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Which factor is a major barrier to health care for adolescent mothers?
- A. Health care workers have a positive attitude.
- B. The hospital or clinic is within walking distance of the girl's home.
- C. Seeing a different nurse aNnd/Ror hIealtGh caBre. pCrovMider at every visit. U S N T O
- D. The institution is open days, evenings, and Saturday by special arrangement.
Correct Answer: C
Rationale: The major barrier to health care for adolescent mothers is seeing a different nurse and/or health care provider at every visit. Continuity of care is crucial for adolescent mothers as they need consistent support and guidance throughout their pregnancy and postpartum period. When they see different healthcare providers at each visit, it can lead to fragmented care, lack of trust in the healthcare system, and hinder the establishment of a therapeutic relationship. This barrier can impact the quality of care received and ultimately affect the health outcomes for both the adolescent mother and her baby.
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What findings would make the nurse suspicious of anorexia in a client?
- A. Aversion to exercise and food allergies.
- B. Significant weight loss and amenorrhea.
- C. Respiratory distress and thick oral mucus.
- D. Cardiac arrhythmias and anasarca.
Correct Answer: B
Rationale: Weight loss and amenorrhea are hallmark signs of anorexia.
The nurse is monitoring a client receiving magnesium sulfate for preeclampsia. What finding indicates magnesium toxicity?
- A. Increased urine output.
- B. Deep tendon reflexes +4.
- C. Respiratory rate of 10 breaths per minute.
- D. Blood pressure of 140/90 mmHg.
Correct Answer: C
Rationale: Respiratory depression is a key sign of magnesium sulfate toxicity and requires immediate intervention.
The nurse is caring for a woman with a broken arm. Her partner brings in flowers and balloons and is overly affectionate. What phase of the cycle of violence would the nurse suspect?
- A. tension-building
- B. acute battering incident
- C. honeymoon phase
- D. loving phase
Correct Answer: C
Rationale: The honeymoon phase in the cycle of violence is characterized by remorse and attempts by the abuser to regain control through affection or gifts. This phase manipulates the victim into believing the abuse will not recur.
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify
- A. Fetal attitude is in general flexion.
- B. Fetal lie is longitudinal.
- C. Maternal pelvis is gynecoid.
- D. Fetal position is persistent occiput posterior.
Correct Answer: D
Rationale: In a labor where the fetal position is persistent occiput posterior, the baby is positioned face up, which can lead to a longer and more difficult labor. In this position, the baby's head is pressing against the mother's spine, causing severe backache for the mother. This malposition can slow down the progress of labor, making it more prolonged and challenging. It can also increase the likelihood of complications such as increased risk of instrumental delivery or cesarean section. Therefore, identifying the fetal position as persistent occiput posterior as a contributing cause to the difficult, prolonged labor with severe backache is crucial for effective management and intervention.
What intervention is highest priority for a woman entering the emergency department after a stranger rape?
- A. Create a safe environment.
- B. Offer postcoital contraceptive therapy.
- C. Provide sexually transmitted disease prophylaxis.
- D. Take a thorough health history.
Correct Answer: A
Rationale: Ensuring safety is paramount immediately after trauma.