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 working with an active labor patient who is in preterm labor and has been designated as high risk. The patient is very apprehensive and asks the nurse, “Is everything going to be all right?” The nurse replies, “Yes, everything will be okay.” Following delivery via an emergency cesarean birth, the newborn undergoes resuscitation and does not survive. The patient is distraught over the outcome and blames the nurse for telling her that everything would be okay. Which ethical principle did the nurse violate?

  • A. Autonomy N R I G B.C M U S N T O
  • B. Fidelity
  • C. Beneficence
  • D. Accountability
Correct Answer: C

Rationale: The correct answer is C: Beneficence. The nurse violated the ethical principle of beneficence by providing false reassurance to the patient, which ultimately led to a negative outcome. Beneficence means to do good and act in the best interest of the patient. By giving false hope, the nurse failed to provide truthful information that could have prepared the patient for potential complications.

A: Autonomy - This choice is not the correct answer because autonomy refers to respecting the patient's right to make their own decisions, which was not directly violated in this scenario.

B: Fidelity - This choice is not the correct answer because fidelity refers to being faithful and keeping promises to the patient, which is not the primary issue in this case.

D: Accountability - This choice is not the correct answer because accountability refers to taking responsibility for one's actions, which the nurse may need to do in this situation, but it is not the primary ethical principle violated.

In summary, the nurse violated the ethical

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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 performing a vaginal exam on a client who is in active labor. The nurse notes the umbilical cord protruding through the cervix. Which of the following actions should the nurse take?

  • A. Administer oxytocin to the client via intravenous infusion.
  • B. Apply oxygen at 2 L/min via nasal cannula.
  • C. Prepare for insertion of an intrauterine pressure catheter.
  • D. Assist the client in the knee-chest position.
Correct Answer: D

Rationale: Placing the client in the knee-chest position reduces cord compression and improves oxygenation. Other interventions, such as administering oxygen, may be helpful but are secondary to relieving pressure on the cord.

A client's oncologist has just finished explaining the diagnostic workup results to her, and she still has questions. The woman states, 'The physician says I have a slow-growing cancer. Very few cells are dividing. How does she know this?' What is the name of the test that gave the health care provider this information?

  • A. Tumor ploidy
  • B. S-phase index
  • C. Nuclear grade
  • D. Estrogen-receptor assay
Correct Answer: B

Rationale: The S-phase index measures the number of cells in the synthesis phase of cell development. If the number of cells noted is high the cancer is growing quickly. In this case the low index suggests slow growth.

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.

A nurse is teaching a client who is to start using a diaphragm for contraception. Which of the following client statements indicates an understanding of the teaching?

  • A. I will leave the diaphragm in place for 4 hours following intercourse.
  • B. I will remove the diaphragm by catching the rim below the dome with my forefinger.
  • C. I will place a thin layer of mineral oil on the diaphragm once per week.
  • D. I will place 2 teaspoons of spermicide on the inside of the diaphragm before inserting it.
Correct Answer: D

Rationale: Spermicide should be applied before inserting the diaphragm to maximize contraceptive effectiveness.

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