Current Issues in Maternal Newborn Nursing

Current Issues in Maternal Newborn Nursing Related

Review Current Issues in Maternal Newborn Nursing related questions and content

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 because chlamydia is a sexually transmitted infection that requires treatment for both the infected person and their partner to prevent reinfection. The recommended practice is to abstain from sex until 7 days after completing treatment to ensure the infection is fully cleared from both individuals. This approach helps to prevent the spread of the infection and reduces the risk of complications.

Choice B is incorrect because simply finishing the medicine without waiting for the partner's treatment can lead to reinfection. Choice C is incorrect as it solely focuses on the partner's treatment without considering the completion of the patient's own treatment. Choice D is incorrect as it disregards the importance of completing treatment and waiting for the specified period before resuming sexual activity.

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A nurse is caring for a client who is pregnant for the fourth time. The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation. The nurse should document the client's obstetrical history as which of the following?

  • A. Gravida 3, Para 2
  • B. Gravida 3, Para 3
  • C. Gravida 4, Para 2
  • D. Gravida 4, Para 3
Correct Answer: C

Rationale: Gravida refers to total pregnancies (4), and Para refers to births after 20 weeks (2 full-term deliveries). The spontaneous abortion does not count in para.

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 inaccurately suggests that family dynamics will not change after childbirth. The nurse needs to correct this statement as childbirth often leads to significant changes in family dynamics. This is important for the patient to understand to prepare for potential adjustments and challenges. Choices A, B, and D are incorrect because they align with the principles of family-centered care. Choice A highlights the importance of family support, choice B emphasizes the commonality of uncomplicated childbirth, and choice D empowers the patient to make informed decisions about her healthcare.

A nurse is teaching a pregnant client who is Rh-negative about Rh (D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?

  • A. If my partner is Rh-negative, I will not receive the shot.
  • B. I will receive the shot after delivery if my baby is Rh-negative.
  • C. I should not receive any immunizations for 3 months after the shot.
  • D. This shot may be given after birth to protect future pregnancies.
Correct Answer: A

Rationale: If the partner is Rh-negative, the fetus cannot be Rh-positive, so Rh (D) immune globulin is unnecessary.

The nurse is assessing a patient’s use of complementary and alternative therapies. Which should the nurse document as an alternative or complementary therapy practice? (Select all that apply.)

  • A. Practicing yoga daily
  • B. Drinking green tea in the morning
  • C. Taking omeprazole (Prilosec) once a day
  • D. Using aromatherapy during a relaxing bath
Correct Answer: A

Rationale: The correct answer is A because practicing yoga daily is a recognized complementary therapy that promotes physical and mental well-being. Yoga has been shown to reduce stress, improve flexibility, and enhance overall health.

B is incorrect as drinking green tea is considered a dietary choice rather than a specific alternative therapy practice. C is incorrect as taking omeprazole is a conventional medication for acid reflux, not a complementary therapy. D is incorrect as aromatherapy is a complementary therapy, but using it during a relaxing bath is not a specific practice related to alternative therapies.

A 32-year-old female patient arrives to the emergency department with heavy uterine bleeding. The nurse finds that the patient had a positive pregnancy test 1 month prior to the visit. What is the potential medical management for this patient's issue?

  • A. Endometrial biopsy
  • B. Dilation and curettage
  • C. Colposcopy
  • D. Laparoscopy
Correct Answer: B

Rationale: The correct answer is B: Dilation and curettage. This procedure is used to diagnose and treat conditions like heavy uterine bleeding in cases of suspected miscarriage or incomplete abortion. It involves dilating the cervix to remove tissue from the uterus. In this scenario, the patient's positive pregnancy test and heavy bleeding suggest a possible incomplete abortion or miscarriage, making D&C appropriate. The other choices are not indicated for this situation: A (Endometrial biopsy) is used to evaluate abnormal uterine bleeding unrelated to pregnancy, C (Colposcopy) is for cervical evaluation, and D (Laparoscopy) is for abdominal and pelvic exploration, not specific to uterine bleeding.

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