Current Issues in Maternal Newborn Nursing

Current Issues in Maternal Newborn Nursing Related

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A client is 5 months pregnant. On a routine ultrasound scan, the physician discovers that the fetus has a diaphragmatic herniThe woman becomes distraught and asks the nurse what she should do. Which response would be most suitable?

  • A. Talk to the client, and refer her to a genetic counselor.
  • B. Suggest that the client travel to a fetal treatment center for intrauterine surgery.
  • C. Tell her that everything is going to be fine.
  • D. Sit with the client, and calmly suggest that she consider terminating this pregnancy.
Correct Answer: A

Rationale: Before the client makes any decisions, she should discuss this newly discovered information with a genetic counselor. Genetic counselors can help with the diagnosis and management of families affected by genetic conditions. The discussion of potential surgery should be pursuant to genetic counseling. Telling the woman that everything is going to be fine may give her false hope and is not accurate. All options should be discussed with the genetic counselor. Furthermore, the guiding principle for genetic counseling is nondirection, which respects the right of the individual or family who are being counseled to make autonomous decisions.

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Which condition, not uncommon in pregnancy, is likely to require careful medical assessment during the puerperium?

  • A. Varicosities of the legs
  • B. Carpal tunnel syndrome
  • C. Periodic numbness and tingling of the fingers
  • D. Headaches
Correct Answer: D

Rationale: Headaches in the postpartum period can have a number of causes, some of which deserve medical attention.

A nurse is caring for a patient who has just been diagnosed with chlamydia and wants to know when she can have sex with her boyfriend again. What is the best response from the nurse?

  • A. “You should not have sex until 7 days after you complete treatment and your partner gets treatment.”
  • B. “You can have sex as soon as you finish the medicine.”
  • C. “You can have sex once your partner takes the medicine.”
  • D. “There is no need to wait.”
Correct Answer: A

Rationale: The correct answer is A. The rationale is as follows:
1. Chlamydia is a sexually transmitted infection that requires treatment to prevent transmission.
2. The patient should complete the full course of treatment to ensure the infection is cleared.
3. Waiting 7 days after completing treatment allows time for the medication to be effective and for the patient's partner to also receive treatment.
4. Having sex before completing treatment and ensuring the partner is treated can lead to re-infection and further transmission.
Therefore, choice A is the best response.

Summary of incorrect choices:
B: Incorrect as having sex immediately after finishing the medicine without waiting for partner treatment can lead to re-infection.
C: Incorrect as both partners need to complete treatment to prevent re-infection.
D: Incorrect as waiting is necessary to ensure the infection is fully treated and transmission is prevented.

The nurse is reviewing the principles of family-centered care with a primiparous patient. Which patient statement will the nurse need to correct?

  • A. “Remaining focused on my family will help benefit me and my baby.”
  • B. “Most of the time, childbirth is uncomplicated and a healthy event for the family.”
  • C. “Because childbirth is normal, after my baby’s birth our family dynamics will not N R I G B.C M U S N T O change.”
  • D. “With correct information, I am able to make decisions regarding my health care while I am pregnant.”
Correct Answer: C

Rationale: The correct answer is C because it is important for the nurse to clarify that childbirth can indeed bring about changes in family dynamics, as adding a new member can impact relationships and roles. This is a key principle of family-centered care. Choice A emphasizes the importance of family support, which aligns with the concept. Choice B highlights the commonality of uncomplicated childbirth, which is also relevant. Choice D emphasizes the patient's autonomy in decision-making, which is another important aspect of family-centered care.

Which condition is the most life-threatening virus to the fetus and neonate?

  • A. Hepatitis A virus (HAV)
  • B. Herpes simplex virus (HSV)
  • C. Hepatitis B virus (HBV)
  • D. Cytomegalovirus (CMV)
Correct Answer: C

Rationale: Hepatitis B virus (HBV) poses the most significant threat to the fetus and neonate.

Which statement best exemplifies contemporary maternity nursing?

  • A. Use of midwives for all vaginal deliveries
  • B. Family-centered care
  • C. Free-standing birth clinics
  • D. Physician-driven care
Correct Answer: B

Rationale: Contemporary maternity nursing focuses on the family's needs and desires, with both midwives and physicians providing care.

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