Nokea
A nurse is caring for a patient who states she is experiencing a thin vaginal discharge with a strong fishy odor. What test does the nurse prepare?
- A. whiff test
- B. vaginal culture
- C. urine culture
- D. blood test
Correct Answer: A
Rationale: A nurse caring for a patient who presents with a thin vaginal discharge with a strong fishy odor should prepare for performing a whiff test. The whiff test, also known as the amine or sniff test, is used to aid in the diagnosis of bacterial vaginosis (BV). BV is a common vaginal infection characterized by an overgrowth of harmful bacteria in the vagina and can cause symptoms like thin, grayish-white discharge with a strong fishy odor.
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A nurse educator is teaching a group of nursing students about the history of family-centered maternity care. Which statement should the nurse include in the teaching session?
- A. The Sheppard-Towner Act of 1921 promoted family-centered care.
- B. Changes in pharmacologic management of labor prompted family-centered care.
- C. Demands by physicians for family involvement in childbirth increased the practice of family-centered care.
- D. Parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family-centered care.
Correct Answer: D
Rationale: The statement that parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family-centered care is the most accurate regarding the history of family-centered maternity care. Family-centered care evolved in response to the recognition of the importance of family involvement in maternity care and the benefits of promoting bonding between the newborn and their parents. This shift in practice came about in response to increasing parental requests for infants to remain with them rather than being separated in a nursery setting. This marked a significant departure from traditional policies that separated mothers and infants after birth and paved the way for the development of family-centered approaches to maternity care.
A client is concerned that her breasts are engorged and uncomfortable. What is the nurse's explanation for this physiologic change?
- A. Overproduction of colostrum
- B. Accumulation of milk in the lactiferous ducts and glands
- C. Hyperplasia of mammary tissue
- D. Congestion of veins and lymphatic vessels
Correct Answer: D
Rationale: Breast engorgement is caused by the temporary congestion of veins and lymphatic vessels.
The patient makes the statement: “I’m afraid to take the baby home tomorrow.” Which response by the nurse would be the most therapeutic?
- A. “You’re afraid to take the baby home?”
- B. “Don’t you have a mother who can come and help?”
- C. “You should read the literature I gave you before you leave.”
- D. “I was scared when I took my first baby home, but everything worked out.”
Correct Answer: D
Rationale: The best response by the nurse in this situation would be D. By sharing a personal experience of feeling scared when taking their first baby home, the nurse is empathizing with the patient and offering reassurance that everything worked out in the end. This can help the patient feel understood and less alone in their fear, while also providing hope that things will be okay. It validates the patient's feelings and offers a positive perspective, which can be therapeutic in this situation.
A charge nurse is working on a postpartum unit and discovers that one of the patients did not receive AM care during her shift assessment. The charge nurse questions the nurse assigned to provide care and finds out that the nurse thought “the patient should just do it by herself because she will have to do this at home.” On further questioning of the nurse, it is determined that the rest of her assigned patients were provided AM care. The assigned nurse has violated which ethical principle?
- A. Justice
- B. Truth
- C. Confidentiality
- D. Autonomy
Correct Answer: A
Rationale: Justice in healthcare ethics refers to the fair and equal distribution of resources, care, and treatment. In this scenario, the nurse's decision to not provide AM care to the specific patient, while providing care to other patients, violates the principle of justice. It is unfair and unjust to selectively provide care based on personal assumptions rather than patients' needs. All patients should be treated equally and receive appropriate care regardless of individual beliefs or assumptions.
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.