client helps in ensuring transparency and understanding of the events that occurred, addressing any concerns or questions they may have about the delivery process.

Correct Answer: A

Rationale: In this scenario, the correct answer is option A: "What should the nurse be monitoring the fetus closely for?" This option is correct because when caring for a patient at risk for uterine issues, monitoring the fetus closely is crucial to assess its well-being and detect any signs of distress. By closely monitoring the fetus, the nurse can identify any deviations from normal patterns and intervene promptly to ensure the safety of both the mother and the baby. Option B, "Loss of ability to determine fetal station," is incorrect in this context because it does not directly address the immediate need for monitoring the fetus for signs of distress. While the loss of ability to determine fetal station can be a concern during labor, it is not the primary focus when a patient is at risk for uterine issues. Option C, "Bradycardia," and option D, "Late decelerations," are also incorrect as they represent specific fetal heart rate abnormalities that may occur but do not encompass the broader scope of monitoring the fetus for overall well-being in a patient at risk for uterine problems. Educationally, understanding the importance of fetal monitoring in high-risk situations during pregnancy is crucial for nurses caring for maternal newborn patients. It highlights the need for vigilant assessment and proactive intervention to ensure optimal outcomes for both the mother and the baby. By prioritizing fetal monitoring, nurses can enhance their ability to provide safe and effective care in challenging situations.