What statement by the nurse demonstrates an understanding of an ethical maternal-newborn dilemma?
- A. Female genital mutilation/cutting is a violation of human rights in the United States, but I can understand it is part of their culture.'
- B. I can't understand why the patient got mad when I checked her cervix. I just forgot to ask first.'
- C. Surrogacy should not happen because the surrogate is just in it for the money.'
- D. Every country should have abortion rights.'
Correct Answer: A
Rationale: Rationale: Answer A demonstrates an understanding of cultural relativism, acknowledging different cultural practices without condoning harmful acts. It respects cultural diversity while upholding human rights. Choices B, C, and D lack ethical consideration, empathy, and cultural sensitivity, making them incorrect. B shows a lack of respect for patient autonomy. C displays judgmental views on surrogacy. D oversimplifies a complex ethical issue. In summary, A is correct as it balances cultural understanding with the importance of human rights, while the other choices lack ethical awareness and sensitivity.
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The parents of a male newborn ask the nurse whether they should have their son circumcised. The nurse ‘s most appropriate response would be:
- A. It would be a good idea because circumcision is known to prevent penile cancer.
- B. That's something you both will have to decide after you discuss it thoroughly with your doctor.
- C. The Academy of Pediatrics recommends that circumcision not be done routinely because of the risks associated with the procedure.
- D. I'm sure you have discussed this with your doctor, but let's review the benefits and risks of circumcision'
Correct Answer: D
Rationale: Providing balanced information facilitates informed decision-making.
What is the purpose of the standards of care for nurses?
- A. to guide hospital administration to promote nurses
- B. to ensure nurses are assessing patients
- C. to protect the public's safety
- D. to protect the health-care providers
Correct Answer: C
Rationale: The purpose of the standards of care for nurses is to protect the public's safety. These standards outline the expected level of care and practice to ensure patients receive safe and effective care. By adhering to these standards, nurses can prevent harm and promote positive outcomes for patients. Hospital administration promotion (A) is not the primary purpose, assessing patients (B) is just one aspect of care, and protecting healthcare providers (D) is not the main focus of standards of care.
What procedure should a couple take if the man's penis becomes flaccid immediately after ejaculation?
- A. The woman should douche with white vinegar and water.
- B. The woman should consider taking a postcoital contraceptive.
- C. The man should hold the edges of the condom during its removal.
- D. The man should apply spermicide to the upper edges of the condom.
Correct Answer: C
Rationale: Holding the condom edges prevents semen leakage.
How should the nurse explain the consistency of cervical mucus at the time of ovulation?
- A. It becomes thin and elastic.
- B. It becomes opaque and acidic.
- C. It contains numerous leukocytes to prevent vaginal infections.
- D. It decreases in quantity in response to body temperature changes.
Correct Answer: A
Rationale: Thin, elastic mucus facilitates sperm transport during ovulation.
What occurred after childbirth migrated from the home to the hospital?
- A. Infection rates dropped in the hospital.
- B. Laboring persons were given greater support in labor.
- C. The childbirth model became a medical model.
- D. Pain relief allowed laboring persons to spend more time with their partners in labor.
Correct Answer: C
Rationale: The correct answer is C: The childbirth model became a medical model. This occurred because as childbirth moved from the home to the hospital, it shifted from a natural, family-centered event to a medicalized process. Hospitals introduced medical interventions, procedures, and protocols, making childbirth more clinical and less holistic. This transition from a social and emotional experience to a medical one changed the way labor and delivery were managed.
Explanation of why other choices are incorrect:
A: Infection rates dropped in the hospital - This is not necessarily a direct result of childbirth moving to the hospital, as infection rates can be influenced by various factors such as hygiene practices and medical advancements.
B: Laboring persons were given greater support in labor - While support during labor is important, the movement of childbirth to hospitals did not necessarily guarantee greater support, as medical interventions sometimes took precedence over emotional support.
D: Pain relief allowed laboring persons to spend more time with their partners in labor - Although pain relief may have benefits, it is