Historically what was the justification for the victimization of women?
- A. Women were regarded as possessions.
- B. Women were created subordinate to men.
- C. Women were the 'weaker sex.'
- D. Control of women was necessary to protect them.
Correct Answer: A
Rationale: Misogyny, patriarchy, devaluation of women, power imbalance, a view of women as property, gender-role stereotyping, and acceptance of aggressive male behaviors as appropriate contributed and continue to contribute to the subordinate status of women in many of the world's societies.
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A nurse is reviewing the laboratory results for a client who is at 29 weeks of gestation. Which of the following results should the nurse report to the provider?
- A. WBC count 11,000/mm3
- B. Hgb 11.2 g/dL
- C. Hct 34%
- D. Platelets 140,000/mm3
Correct Answer: D
Rationale: A platelet count of 140,000/mm³ is concerning as it is on the lower end of normal and could indicate thrombocytopenia, increasing the risk of bleeding.
A healthy 60-year-old African-American woman regularly receives health care at her neighborhood cliniShe is due for a mammogram. At her first visit, her health care provider is concerned about the 3-week wait at the neighborhood clinic and made an appointment for her to have a mammogram at a teaching hospital across town. She did not keep her appointment and returned to the clinic today to have the nurse check her blood pressure. What is the most appropriate statement for the nurse to make to this client?
- A. Do you have transportation to the teaching hospital so that you can get your mammogram?
- B. I'm concerned that you missed your appointment; let me make another one for you.
- C. It's very dangerous to skip your mammograms; your breasts need to be checked.
- D. Would you like me to make an appointment for you to have your mammogram here?
Correct Answer: D
Rationale: Offering to make an appointment for the client at the neighborhood location is nonjudgmental and gives her options. This approach helps avoid embarrassment and opens a conversation about the reasons for missing her initial appointment.
The nurse is providing care for the 34-year-old patient diagnosed with polycystic ovarian syndrome .Which interventions would correlate to the common symptoms of this syndrome? Select all that apply.
- A. The patient has been unsuccessful with the ability to conceive
- B. The patient has a history of painful and irregular menstrual cycles.
- C. The patient has noticed a drastic weight loss and dry skin.
- D. The patient has chronic back pain and gastrointestinal issues
Correct Answer: A
Rationale: Polycystic ovarian syndrome (PCOS) is a common endocrine disorder in women of reproductive age that can present with a variety of symptoms. Common symptoms of PCOS include irregular menstrual cycles, weight gain, acne, excessive hair growth, and infertility. Therefore, interventions that may correlate with these common symptoms can include lifestyle modifications like weight management, exercise, dietary changes, hormonal medications to regulate menstrual cycles, and fertility treatments if conception is desired. Treating the symptoms can help improve the patient's quality of life and overall health outcomes.
What concern is unnecessary for the nurse to address before assisted reproductive therapy?
- A. Risks of multiple gestation
- B. Whether to disclose the facts of conception to offspring
- C. Freezing embryos for later use
- D. Financial ability to cover the cost of treatment
Correct Answer: D
Rationale: While financial concerns are important, they are not the nurse's responsibility to address. The nurse should focus on medical and ethical concerns related to treatment and embryo storage.
With regard to an obstetric litigation case, a nurse working in labor and birth is found to be negligent. Which intervention performed by the nurse indicates that a breach of duty has occurred?
- A. The nurse did not document fetal heart tones (FHR) during the second stage of labor.
- B. The patient was only provided ice chips during the labor period, which lasted 8 hours.
- C. The nurse allowed the patient to use the bathroom rather than a bedpan during the first stage of labor.
- D. The nurse asked family members to leave the room when she prepared to do a pelvic exam on the patient.
Correct Answer: A
Rationale: In an obstetric setting, failure to document fetal heart tones (FHR) during the second stage of labor is a critical breach of duty by the nurse. Monitoring FHR is essential to assess fetal well-being and detect any signs of distress or complications during labor. Neglecting to document this important vital sign could result in delayed recognition of fetal distress, potentially leading to adverse outcomes for the baby and the mother. Therefore, this intervention indicates negligence on the part of the nurse in this scenario.