When working as a team in a critical situation, the best way to communicate is through closed loop communication.

True.

False.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Closed loop communication is essential in critical situations as it ensures that information is accurately sent, received, and confirmed, reducing errors by allowing team members to verify directives and actions.

Choice B rationale

Open-ended communication methods are prone to misinterpretations and delays in critical situations, making them unsuitable for ensuring precision and immediate understanding, as required in urgent medical scenarios.

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Correct Answer is A

Explanation

Choice A rationale

Tone refers to uterine atony, the leading cause of postpartum hemorrhage. Tissue refers to retained placental fragments. Trauma includes lacerations or uterine rupture. Thrombin relates to coagulation disorders impacting clotting.

Choice B rationale

TOLAC (Trial of Labor After Cesarean) and thrombosis are unrelated to immediate hemorrhage management. Thrombosis generally involves venous clots, differing from thrombin, which concerns clotting factor deficiencies causing bleeding.

Choice C rationale

Tear and tolerance are non-specific terms lacking relevance to postpartum hemorrhage management. Time to search is impractical and unrelated to immediate intervention for hemorrhage or its causes.

Choice D rationale

"None of the above" is incorrect as the Four Ts (Tone, Tissue, Trauma, Thrombin) specifically address the primary causes of postpartum hemorrhage and are universally accepted in clinical guidelines.

A. Narcan. B. Phenobarbital. C. Methadone. D. Morphine.

Correct Answer is A

Explanation

Choice A rationale

Narcan (naloxone) is contraindicated as it can precipitate acute withdrawal symptoms in neonates exposed to opioids in utero, leading to seizures and severe distress due to sudden opioid receptor blockade.

Choice B rationale

Phenobarbital is used to manage neonatal abstinence syndrome by reducing central nervous system hyperexcitability and seizures. It is not contraindicated as it provides symptomatic relief for withdrawal symptoms.

Choice C rationale

Methadone is used to treat neonatal abstinence syndrome by stabilizing opioid levels and preventing withdrawal symptoms. It is not contraindicated and helps manage symptoms effectively in opioid-exposed neonates.

Choice D rationale

Morphine is a first-line treatment for neonatal abstinence syndrome, reducing withdrawal symptoms by mimicking the effects of opioids. It is not contraindicated and is commonly used in neonatal care.

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When working as a team in a critical situation, the best way to communicate is through closed loop communication.

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Naxlex Comprehensive Predictor Exams

What are the four Ts as they relate to postpartum hemorrhage?

Correct Answer is A

Explanation

There is a baby in the neonatal intensive care unit (NICU) who is exhibiting signs of neonatal abstinence syndrome. Which of the following medications are contraindicated for this neonate?

Correct Answer is A

Explanation

On day 3 of life, a newborn continues to require 100% oxygen by nasal cannula. The parents ask whether they can hold their infant during his next gavage feeding. Given that this newborn is physiologically stable, what response would the nurse give?

A steady trickle of bright red blood from the vagina in the presence of a firm fundus suggests:

A patient, one day postpartum, is being monitored carefully after a significant postpartum hemorrhage. Which of the following should the nurse report to the obstetrician?

A client who is two weeks postpartum calls her obstetrician’s nurse and states that she has had a white discharge for about a week but today she is bleeding and saturating one pad about every 30 minutes. Which of the following is the appropriate response from the nurse?

Which instruction should be included in the discharge teaching plan to assist the patient in recognizing early signs of complications?

The parents of a 28-week gestation neonate ask the nurse, “Why does he have to be fed through a tube in his mouth? What is the nurse’s best response?”

When working as a team in a critical situation, the best way to communicate is through closed loop communication.

One of the greatest immediate risks to an infant with a myelomeningocele is: