Current Issues in Maternal and Child Health

Current Issues in Maternal and Child Health Related

Review Current Issues in Maternal and Child Health related questions and content

A 55-year-old postmenopausal female patient presents to the family practice clinic for her annual examination. The nurse notes that the patient has lost inch in height. Upon further investigation, the nurse discovers that the patient has a slow-healing fracture of the left radius. What screening will most likely be initiated at this time for the patient?

  • A. Assessment for domestic violence
  • B. Dual-energy x-ray absorptiometry scan
  • C. Follicle-stimulating hormone
  • D. Serum levels of calcium and vitamin D
Correct Answer: B

Rationale: In this scenario, the postmenopausal female patient who has lost height and has a slow-healing fracture of the left radius presents with concerning factors for osteoporosis. The most appropriate screening to initiate in this case would be a dual-energy x-ray absorptiometry (DEXA) scan. DEXA scan is the gold standard for diagnosing osteoporosis by measuring bone mineral density. Given the patient's age, postmenopausal status, height loss, and fracture history, assessing bone health through a DEXA scan is crucial to determine the presence of osteoporosis and guide appropriate management and treatment strategies.

You may also like to solve these questions

The nurse is caring for a patient receiving chemotherapy. What nursing intervention would they provide?

  • A. Administer antibiotics.
  • B. Administer antiemetics.
  • C. Encourage physical activity after infusion.
  • D. Encourage eating a large meal.
Correct Answer: B

Rationale: Patients receiving chemotherapy often experience nausea and vomiting as common side effects. Antiemetics are medications specifically designed to help manage and prevent these symptoms. By administering antiemetics, the nurse can help the patient feel more comfortable and reduce the risk of dehydration and other complications associated with nausea and vomiting. This intervention is crucial in supporting the patient's overall well-being and enhancing their quality of life during chemotherapy treatment.

What nursing intervention would the nurse include in the preoperative care plan for a patient scheduled for an outpatient lumpectomy of a fibroadenoma?

  • A. Administer pain and antiemetic medications.
  • B. Help the patient arrange for a cab home after the procedure.
  • C. Advise the patient to avoid food or drink for 2 hours before surgery.
  • D. Review discharge instructions.
Correct Answer: C

Rationale: It is essential to advise the patient to avoid food or drink for at least 2 hours before surgery to reduce the risk of aspiration during the procedure. An empty stomach helps prevent vomiting and aspiration of stomach contents that could potentially lead to respiratory complications during the surgical procedure. This is a crucial preoperative nursing intervention to ensure patient safety and preparation for the lumpectomy surgery. Administering pain and antiemetic medications, arranging for transportation home, and reviewing discharge instructions are important aspects of care but do not directly impact the patient's safety during the procedure like fasting before surgery does.

The RN is delegating tasks to the unlicensed assistive personnel (UAP). Which tasks can the nurse delegate? (Select all that apply.)

  • A. Teaching the patient about breast care
  • B. Assessment of a patient’s lochia and perineal area
  • C. Assisting a patient to the bathroom for the first time after birth
  • D. Vital signs on a postpartum patient who delivered the night before
Correct Answer: C

Rationale: A. Teaching the patient about breast care typically requires specialized knowledge and is best performed by the nurse.

A nurse working in a labor and birth unit is asked to take care of two high-risk patients in the labor and birth suite: a 34 weeks’ gestation 28-year-old gravida 3, para 2 in preterm labor and a 40-year-old gravida 1, para 0 who is severely preeclamptic. The nurse refuses this assignment telling the charge nurse that based on individual patient acuity, each patient should have one-on-one care. Which ethical principle is the nurse advocating?

  • A. Accountability
  • B. Beneficence
  • C. Justice
  • D. Fidelity
Correct Answer: C

Rationale: Justice is the ethical principle that involves fair and equal distribution of resources and care. In this scenario, the nurse is advocating for justice by asserting that each high-risk patient should receive one-on-one care based on their individual acuity levels. By refusing to take on both patients simultaneously, the nurse is advocating for fairness and equal opportunity for proper care and attention for each patient. This is in line with the principle of justice, which emphasizes the importance of treating all individuals fairly and providing them with the appropriate level of care they need.

The nurse is providing education to the patient that is receiving a bisphosphate medication for osteoporosis. Which instructions should the nurse include in the teaching plan to reduce side effects and enhance absorption while taking bisphosphates? Select all that apply.

  • A. Take the medication with a small meal at the same time
  • B. Take the medication with at least 8 oz. of water.
  • C. Remain upright for at least 30 minutes after taking a dos
  • D. Take the medication on an empty stomach
Correct Answer: A

Rationale: A. Take the medication with a small meal at the same time: Bisphosphonate medications should be taken with a small meal rather than on an empty stomach to enhance absorption and reduce the risk of gastrointestinal side effects.

Copyright © 2025 Nokea. All rights reserved.