Current Issues in Maternal Newborn Nursing

Current Issues in Maternal Newborn Nursing Related

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A nurse is caring for a patient who has just been diagnosed with chlamydia and wants to know when she can have sex with her boyfriend again. What is the best response from the nurse?

  • A. “You should not have sex until 7 days after you complete treatment and your partner gets treatment.”
  • B. “You can have sex as soon as you finish the medicine.”
  • C. “You can have sex once your partner takes the medicine.”
  • D. “There is no need to wait.”
Correct Answer: A

Rationale: The correct answer is A. The rationale is as follows:
1. Chlamydia is a sexually transmitted infection that requires treatment to prevent transmission.
2. The patient should complete the full course of treatment to ensure the infection is cleared.
3. Waiting 7 days after completing treatment allows time for the medication to be effective and for the patient's partner to also receive treatment.
4. Having sex before completing treatment and ensuring the partner is treated can lead to re-infection and further transmission.
Therefore, choice A is the best response.

Summary of incorrect choices:
B: Incorrect as having sex immediately after finishing the medicine without waiting for partner treatment can lead to re-infection.
C: Incorrect as both partners need to complete treatment to prevent re-infection.
D: Incorrect as waiting is necessary to ensure the infection is fully treated and transmission is prevented.

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The nurse should understand the process by which the HIV infection occurs. Once the virus has entered the body, what is the time frame for seroconversion to HIV positivity?

  • A. 6 to 10 days
  • B. 2 to 4 weeks
  • C. 6 to 12 weeks
  • D. 6 months
Correct Answer: C

Rationale: Seroconversion to HIV typically occurs within 6 to 12 weeks after the virus enters the body.

To provide culturally competent care to an Asian-American family, which question should the nurse include during the assessment interview?

  • A. Do you prefer hot or cold beverages?
  • B. Do you want some milk to drink?
  • C. Do you want music playing while you are in labor?
  • D. Do you have a name selected for the baby?
Correct Answer: A

Rationale: Asian-American families may have cultural preferences for warm beverages, especially during labor and delivery. Offering milk may be inappropriate as many in this group exclude milk from their diet. Silence is preferred during labor, and baby naming may be delayed in some traditions.

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 would advise the patient to report what symptom immediately during a PD-1 (checkpoint inhibitor) infusion?

  • A. nausea
  • B. fatigue
  • C. dizziness
  • D. diarrhea
Correct Answer: C

Rationale: The correct answer is C: dizziness. Dizziness during a PD-1 infusion can indicate a potential serious adverse reaction, such as immune-related neurological toxicity. Prompt reporting is crucial to prevent complications. Nausea, fatigue, and diarrhea are common side effects of PD-1 inhibitors but are typically not considered immediate concerns for infusion reactions. Reporting dizziness ensures timely assessment and intervention to manage any severe adverse effects.

Which description of postpartum restoration or healing times is accurate?

  • A. The cervix shortens, becomes firm, and returns to form within a month postpartum.
  • B. Vaginal rugae reappear by 3 weeks postpartum.
  • C. Most episiotomies heal within a week.
  • D. Hemorrhoids usually decrease in size within 2 weeks of childbirth.
Correct Answer: B

Rationale: Vaginal rugae reappear by 3 weeks postpartum, though they are never as prominent as in nulliparous women.

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