Current Issues in Maternal Newborn Nursing

Current Issues in Maternal Newborn Nursing Related

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A nurse is reviewing evidence-based teaching and learning principles. Which situation is most conducive to learning with patients of other cultures?

  • A. An auditorium is being used as a classroom for 300 students.
  • B. A teacher who speaks very little Spanish is teaching a class of Hispanic students.
  • C. A class is composed of students of various ages and educational backgrounds.
  • D. An Asian nurse provides nutritional information to a group of pregnant Asian women.
Correct Answer: D

Rationale: The correct answer is D because it demonstrates cultural competence by matching the nurse's background with the patients'. This helps establish trust, understanding, and effective communication. The nurse is more likely to be familiar with cultural norms and preferences, making the teaching more culturally relevant and impactful.

A: An auditorium setting with a large number of students may not allow for individualized cultural considerations.
B: Language barriers can hinder effective communication and understanding, impacting learning outcomes.
C: While diversity can enrich learning, the varying backgrounds may not necessarily address specific cultural needs as effectively as a tailored approach.

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A nurse is caring for a patient with pyelonephritis. What does the nurse identify as the most common cause?

  • A. Escherichia coli
  • B. Neisseria gonorrhoeae
  • C. Chlamydia trachomatis
  • D. Candida albicans
Correct Answer: A

Rationale: The correct answer is A: Escherichia coli. Step 1: E. coli is the most common causative agent of pyelonephritis due to its ability to ascend from the lower urinary tract to the kidneys. Step 2: E. coli is a common bacteria found in the gut and can easily infect the urinary tract. Step 3: Neisseria gonorrhoeae, Chlamydia trachomatis, and Candida albicans are not commonly associated with pyelonephritis. Thus, the correct choice is A.

The nurse states to the newly pregnant patient, “Tell me how you feel about being pregnant.” Which communication technique is the nurse using with this patient?

  • A. Clarifying
  • B. Paraphrasing
  • C. Reflection
  • D. Structuring
Correct Answer: C

Rationale: The correct answer is C: Reflection. The nurse is using a reflection communication technique by restating the patient's feelings to show understanding and empathy. This helps the patient feel heard and validated. Clarifying (A) involves seeking more information, paraphrasing (B) involves restating the patient's words, and structuring (D) involves providing organization or direction. In this scenario, the nurse is not seeking more details (Clarifying), restating the patient's words exactly (Paraphrasing), or providing organization/direction (Structuring), but rather reflecting the patient's emotions back to them.

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.

Which condition is the most life-threatening virus to the fetus and neonate?

  • A. Hepatitis A virus (HAV)
  • B. Herpes simplex virus (HSV)
  • C. Hepatitis B virus (HBV)
  • D. Cytomegalovirus (CMV)
Correct Answer: C

Rationale: Hepatitis B virus (HBV) poses the most significant threat to the fetus and neonate.

A nurse is caring for a patient with pyelonephritis. What does the nurse identify as the most common cause?

  • A. Escherichia coli
  • B. Neisseria gonorrhoeae
  • C. Chlamydia trachomatis
  • D. Candida albicans
Correct Answer: A

Rationale: The correct answer is A: Escherichia coli. In pyelonephritis, bacteria typically ascend from the lower urinary tract to the kidneys. E. coli is the most common cause due to its prevalence in the gastrointestinal tract and ability to cause urinary tract infections. Neisseria gonorrhoeae and Chlamydia trachomatis are more commonly associated with sexually transmitted infections, not pyelonephritis. Candida albicans is a fungal infection and is not a common cause of pyelonephritis.

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