Nokea
A mother's laboratory results indicate the presence of cocaine and alcohol. The characteristic in her newborn that would indicate to the nurse that the baby has been affected with fetal alcohol syndrome would be:
- A. Cleft lip
- B. Polydactyly
- C. Umbilical Hernia
- D. Small upturned nose
Correct Answer: D
Rationale: Small upturned nose is a feature of fetal alcohol syndrome.
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For which health history should the nurse counsel a woman that the diaphragm may lead to a recurrence of her problem?
- A. Urinary tract infections.
- B. Herpes simplex infections.
- C. Deep vein thromboses.
- D. Human papilloma warts.
Correct Answer: A
Rationale: Diaphragm use can increase the risk of UTIs.
What information should the nurse teach a client regarding emergency contraception (EC) after a sexual assault?
- A. EC is illegal in all 50 states.
- B. The most common side effect of EC is excessive vaginal bleeding.
- C. The same medicine that is used for EC is used to induce abortions.
- D. EC is best when used within 72 hours of contact.
Correct Answer: D
Rationale: EC is most effective when administered promptly.
What is the best description of the history of gynecologic care in the United States over the past century?
- A. Reproductive health care has been under control of persons AFAB since the 1900s.
- B. The health-care system has always been fair to persons AFAB with regard to shared decision making.
- C. Activist groups are fighting sexism in health care.
- D. Researchers had to stop including persons AFAB in pharmacologic research trials.
Correct Answer: C
Rationale: The correct answer is C because activist groups have played a significant role in fighting sexism in gynecologic care over the past century. These groups have advocated for better healthcare access, reproductive rights, and gender equality. This is supported by historical evidence of movements such as the women's rights movement and advocacy for reproductive justice.
Choice A is incorrect as reproductive health care has not always been under the control of persons assigned female at birth (AFAB) since the 1900s, as there have been significant disparities and challenges faced by individuals in accessing quality care. Choice B is incorrect as the healthcare system has not always been fair in shared decision-making with persons AFAB, with historical examples of paternalistic practices. Choice D is incorrect as excluding persons AFAB from research trials would be unethical and discriminatory, which is not reflective of the overall history of gynecologic care.
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.
What is the most appropriate response by the nurse to a young woman stating she is pregnant and wants to do something about it?
- A. You can take medicine to abort the pregnancy so your parents won't know.
- B. Let's talk about your options.
- C. The best thing for you to do is to have the baby and to give it up for adoption.
- D. I can help you tell your parents.
Correct Answer: B
Rationale: Exploring options empowers the client to make informed decisions.