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 client currently uses a diaphragm and spermicide for contraception. She asks the nurse to explain the major differences between the cervical cap and the diaphragm. What is the most appropriate response by the nurse?

  • A. No spermicide is used with the cervical cap, so it's less messy.
  • B. The diaphragm can be left in place longer after intercourse.
  • C. Repeated intercourse with the diaphragm is more convenient.
  • D. The cervical cap can be safely used for repeated acts of intercourse without adding more spermicide later.
Correct Answer: D

Rationale: The cervical cap can be inserted hours before sexual intercourse without the need for additional spermicide later.

Intervention for the sexual abuse survivor is often not attempted by maternity and women's health nurses because of the concern about increasing the distress of the woman and the lack of expertise in counseling. What initial intervention is appropriate and most important in facilitating the woman's care?

  • A. Initiating a referral to an expert counselor
  • B. Setting limits on what the client discloses
  • C. Listening and encouraging therapeutic communication skills
  • D. Acknowledging the nurse's discomfort to the client as an expression of empathy
Correct Answer: C

Rationale: The survivor needs support on many levels. Therapeutic communication skills and listening are initial interventions. Referring to a counselor is appropriate but not the most important initial intervention.

Which condition, not uncommon in pregnancy, is likely to require careful medical assessment during the puerperium?

  • A. Varicosities of the legs
  • B. Carpal tunnel syndrome
  • C. Periodic numbness and tingling of the fingers
  • D. Headaches
Correct Answer: D

Rationale: Headaches in the postpartum period can have a number of causes, some of which deserve medical attention.

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 providing breast care education to a client after mammography. Which information regarding fibrocystic changes in the breast is important for the nurse to share?

  • A. Fibrocystic breast disease is a disease of the milk ducts and glands in the breasts.
  • B. It is a premalignant disorder characterized by lumps found in the breast tissue.
  • C. Healthy women with fibrocystic breast disease find lumpiness with pain and tenderness in varying degrees in the breast tissue during menstrual cycles.
  • D. Lumpiness is accompanied by tenderness after menses.
Correct Answer: C

Rationale: Fibrocystic changes are palpable thickenings in the breast usually associated with pain and tenderness. The pain and tenderness fluctuate with the menstrual cycle. They are not premalignant changes and tenderness most often occurs before menses.

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