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In which culture is the father more likely to be expected to participate in the labor and delivery?
- A. Asian-American
- B. African-American
- C. European-American
- D. Hispanic
Correct Answer: C
Rationale: European-American families generally expect fathers to take an active role in the labor and delivery process compared to other cultural groups.
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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.
How would the physiologic process of the sexual response best be characterized?
- A. Coitus, masturbation, and fantasy
- B. Myotonia and vasocongestion
- C. Erection and orgasm
- D. Excitement, plateau, and orgasm
Correct Answer: B
Rationale: Sexual response is best characterized by the processes of myotonia and vasocongestion.
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.
A nurse is assessing a newborn who is 10 hr olWhich of the following findings should the nurse report to the provider?
- A. Axillary temperature 36.5° C (97.7° F)
- B. Nasal flaring
- C. Heart rate 158/min
- D. One void since birth
Correct Answer: B
Rationale: Nasal flaring is a sign of respiratory distress in a newborn, which may indicate underlying conditions such as transient tachypnea or respiratory infection. Prompt evaluation and intervention are necessary to ensure adequate oxygenation.
The nurse is assessing a 64-year-old female patient. The patient states that she is able to reduce the risk of urinary tract infections (UTIs) by drinking a quart of cranberry juice a day. Which health condition, if present in this patient, contraindicates the use of cranberry juice?
- A. Hypertension, managed with lisinopril
- B. Diabetes type 1, managed with insulin
- C. Atrial fibrillation, managed with warfarin
- D. COPD, managed with inhaled steroids
Correct Answer: C
Rationale: Cranberry juice has the potential to interact with warfarin, a common blood thinner prescribed for conditions such as atrial fibrillation. Cranberry juice contains components that can inhibit the metabolism of warfarin in the body, leading to an increased risk of bleeding. Therefore, patients taking warfarin should avoid or limit their intake of cranberry juice to prevent potential negative interactions. In this case, the patient's use of warfarin to manage atrial fibrillation contraindicates the consumption of cranberry juice in large quantities. It is essential to consult a healthcare provider before making any changes to the diet, especially when taking medications that may interact with certain foods or beverages.