Maternal and Reproductive Health Nursing

Maternal and Reproductive Health Nursing Related

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A community health nurse recognizes an increase in maternal mortality in the neighborhood. What could the community health nurse do?

  • A. Conduct weekly prenatal appointments in their home.
  • B. Draw blood on all pregnant persons to look for anemia.
  • C. Assess the health of a baby using an ultrasound.
  • D. Develop an educational pamphlet discussing signs of preeclampsia.
Correct Answer: D

Rationale: The correct answer is D because developing an educational pamphlet discussing signs of preeclampsia can help raise awareness and educate pregnant individuals about a life-threatening condition contributing to maternal mortality. This intervention can empower individuals to recognize warning signs early, seek timely medical care, and potentially prevent adverse outcomes. Conducting weekly prenatal appointments in their home (Choice A) may not address the underlying causes of maternal mortality and may not be feasible for all pregnant individuals. Drawing blood on all pregnant persons to look for anemia (Choice B) may not be the most effective strategy to address maternal mortality as anemia is just one of many contributing factors. Assessing the health of a baby using an ultrasound (Choice C) does not directly address the issue of maternal mortality and focuses on fetal, rather than maternal, well-being.

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What is one purpose of the Healthy People 2030 objectives?

  • A. Stop world hunger.
  • B. Prevent conflict and war in other countries.
  • C. Address issues in health care to solve cancer.
  • D. Recommend changes to increase health promotion and disease prevention.
Correct Answer: D

Rationale: The correct answer is D because the Healthy People 2030 objectives aim to recommend changes to increase health promotion and disease prevention. These objectives focus on improving the overall health of the population by setting specific targets and goals for health promotion and disease prevention strategies. Choices A, B, and C are incorrect because the Healthy People 2030 objectives are specifically designed to address public health issues within the United States, not worldwide hunger, conflict in other countries, or solely cancer-related issues.

The nurse makes an error of omission. What is an example of an error of omission?

  • A. placing the fetal monitor incorrectly
  • B. not recording input/output amounts
  • C. not covering the computer screen when documenting
  • D. removing an IV
Correct Answer: B

Rationale: The correct answer is B because not recording input/output amounts can lead to missed vital information affecting patient care. Omission errors involve failing to perform a required action. Placing the fetal monitor incorrectly (A) is an error of commission, actively doing something incorrectly. Not covering the computer screen (C) is a breach of patient confidentiality, not an omission error. Removing an IV (D) is an active intervention, not an omission error.

What occurred after childbirth migrated from the home to the hospital?

  • A. Infection rates dropped in the hospital.
  • B. Laboring persons were given greater support in labor.
  • C. The childbirth model became a medical model.
  • D. Pain relief allowed laboring persons to spend more time with their partners in labor.
Correct Answer: C

Rationale: The correct answer is C: The childbirth model became a medical model. This occurred because as childbirth moved from the home to the hospital, it shifted from a natural, family-centered event to a medicalized process. Hospitals introduced medical interventions, procedures, and protocols, making childbirth more clinical and less holistic. This transition from a social and emotional experience to a medical one changed the way labor and delivery were managed.

Explanation of why other choices are incorrect:
A: Infection rates dropped in the hospital - This is not necessarily a direct result of childbirth moving to the hospital, as infection rates can be influenced by various factors such as hygiene practices and medical advancements.
B: Laboring persons were given greater support in labor - While support during labor is important, the movement of childbirth to hospitals did not necessarily guarantee greater support, as medical interventions sometimes took precedence over emotional support.
D: Pain relief allowed laboring persons to spend more time with their partners in labor - Although pain relief may have benefits, it is

During the counseling sessions about hepatitis B vaccination, what should the nurse advise the client to receive?

  • A. Hepatitis B immune globulin before receiving the vaccine.
  • B. Vaccine booster every 10 years.
  • C. Complete series of three intramuscular injections.
  • D. Vaccine as soon as she becomes 21.
Correct Answer: C

Rationale: The hepatitis B vaccine requires a complete series of three intramuscular injections.

Which statement by the client indicates understanding about the intrauterine device (IUD)?

  • A. The IUD can remain in place for a year or more.
  • B. I will not menstruate while the IUD is in.
  • C. Pain during intercourse is a common side effect.
  • D. The device will reduce my chances of getting infected.
Correct Answer: A

Rationale: IUDs can remain in place for several years depending on the type.

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