Current Issues in Maternal Newborn Nursing

Current Issues in Maternal Newborn Nursing Related

Review Current Issues in Maternal Newborn Nursing related questions and content

A 32-year-old female patient arrives to the emergency department with heavy uterine bleeding. The nurse finds that the patient had a positive pregnancy test 1 month prior to the visit. What is the potential medical management for this patient's issue?

  • A. Endometrial biopsy
  • B. Dilation and curettage
  • C. Colposcopy
  • D. Laparoscopy
Correct Answer: B

Rationale: The correct answer is B: Dilation and curettage. This procedure is used to diagnose and treat conditions like heavy uterine bleeding in cases of suspected miscarriage or incomplete abortion. It involves dilating the cervix to remove tissue from the uterus. In this scenario, the patient's positive pregnancy test and heavy bleeding suggest a possible incomplete abortion or miscarriage, making D&C appropriate. The other choices are not indicated for this situation: A (Endometrial biopsy) is used to evaluate abnormal uterine bleeding unrelated to pregnancy, C (Colposcopy) is for cervical evaluation, and D (Laparoscopy) is for abdominal and pelvic exploration, not specific to uterine bleeding.

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Which sexually transmitted infection (STI) is the most commonly reported in American women?

  • A. Gonorrhea
  • B. Syphilis
  • C. Chlamydia
  • D. Candidiasis
Correct Answer: C

Rationale: Chlamydia is the most common and fastest spreading STI among American women, with an estimated 3 million new cases each year.

Nurses must remember that pregnancy is a time of risk for all women. Which condition is likely the biggest risk for the pregnant client?

  • A. Preeclampsia
  • B. IPV
  • C. Diabetes
  • D. Abnormal Pap test
Correct Answer: B

Rationale: IPV during pregnancy is more common than preeclampsia, gestational diabetes, or abnormal Pap tests, and poses greater risks.

A nurse is caring for a patient with pyelonephritis. What does the nurse identify as the most common cause?

  • A. Escherichia coli
  • B. Neisseria gonorrhoeae
  • C. Chlamydia trachomatis
  • D. Candida albicans
Correct Answer: A

Rationale: The correct answer is A: Escherichia coli. Step 1: E. coli is the most common causative agent of pyelonephritis due to its ability to ascend from the lower urinary tract to the kidneys. Step 2: E. coli is a common bacteria found in the gut and can easily infect the urinary tract. Step 3: Neisseria gonorrhoeae, Chlamydia trachomatis, and Candida albicans are not commonly associated with pyelonephritis. Thus, the correct choice is A.

What is the primary role of practicing nurses in the research process?

  • A. Designing research studies
  • B. Collecting data for other researchers
  • C. Identifying researchable problems
  • D. Seeking funding to support research studies
Correct Answer: C

Rationale: When problems are identified, research can be properly conducteResearch of healthcare issues leads to evidence-based practice guidelines.

Which patient may require more help and understanding when integrating the newborn into the family?

  • A. A primipara from an upper income family
  • B. A primipara who comes from a large family
  • C. A multipara (gravida 2) who has a supportive husband and mother
  • D. A multipara (gravida 6) who has two children younger than 3 years
Correct Answer: D

Rationale: The correct answer is D because a multipara with six pregnancies and two young children may require more help and understanding due to the potential challenges of caring for multiple young children simultaneously. The presence of two children younger than 3 years old indicates that the mother may be experiencing higher levels of stress and demands on her time and energy. This situation could lead to difficulties in integrating the newborn into the family dynamics.

Choice A is incorrect because being from an upper-income family does not necessarily indicate a need for more help and understanding. Choice B is incorrect because coming from a large family does not directly correlate with requiring more assistance when integrating a newborn. Choice C is incorrect because having a supportive husband and mother can provide valuable assistance and may not necessarily indicate a greater need for help compared to the scenario described in choice D.

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