Current Issues in Maternal Newborn Nursing

Current Issues in Maternal Newborn Nursing Related

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A nurse is entering information on the patient’s electronic health record (EHR) and is called to assist in an emergency situation with regard to another patient in the labor and birth suite. The nurse rushes to the scene to assist; however, she leaves the chart open on the computer screen. The emergent patient situation is resolved satisfactorily, and the nurse comes back to the computer entry screen to complete charting. At the end of the shift, the nurse manager asks to speak with the nurse and tells her that she is concerned with what happened today on the unit because there was a breach in confidentiality. Which response by the nurse indicates that she understands the nurse manager’s concerns?

  • A. The nurse acknowledges that she should have made sure that her patient was safe before assisting with the emergency.
  • B. The nurse states that she should have logged out of the EHR prior to attending to the emergency.
  • C. The nurse indicates that the unit was understaffed.
  • D. The nurse indicates that the she changed her password following the clinical emergency to maintain confidentiality.
Correct Answer: B

Rationale: The correct answer is B. The nurse should have logged out of the EHR prior to attending to the emergency. By leaving the EHR open and unattended, the nurse exposed patient information to potential unauthorized access, violating patient confidentiality. Logging out would have prevented this breach.

Choice A is incorrect because the priority in an emergency is to address the immediate patient needs. Choice C is irrelevant to the breach of confidentiality. Choice D, changing the password after the incident, does not address the initial breach and is not a sufficient response to the nurse manager's concerns about maintaining confidentiality.

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Which actions by the nurse indicate compliance with the Health Insurance Portability and Accountability Act (HIPAA)? (Select all that apply.)

  • A. The nurse posts an update about a patient on Facebook.
  • B. The nurse gives the report to the oncoming nurse in a private area.
  • C. The nurse gives information about the patient’s status over the phone to the patient’s friend.
  • D. The nurse logs off any computer screen showing patient data before leaving the computer unattended.
Correct Answer: B

Rationale: The correct answer is B because giving the report to the oncoming nurse in a private area ensures patient information is shared securely, maintaining patient confidentiality as required by HIPAA. Posting patient updates on social media (A) violates patient privacy. Sharing patient information with a friend (C) breaches confidentiality. Leaving computer screens unattended with patient data visible (D) risks unauthorized access. B is the only choice that aligns with HIPAA regulations by prioritizing patient privacy and security.

A nurse is entering information on the patient’s electronic health record (EHR) and is called to assist in an emergency situation with regard to another patient in the labor and birth suite. The nurse rushes to the scene to assist; however, she leaves the chart open on the computer screen. The emergent patient situation is resolved satisfactorily, and the nurse comes back to the computer entry screen to complete charting. At the end of the shift, the nurse manager asks to speak with the nurse and tells her that she is concerned with what happened today on the unit because there was a breach in confidentiality. Which response by the nurse indicates that she understands the nurse manager’s concerns?

  • A. The nurse acknowledges that she should have made sure that her patient was safe before assisting with the emergency.
  • B. The nurse states that she should have logged out of the EHR prior to attending to the emergency.
  • C. The nurse indicates that the unit was understaffed.
  • D. The nurse indicates that the she changed her password following the clinical emergency to maintain confidentiality.
Correct Answer: B

Rationale: Step-by-step rationale:
1. The correct answer is B because logging out of the EHR prior to attending to the emergency is crucial to maintain patient confidentiality.
2. By leaving the EHR open, the nurse exposed sensitive patient information to potential unauthorized access.
3. This action violates patient privacy rights and is a breach of confidentiality.
4. Choice A is incorrect as it does not address the specific issue of breaching patient confidentiality by leaving the EHR open.
5. Choice C is irrelevant as understaffing does not excuse the breach of patient confidentiality.
6. Choice D is incorrect as changing the password after the breach does not rectify the initial mistake of leaving the EHR open.
Summary: Choice B is the correct response as it directly addresses the breach of confidentiality by acknowledging the importance of logging out of the EHR to protect patient information. Choices A, C, and D are incorrect as they do not effectively address the issue of breaching patient confidentiality.

What is the primary role of practicing nurses in the research process?

  • A. Designing research studies
  • B. Collecting data for other researchers
  • C. Identifying researchable problems
  • D. Seeking funding to support research studies
Correct Answer: C

Rationale: When problems are identified, research can be properly conducteResearch of healthcare issues leads to evidence-based practice guidelines.

A nurse is caring for a patient who was just diagnosed with VVC. What treatment does the nurse expect to teach the patient about?

  • A. metronidazole (anti-protozoal)
  • B. penicillin G (antibiotic)
  • C. clotrimazole (antifungal)
  • D. ampicillin (antibiotic)
Correct Answer: C

Rationale: The correct answer is C: clotrimazole (antifungal). VVC stands for vulvovaginal candidiasis, which is a fungal infection. Clotrimazole is an antifungal medication commonly used to treat VVC by inhibiting the growth of the fungus. Metronidazole (choice A) is an anti-protozoal agent used for parasitic infections, not fungal infections. Penicillin G (choice B) and ampicillin (choice D) are both antibiotics used to treat bacterial infections, not fungal infections like VVC. Therefore, the nurse would expect to teach the patient about using clotrimazole to treat VVC.

What is the primary theme of the feminist perspective regarding violence against women?

  • A. Role of testosterone as the underlying cause of men's violent behavior
  • B. Basic human instinctual drive toward aggression
  • C. Male dominance and coercive control over women
  • D. Cultural norm of violence in Western society
Correct Answer: C

Rationale: The contemporary social view of violence is derived from the feminist theory. With the primary theme of male dominance and coercive control, this view enhances an understanding of all forms of violence against women.

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